Provider Demographics
NPI:1427381839
Name:SWARTS, ROBERT JOSEPH (DPM)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOSEPH
Last Name:SWARTS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 E ARMY POST RD
Mailing Address - Street 2:SUITE 470
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-5970
Mailing Address - Country:US
Mailing Address - Phone:515-244-0633
Mailing Address - Fax:515-244-2412
Practice Address - Street 1:1111 E ARMY POST RD
Practice Address - Street 2:SUITE 470
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-5970
Practice Address - Country:US
Practice Address - Phone:515-244-0633
Practice Address - Fax:515-244-2412
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA533213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1083964Medicaid
IA1083964Medicaid
IA42734Medicare PIN