Organization Active NPI

Robert J Swan MD PC

  • Adult Medicine Physician
  • Wentzville, MO
National Provider Identifier
1730328808
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ROBERT J SWAN MD PC
Practice address
600 Medical Dr
Ste 214
Wentzville, MO 63385-3426
Phone
(636) 332-3390
Fax
(636) 327-4554
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Robert John Swan, MD
Title
Physician
Phone
(636) 332-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

600 Medical Dr
Ste 214
Wentzville, MO 63385-3426

Mailing address

600 Medical Dr
Ste 214
Wentzville, MO 63385-3426
Phone (636) 332-3390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1730328808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "address_2": "STE 214",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853426",
            "telephone_number": "636-332-3390",
            "fax_number": "636-327-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "address_2": "STE 214",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853426",
            "telephone_number": "636-332-3390",
            "fax_number": "636-327-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J SWAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-332-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.