Leo Joseph Swantek Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003267L Issued in PA

Practice address

1600 Peninsula Dr Ste 9
Erie, PA 16505-4261

Phone

(814) 877-7035

Fax

(814) 877-6276

NPI assigned

May 10, 2006

Last updated

Mar 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Leo Swantek Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1821047234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PENINSULA DR STE 9",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054261",
            "telephone_number": "814-877-7035",
            "fax_number": "814-877-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PENINSULA DR STE 9",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054261",
            "telephone_number": "814-877-7035",
            "fax_number": "814-877-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANTEK",
        "first_name": "LEO",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP026403L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003267L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006115530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEO",
            "last_name": "SWANTEK",
            "credential": "RPH DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Swain
• Hadyn Nicole Swan-Leuze, OTR/L
• Dayonna Cheri Swanson
• Jeffrey Lynn Swanson, D.D.S.
• William K Swanson III, DO
• Tammy Lee Swarm, CRNPPE
• Joann Carol Swartwood, MS, LPC
• April Sweeney, CRNP
• Stephanie Dianne Sweeney, COTA/L
• Rebecca Swick, LIFE COACH

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.