Active NPI
Swami Nathan MD Inc
- Specialist
- Frederick, MD
National Provider Identifier
1780724658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D18414
- Legal business name
- SWAMI NATHAN MD INC
- Practice address
- 198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702-4398 - Phone
- (301) 694-5344
- Fax
- (301) 694-5125
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Swami Nathan, M.D.
- Title
- President
- Phone
- (301) 694-5344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D18414 | MD | Primary |
Addresses
Primary practice location
198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702-4398
Mailing address
198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702-4398
Phone (301) 694-5344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793781400 | Medicaid | MD | |
| 0089641000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
198 Thomas Johnson Dr
Ste 207
Frederick, MD 21702
Phone (301) 694-5344
121 W 3rd Ave
Ranson, WV 25438
Phone (304) 728-0870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1780724658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 207",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024398",
"telephone_number": "301-694-5344",
"fax_number": "301-694-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 207",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024398",
"telephone_number": "301-694-5344",
"fax_number": "301-694-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWAMI NATHAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "NATHAN",
"authorized_official_first_name": "SWAMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-694-5344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D18414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "793781400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089641000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.