Organization Active NPI

John M Swangim DPM PC

  • Foot & Ankle Surgery Podiatrist
  • La Porte, IN
National Provider Identifier
1962722694
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000859A Issued in IN
Legal business name
JOHN M SWANGIM DPM PC
Practice address
1300 State St
Suite 1E
La Porte, IN 46350-3185
Phone
(219) 324-8860
Fax
(219) 324-5671
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. John M Swangim, DPM
Title
President
Phone
(219) 324-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 07000859A IN Primary

Addresses

Primary practice location

1300 State St
Suite 1E
La Porte, IN 46350-3185

Mailing address

1300 State St
Suite 1E
La Porte, IN 46350-3185
Phone (219) 324-8860

Other identifiers 5

IdentifierTypeStateIssuer
M100019840OtherINMEDICARE GROUP/ORGANIZATION PTAN
M400019841OtherINMEDICARE GROUP MEMBER PTAN
1184672727OtherINGROUP MEMBER NPI
200178550MedicaidIN
200992220AOtherINGROUP/ORGANIZATION MEDICAID

National Provider Directory

National Provider Directory

Locations

1300 State St
Ste 1E
Laporte, IN 46350
Phone (219) 324-8860

1225 E Coolspring Ave
Ste 200
Michigan City, IN 46360
Phone (219) 861-8161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1962722694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE ST",
            "address_2": "SUITE 1E",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503185",
            "telephone_number": "219-324-8860",
            "fax_number": "219-324-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ST",
            "address_2": "SUITE 1E",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503185",
            "telephone_number": "219-324-8860",
            "fax_number": "219-324-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M SWANGIM DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "SWANGIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-324-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000859A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATION PTAN",
            "identifier": "M100019840",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN",
            "identifier": "M400019841",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER NPI",
            "identifier": "1184672727",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200178550",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP/ORGANIZATION MEDICAID",
            "identifier": "200992220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.