Organization Active NPI

William a. Schwank, M.D.

  • Specialist
  • Bowling Green, KY
National Provider Identifier
1972700342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18796 Issued in KY
Legal business name
WILLIAM A. SCHWANK, M.D.
Practice address
1890 Lyda Ave Ste 101
Bowling Green, KY 42104-5829
Phone
(270) 782-3103
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ashlie Mosley
Title
Ar Manager
Phone
(270) 782-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18796 KY Primary

Addresses

Primary practice location

1890 Lyda Ave Ste 101
Bowling Green, KY 42104-5829

Mailing address

1890 Lyda Ave
Bowling Green, KY 42104-5829
Phone (270) 782-3103

Other identifiers 2

IdentifierTypeStateIssuer
0411OtherKYANTHEM
64187966MedicaidKY

National Provider Directory

National Provider Directory

Locations

1890 Lyda Ave
Ste 101
Bowling Green, KY 42104
Phone (270) 782-3103

1890 Lyda Ave
Ste 1
Bowling Green, KY 42104
Phone (270) 782-3103

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972700342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LYDA AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045829",
            "telephone_number": "270-782-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LYDA AVE STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045829",
            "telephone_number": "270-782-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. SCHWANK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "270-782-3103"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "18796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0411",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64187966",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.