MR. BRIAN J SZWARC (NPI# 1366553349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366553349 |
| Entity Type | Individual |
| Full Name | MR. BRIAN J SZWARC |
| Credential | M.D. |
| Practice Address |
100 Mimosa Dr 3rd Floor Thomasville GA 31792-6676 |
| Mailing Address |
301 W. Hansell Street Thomasville GA 31792-6678 |
| Practice Telephone | 2292261443 |
| Practice Fax Number | 2292263035 |
| Mailing Telephone | 2292261443 |
| Mailing Fax Number | 2292263035 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
044119 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00755939B | 05 |
| Street Address |
100 MIMOSA DR 3RD FLOOR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597753 | Timothy G Grayson | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2005-12-06 |
| 1902397672 | Fran Maureen Johnson | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2018-05-29 |
| 1619336898 | Archbold Medical Group, Inc. | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2016-02-17 |
| 1568862068 | Bianca Kierce | Nurse Practitioner | 100 Mimosa Dr, Third Floor, Thomasville, GA 31792-6676 | 2014-09-03 |
| 1871929364 | Leslie C. Stanaland | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2013-09-17 |
| 1619242781 | Krystyn Riddle | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2012-03-21 |
| 1649543497 | Kelly M Ledger | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2012-02-09 |
| 1205119005 | Ivey E. Allen | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-09-28 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1760771356 | Mary Kathryn Hanisee | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649468463 | Joseph H. Berger, Md, LLC | Otolaryngology | 305 W Hansell St, Thomasville, GA 31792-6649 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033265798 | Aesthetic Solutions Center LLC | Otolaryngology | 5730 Glenridge Dr Ste T200, Sandy Springs, GA 30328-5873 | 2007-01-26 |
| 1639795529 | Savannah Stockton | Otolaryngology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| 1689084022 | Marc Polacco | Otolaryngology | 902 Ponder Place Ct, Evans, GA 30809-3115 | 2014-05-07 |
| 1447698964 | Georgia Northside Ear, Nose and Throat, LLC | Otolaryngology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1171 | 2013-06-06 |
| 1538276332 | Fred Mcconnel | Otolaryngology | 1670 Clairmont Rd, Surgical Service 112, Decatur, GA 30033-4004 | 2006-08-25 |
| 1629086327 | Ear, Nose, Throat, and Allergy Associates of South Georgia | Otolaryngology | 2910 N Patterson St, Valdosta, GA 31602-1720 | 2006-08-04 |
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.