Provider Demographics
NPI:1649243957
Name:SWIFT, SUSAN J (DO)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:J
Last Name:SWIFT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:J
Other - Last Name:KARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:540 E. JEFFERSON STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2479
Mailing Address - Country:US
Mailing Address - Phone:319-354-2653
Mailing Address - Fax:319-339-1364
Practice Address - Street 1:500 E. MARKET STREET
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2689
Practice Address - Country:US
Practice Address - Phone:319-354-2653
Practice Address - Fax:319-339-1364
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02330207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1649243957Medicaid
IA41903002Medicare PIN
IA591360004Medicare PIN
G67290Medicare UPIN