Provider Demographics
NPI:1902825136
Name:WEST NEWTON FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:WEST NEWTON FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SWAUGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-379-6850
Mailing Address - Street 1:800 PLAZA DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4019
Mailing Address - Country:US
Mailing Address - Phone:724-379-6850
Mailing Address - Fax:724-379-5735
Practice Address - Street 1:800 PLAZA DR
Practice Address - Street 2:SUITE 290
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-4019
Practice Address - Country:US
Practice Address - Phone:724-379-6850
Practice Address - Fax:724-379-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSO10190-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH18723Medicare UPIN
114322Medicare PIN