Individual provider Active NPI

Michael T Schwimmer, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1700981842
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14309 Issued in AZ
Practice address
1520 S Dobson Rd
Suite 303
Mesa, AZ 85202-4725
Phone
(480) 835-9697
Fax
(480) 835-1769
NPI assigned
Sep 13, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 14309 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd
Suite 303
Mesa, AZ 85202-4725

Mailing address

1520 S Dobson Rd
Suite 303
Mesa, AZ 85202-4725
Phone (480) 835-9697

Other identifiers 1

IdentifierTypeStateIssuer
14309OtherAZSTATE LICENSE NUMBER

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

LicenseStateTypeSpecialty
14309AZMDMassage Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1700981842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "SUITE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-835-9697",
            "fax_number": "480-835-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "SUITE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-835-9697",
            "fax_number": "480-835-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIMMER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "14309",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.