Provider Demographics
NPI:1033176458
Name:MCSWAIN, HAROLD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:MICHAEL
Last Name:MCSWAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 WOLF PARK DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1742
Mailing Address - Country:US
Mailing Address - Phone:901-252-3411
Mailing Address - Fax:901-384-6422
Practice Address - Street 1:1325 WOLF PARK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1742
Practice Address - Country:US
Practice Address - Phone:901-252-3400
Practice Address - Fax:901-682-0047
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10752208800000X
MS11629208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2110025200OtherQUAL CHOICE
96831OtherBLUE CROSS AR
FIRST HEALTHOther730667
12940250OtherPHCS
337662OtherHEALTH LINK
4843342OtherCIGNA
38709OtherTLC TENNCARE
TN0067092OtherBLUE CROSS
12940250OtherHEALTH ASSURANCE EPA
211159OtherSOUTHERN HEALTH SERVICES
TN3196252Medicaid
4664770OtherAETNA
FIRST HEALTHOther730667
TN3196252Medicaid