Active NPI
William Russell Swan, M.D.
- Emergency Medicine Physician
- Pryor, OK
National Provider Identifier
1780883801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9895
- Practice address
- 513 SE 13TH CT
Pryor, OK 74361-7625 - Phone
- (918) 864-0470
- NPI assigned
- Jul 18, 2007
- Last updated
- Jun 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9895 | OK | Primary |
| Internal Medicine Physician | 207R00000X | 9895 | OK |
Addresses
Primary practice location
513 SE 13TH CT
Pryor, OK 74361-7625
Mailing address
513 SE 13TH CT
Pryor, OK 74361-7625
Phone (918) 864-0470
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayes County Hma, LLC | Past | Accepting new patients |
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": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1780883801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 SE 13TH CT",
"city": "PRYOR",
"state": "OK",
"postal_code": "743617625",
"telephone_number": "918-864-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 SE 13TH CT",
"city": "PRYOR",
"state": "OK",
"postal_code": "743617625",
"telephone_number": "918-864-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "WILLIAM",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "9895",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "9895",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.