Active NPI
Jeffrey H Swingholm, CRNA
- Certified Registered Nurse Anesthetist
- Petersburg, WV
National Provider Identifier
1942200381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 59659
- Practice address
- C/O Grant Memorial Hospital
1 Hospital Drive
Petersburg, WV 26847 - Phone
- (304) 257-1026
- Fax
- (304) 257-1932
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 59659 | WV | Primary |
Addresses
Primary practice location
C/O Grant Memorial Hospital
1 Hospital Drive
Petersburg, WV 26847
Mailing address
PO Box 1019
Petersburg, WV 26847-1019
Phone (304) 257-1026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2605108000 | Medicaid | WV |
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
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942200381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1019",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471019",
"telephone_number": "304-257-1026",
"fax_number": "304-257-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C/O GRANT MEMORIAL HOSPITAL",
"address_2": "1 HOSPITAL DRIVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "26847",
"telephone_number": "304-257-1026",
"fax_number": "304-257-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINGHOLM",
"first_name": "JEFFREY",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "59659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2605108000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.