MR. SCOTT SWINDELLS (NPI# 1790777233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790777233 |
| Entity Type | Individual |
| Full Name | MR. SCOTT SWINDELLS |
| Credential | PA-C |
| Practice Address |
1701 Nw Hawthorne Ave Suite 201 Grants Pass OR 97526 |
| Practice Telephone | 5414713455 |
| Practice Fax Number | 5414711439 |
| Mailing Telephone | 5414713455 |
| Mailing Fax Number | 5414711439 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00289 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 NW HAWTHORNE AVE SUITE 201 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272285 | Kristin Miller | Family Medicine | 1701 Nw Hawthorne Ave, Suite 201, Grants Pass, OR 97526-1257 | 2005-08-19 |
| 1245846922 | Allison Mae Swanson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2020-09-18 |
| 1649821216 | Jodi Michelle Bostwick | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2019-09-25 |
| 1063998730 | Donald Ray Draper | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 | 2018-07-16 |
| 1427563337 | Andrew Martin | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-12-14 |
| 1528581550 | Lauren Smith | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2017-07-21 |
| 1063958924 | Amy Tripp | Dental Hygienist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2017-01-16 |
| 1619428208 | Christopher Robert Cielinski | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2016-10-18 |
| 1275081184 | Paloma Sita Kolkow | Nurse Practitioner | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-09-20 |
| 1780034629 | Devin Nelson | Dentist | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962712547 | Brett L Rasmussen Pa-c | Physician Assistant | 874 Ne 7th St., Lung Clinic - Center for Sleep Medicine, Grants Pass, OR 97526 | 2010-10-15 |
| 1346318789 | Bruce K Towers | Physician Assistant | 1701 Nw Hawthorne Avenue, Suite 201, Grants Pass, OR 97526 | 2006-12-02 |
| 1073588679 | Esther M Carson | Physician Assistant | 1309 Ne 6th St, Grants Pass, OR 97526-1252 | 2006-02-17 |
| 1306844238 | Michael Swartz | Physician Assistant | 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527-5859 | 2005-07-13 |
| 1700403292 | Lauren Packard | Physician Assistant | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2020-06-30 |
| 1619428208 | Christopher Robert Cielinski | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2016-10-18 |
| 1629470661 | Laurel Okorofsky | Physician Assistant | 1716 Williams Hwy, Grants Pass, OR 97527-5661 | 2014-09-22 |
| 1558778985 | Amber Ihander | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2014-07-17 |
| 1326477589 | Shanna Pugh | Physician Assistant | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | 2013-11-07 |
| 1275810335 | Rhonda Mary Mckenna | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527 | 2011-11-03 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on MR. SCOTT SWINDELLS.
| 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.