Individual provider Active NPI

Zachary Swanson, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1861624868
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA12393 Issued in TX
Practice address
215 E Quincy St Ste 604
San Antonio, TX 78215-2019
Phone
(210) 798-4311
NPI assigned
Aug 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA12393 TX Primary
Surgical Physician Assistant 363AS0400X PA2329 TN

Addresses

Primary practice location

215 E Quincy St Ste 604
San Antonio, TX 78215-2019

Mailing address

PO Box 5730
Belfast, ME 04915-5700
Phone (888) 402-7256

Other identifiers 2

IdentifierTypeStateIssuer
1861624868MedicaidTX
1531975MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130626000938 TN Practitioner - Physician Assistant 9739361247 Reassigns benefits to 1 organization
I20181210000167 TX Practitioner - Physician Assistant 9739361247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7600

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

8811 Village Dr
San Antonio, TX 78217-5415

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2329TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 30, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 30, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Cardiovascular and Thoracic Surgery of Western New York PLLC Past Accepting new patients

Locations

215 E Quincy St
Ste 604
San Antonio, TX 78215
Phone (210) 590-7712

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
Ste 608
San Antonio, TX 78217
Phone (210) 298-4311

540 Madison Oak Dr
Ste 460
San Antonio, TX 78258
Phone (210) 798-4311

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: zachary.swanson.1@1438.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1861624868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5730",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "888-402-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E QUINCY ST STE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152019",
            "telephone_number": "210-798-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ZACHARY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12393",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA2329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861624868",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531975",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.