Active NPI
Katie Granger Swanton, PA-C
- Medical Physician Assistant
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03296
- Practice address
- 205 N 11TH St
Beaumont, TX 77702-2213 - Phone
- (409) 892-7090
- Fax
- (409) 892-4324
- NPI assigned
- May 19, 2008
- Last updated
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03296 | TX | Primary |
| Internal Medicine Physician | 207R00000X | PA03296 | TX | |
| Otolaryngology Physician | 207Y00000X | PA03296 | TX |
Addresses
Primary practice location
205 N 11TH St
Beaumont, TX 77702-2213
Mailing address
610 Strickland Dr Ste 270
Orange, TX 77630-4788
Phone (409) 883-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
205 N 11TH St
Beaumont, TX 77702-2213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03296 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Perry, MD, PA | Current | Accepting new patients | |
| Orange Clinical Associates PA | Internal Medicine | Past | Accepting new patients |
| William a. Fawcett, IV, MD | Past | Accepting new patients |
Locations
205 N 11th St
Beaumont, TX 77702
Phone (409) 892-7090
2965 Harrison Ave
Ste 315
Beaumont, TX 77702
Phone (409) 892-2262
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Allergy & Asthma Center
- Allergy & Immunology Physician
- Beaumont, TX
- NPI 1194125161
-
- Facial Plastic Surgery Physician
- Orange, TX
- NPI 1205044567
Internal Medicine
-
- Allergy Physician
- Beaumont, TX
- NPI 1902090434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1952568909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 STRICKLAND DR STE 270",
"city": "ORANGE",
"state": "TX",
"postal_code": "776304788",
"telephone_number": "409-883-5600",
"fax_number": "409-883-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N 11TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777022213",
"telephone_number": "409-892-7090",
"fax_number": "409-892-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANTON",
"first_name": "KATIE",
"middle_name": "GRANGER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03296",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "PA03296",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "PA03296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.