Active NPI
Alexander Stephen Swan, DO
- Emergency Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0040R
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (801) 355-8620
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0040R | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (801) 875-3173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2380 N 400
North Logan, UT 84341-6000
Phone (435) 713-9700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0040R | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | Current | Accepting new patients |
| Minidoka Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1224 8th St
Rupert, ID 83350
Phone (208) 434-8236
3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Interoperability endpoints
- aswan@minidokamh.securechart.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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1710371448
Emergency Medicine
-
- Emergency Care Clinic/Center
- Rupert, ID
- NPI 1134333495
Emergency Medicine
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1952703472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1881000644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "801-875-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "801-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "ALEXANDER",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "0040R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.