Provider Demographics
NPI:1508868985
Name:MCSWAIN, ROBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
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 1:2901 TELESTAR CT STE 150
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1216
Mailing Address - Country:US
Mailing Address - Phone:703-208-9797
Mailing Address - Fax:703-591-0829
Practice Address - Street 1:2901 TELESTAR CT STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1261
Practice Address - Country:US
Practice Address - Phone:703-208-9797
Practice Address - Fax:703-591-0829
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057142207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC035582800Medicaid
DCP00151820OtherRAILROAD MEDICARE DC #
MD404468100Medicaid
VA1508868985Medicaid
VA018401C55Medicare PIN
MD404468100Medicaid
DCP00151820OtherRAILROAD MEDICARE DC #
VA10061067Medicaid
MD404468100Medicaid
VA010061041Medicaid
DCP00151820OtherRAILROAD MEDICARE DC #