Provider Demographics
NPI:1811082324
Name:SWARTZ, BARBARA E (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:E
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 HEALTH DR SW STE 160
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9402
Mailing Address - Country:US
Mailing Address - Phone:616-252-5790
Mailing Address - Fax:
Practice Address - Street 1:2122 HEALTH DR SW STE 160
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9402
Practice Address - Country:US
Practice Address - Phone:616-252-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361673232084N0600X
MI43015024812084N0400X
CA111NN0400X2084N0400X
NV150262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1811082324Medicaid
10974294OtherCAQH
NV1811082324Medicaid
CAA92674Medicare UPIN