Provider Demographics
NPI:1982094181
Name:SWIGER, GEOFFREY ALLEN (CRNA)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:ALLEN
Last Name:SWIGER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1624
Mailing Address - Country:US
Mailing Address - Phone:419-989-1443
Mailing Address - Fax:
Practice Address - Street 1:10 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1624
Practice Address - Country:US
Practice Address - Phone:419-989-1443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA17031367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP01435860OtherRAILROAD MEDICARE
OH0117707Medicaid
OHH435030Medicare PIN