Organization Active NPI

Swami Nathan MD Inc

  • Specialist
  • Frederick, MD
National Provider Identifier
1780724658
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D18414 Issued in MD
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

Updated by the provider on Nov 2, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
793781400MedicaidMD
0089641000MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.