Provider Demographics
NPI:1003015207
Name:SWANEY, ROBERT ERNEST III (MD, MSPH, FACP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERNEST
Last Name:SWANEY
Suffix:III
Gender:M
Credentials:MD, MSPH, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3926
Mailing Address - Country:US
Mailing Address - Phone:303-981-8682
Mailing Address - Fax:303-318-2488
Practice Address - Street 1:3699 EPWORTH RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8909
Practice Address - Country:US
Practice Address - Phone:812-471-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31472207RH0003X
IN01089229A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01314723Medicaid
CO01314723Medicaid
COCO301108Medicare PIN