Individual provider Active NPI

Robert B Swatek, PA

  • Physician Assistant
  • Shawnee, KS
National Provider Identifier
1891761102
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00085 Issued in KS
Practice address
5949 Nieman Rd
Shawnee, KS 66203-2930
Phone
(913) 631-6114
Fax
(913) 631-5263
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00085 KS Primary

Addresses

Primary practice location

5949 Nieman Rd
Shawnee, KS 66203-2930

Mailing address

5949 Nieman Rd
Shawnee, KS 66203-2930
Phone (913) 631-6114

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00085KSMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1891761102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032930",
            "telephone_number": "913-631-6114",
            "fax_number": "913-631-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032930",
            "telephone_number": "913-631-6114",
            "fax_number": "913-631-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWATEK",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.