Debra Swoverland, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4025 Chums Village Dr
Traverse City, MI 49685-6992

Phone

(810) 262-9429

Fax

(810) 296-2910

NPI assigned

Dec 20, 2013

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Sjoquist Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debraswoverland@clhcmi.allscriptsdirect.net

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.

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  Medicare reassignment NPD
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• Crystal Lake Clinic P.C.

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  • NPI 1164945978
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• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
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  • NPI 1689345761
  NPD
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1376927756
  NPD (past)
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Interlochen, MI
  • NPI 1417902057
  NPD (past)
• Crystal Lake Clinic, P.C.

  • Family Medicine Physician
  • Bear Lake, MI
  • NPI 1902851777
  NPD (past)
• Crystal Lake Clinic, PC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1679844849
  NPD (past)

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1730500562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842368",
            "telephone_number": "231-935-0788",
            "fax_number": "231-935-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CHUMS VILLAGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496856992",
            "telephone_number": "810-262-9429",
            "fax_number": "810-296-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOVERLAND",
        "first_name": "DEBRA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SJOQUIST",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Swartz, MA, RD
• Lydia Jo Swartz, PHARMD
• Emily Anne Sweeney
• Marie Kristin Sweet
• Jill Swinning, RN, ACNS-BC
• Christine Marie Sykes, FNP
• Elaine D Sylvain-Riddle, R.N.
• Jennifer Symons
• Crystal Marie Synkiew
• Kayla M Szatkiewicz, LMSW

• Physician Assistant in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.