Individual provider Active NPI

Laura Susan Swingle, MD

  • Pediatrics Physician
  • Berwick, PA
National Provider Identifier
1881679744
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD009L717 Issued in PA
Practice address
751 E 16TH St
Suite 400
Berwick, PA 18603-2321
Phone
(570) 759-5555
Fax
(570) 759-5533
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD009L717 PA Primary

Addresses

Primary practice location

751 E 16TH St
Suite 400
Berwick, PA 18603-2321

Mailing address

751 E 16TH St
Suite 400
Berwick, PA 18603-2321
Phone (570) 759-5555

Other identifiers 1

IdentifierTypeStateIssuer
0018337520003MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061019000456 PA Practitioner - Pediatric Medicine 6709882590 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD009L717PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berwick Clinic Company LLC Pediatrics CurrentSince Jan 1, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2012 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2012 Accepting new patients

Locations

751 E 16th St
Ste 400
Berwick, PA 18603
Phone (570) 759-5555

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1881679744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 16TH ST",
            "address_2": "SUITE 400",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032321",
            "telephone_number": "570-759-5555",
            "fax_number": "570-759-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E 16TH ST",
            "address_2": "SUITE 400",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032321",
            "telephone_number": "570-759-5555",
            "fax_number": "570-759-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGLE",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD009L717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018337520003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.