Provider Demographics
NPI:1013973288
Name:MCSWEYN, DONALD J (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:MCSWEYN
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 1:8919 PARALLEL PKWY STE 580
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1655
Mailing Address - Country:US
Mailing Address - Phone:913-596-7224
Mailing Address - Fax:913-596-7257
Practice Address - Street 1:8919 PARALLEL PKWY
Practice Address - Street 2:SUITE 580
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1636
Practice Address - Country:US
Practice Address - Phone:913-596-7224
Practice Address - Fax:913-596-7257
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI51270-020207RC0000X, 207RI0011X, 207UN0901X
KS0421585207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34983600Medicaid
MODQ2452OtherMEDICARE RAILROAD CARRIER PTAN
KSP00855578OtherMEDICARE RAILROAD CARRIER PTAN
MODQ2452OtherMEDICARE RAILROAD CARRIER PTAN
KSP00855578OtherMEDICARE RAILROAD CARRIER PTAN
WI004860350Medicare PIN
F24768Medicare UPIN
WI004854475Medicare PIN
WI34983600Medicaid