Provider Demographics
NPI:1578935953
Name:AMERICARE MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:AMERICARE MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SWAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-661-2273
Mailing Address - Street 1:15800 DOOLEY RD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4284
Mailing Address - Country:US
Mailing Address - Phone:972-661-2273
Mailing Address - Fax:866-292-6489
Practice Address - Street 1:15800 DOOLEY RD
Practice Address - Street 2:SUITE 185
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4284
Practice Address - Country:US
Practice Address - Phone:972-661-2273
Practice Address - Fax:866-292-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute CareGroup - Multi-Specialty