Active NPI
Frederick Swartzendruber, MD
- Surgery Physician
- Pearisburg, VA
National Provider Identifier
1699746677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101048289
- Practice address
- 430 Boxwood LN
Pearisburg, VA 24134-1168 - Phone
- (540) 921-2158
- Fax
- (540) 921-2915
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101048289 | VA | |
| Surgery Physician | 208600000X | 29680 | NC | |
| Surgery Physician | 208600000X | 0101048289 | VA | Primary |
Addresses
Primary practice location
430 Boxwood LN
Pearisburg, VA 24134-1168
Mailing address
430 Boxwood LN
Pearisburg, VA 24134-1168
Phone (540) 921-2158
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01538127 | Other | NC | MEDICARE RAIL ROAD |
| 010035341 | Medicaid | VA | |
| P00277127 | Other | VA | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29680 | NC | MD | Pharmacist |
| 0101048289 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1699746677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 BOXWOOD LN",
"city": "PEARISBURG",
"state": "VA",
"postal_code": "241341168",
"telephone_number": "540-921-2158",
"fax_number": "540-921-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 BOXWOOD LN",
"city": "PEARISBURG",
"state": "VA",
"postal_code": "241341168",
"telephone_number": "540-921-2158",
"fax_number": "540-921-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZENDRUBER",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101048289",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "29680",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101048289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P01538127",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010035341",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00277127",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearisburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.