Provider Demographics
NPI:1902901945
Name:PATRICK SWIER MD PA
Entity Type:Organization
Organization Name:PATRICK SWIER MD PA
Other - Org Name:THE SWIER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-7737
Mailing Address - Street 1:1400 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1623
Mailing Address - Country:US
Mailing Address - Phone:302-645-7737
Mailing Address - Fax:302-645-1471
Practice Address - Street 1:1400 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1623
Practice Address - Country:US
Practice Address - Phone:302-645-7737
Practice Address - Fax:302-645-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006154208200000X
DEC5-0000216363AS0400X
DELZ-0000120363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001106801Medicaid
DE=========OtherBCBS
DE0001106801Medicaid
DEH25586Medicare UPIN