Provider Demographics
NPI:1588645618
Name:SWINDELL, AMY E (DO)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:SWINDELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6680 TOWNE CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-6934
Mailing Address - Country:US
Mailing Address - Phone:800-445-6262
Mailing Address - Fax:814-940-8471
Practice Address - Street 1:6680 TOWNE CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-6934
Practice Address - Country:US
Practice Address - Phone:800-445-6262
Practice Address - Fax:814-940-8471
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010746L207Q00000X
PAOS010749L207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019049990004Medicaid
PA2093619OtherHIGHMARK
PA058933QPHMedicare ID - Type Unspecified
PA0019049990004Medicaid