Provider Demographics
NPI:1831220250
Name:SWARTZ, RACHEL MARY (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARY
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ACADEMY ST STE 4
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3102
Mailing Address - Country:US
Mailing Address - Phone:207-768-5944
Mailing Address - Fax:207-768-3203
Practice Address - Street 1:140 ACADEMY ST STE 4
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769
Practice Address - Country:US
Practice Address - Phone:207-768-5944
Practice Address - Fax:207-768-3203
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM 9842207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010163382OtherBLUESHIELD OF IDAHO
ID000010163384OtherBLUE SHIELD OF IDAHO
ID000010163383OtherBLUE SHIELD OF IDAHO
ID77067OtherBLUE CROSS OF IDAHO
ID807694400Medicaid
ID77067OtherBLUE CROSS OF IDAHO