DR. NICOLE SUSANNE SWOFFORD (NPI# 1013177948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013177948 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SUSANNE SWOFFORD |
| Credential | MD |
| Practice Address |
200 N Virginia St Terrell TX 75160-2732 |
| Practice Telephone | 9725517500 |
| Practice Fax Number | 9725247418 |
| Mailing Telephone | 9725517500 |
| Mailing Fax Number | 9725247418 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N7354 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2818775-01 | 05 |
| Street Address |
200 N VIRGINIA ST |
| City | TERRELL |
| State | TX |
| Zip Code | 75160-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417699 | Healthtexas Provider Network | Pediatrics | 200 N Virginia St, Terrell, TX 75160-2732 | 2005-06-20 |
| 1053953315 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 200 N Virginia St, Terrell, TX 75160-2732 | 2019-10-08 |
| 1386157808 | Jami Renee Bryan | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2017-11-06 |
| 1962929430 | Kerri Rae Reid | Nurse Practitioner | 200 N Virginia St, Terrell, TX 75160-2732 | 2017-08-25 |
| 1285028514 | Shikha Bansal | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2015-03-25 |
| 1366766875 | Debra Lynn Grunden | Nurse Practitioner | 200 N Virginia St, Terrell, TX 75160-2732 | 2010-03-26 |
| 1285752444 | Tanya R Champa | Nurse Practitioner | 200 N Virginia St, Terrell, TX 75160-2732 | 2007-03-27 |
| 1003903584 | Christian Ann Lance | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-10-06 |
| 1548281231 | Martin L Hurst | Internal Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-07-21 |
| 1386665982 | Charles C Risinger | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888315 | Debra Anne Ofner | Registered Nurse | 900 Morris St, Terrell, TX 75160 | 2018-07-27 |
| 1457837536 | Elyse M Chance | Licensed Vocational Nurse | 455 Heatherlane Circle, Terrell, TX 75160 | 2018-07-12 |
| 1184112542 | Melody Rene Julian | Registered Nurse | 223 Willow Creek Ln, Terrell, TX 75160 | 2018-05-01 |
| 1558776138 | Ivanshu Navinprakash Jain | Psychiatry & Neurology | Terrell State Hospital, 1200 E Brin St, Terrell, TX 75160 | 2014-06-23 |
| 1740535996 | Robert Dominic Recolizado | Physical Therapist | 201 Timber Court, Apt 716, Terrell, TX 75160 | 2012-07-13 |
| 1639436934 | Traci Renee' Longley | Community Health Worker | 15595 Longspur Ln., Terrell, TX 75160 | 2012-04-12 |
| 1275807059 | Sarath C Dwaram | Dentist | 8550 W. Moore Ave, Terrell, TX 75160 | 2012-02-27 |
| 1063745172 | Texas Dentistry for Kids Terrell, Pllc | Dentist | 301 Tanger Dr. Ste# 225, Terrell, TX 75160 | 2009-09-09 |
| 1942375845 | Adapt, Inc. | Durable Medical Equipment & Medical Supplies | 122 Business Circle, Terrell, TX 75160 | 2006-11-24 |
| 1558442616 | Colin M Fairley | Contractor | 122 Buisness Circle, Terrell, TX 75160 | 2006-10-17 |
| Find all providers in zip 75160 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164616199 | David Osagie Okumbor | Family Medicine | 604 N Rockwall Ave, Terrell, TX 75160-2117 | 2007-09-03 |
| 1235228248 | Rowena L Reodica | Family Medicine | 1200 E Brin St., Attn Reimbursement, Terrell, TX 75160 | 2006-10-11 |
| 1760577423 | R. Wayne Porter | Family Medicine | 303 E College St Ste A, Terrell, TX 75160-2700 | 2006-10-04 |
| 1780795351 | Sergio Victor Figueroa Sr. | Family Medicine | 1553 State Highway 34 S, Ste. 600, Terrell, TX 75160-4833 | 2006-08-31 |
| 1285028514 | Shikha Bansal | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2015-03-25 |
| 1760676902 | R. Wayne Porter, M.d., P.a. | Family Medicine | 303 E College St Ste A, Terrell, TX 75160-2700 | 2007-08-30 |
| 1003903584 | Christian Ann Lance | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-10-06 |
| 1386665982 | Charles C Risinger | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-07-21 |
| 1336169655 | Tyson H. Barnes | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-07-20 |
| 1821015587 | Nuggehalli Neil Satyu | Family Medicine | 200 N Virginia St, Terrell, TX 75160-2732 | 2006-07-17 |
| Find all providers in TERRELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.