NATHANEAL SWANSON (NPI# 1699327338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699327338 |
| Entity Type | Individual |
| Full Name | NATHANEAL SWANSON |
| Credential | PA-C |
| Practice Address |
Ctmc 3504 Georgia Ave Fort Polk LA 71459 |
| Mailing Address |
3398 Vineyard Trl Harker Heights TX 76548-8847 |
| Practice Telephone | 3375310289 |
| Mailing Telephone | 3607103744 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
CTMC 3504 GEORGIA AVE |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| Find all providers in zip 71459 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1528305828 | Andrew R Allman | Physician Assistant | Cco 6th Bn, 353rd Reg, Fort Polk, LA 71459 | 2013-01-08 |
| 1053477950 | Mark Alexander Azel | Physician Assistant | 46th Engineer Combat Battalion, Bldg. 2264, Suite 105, Fort Polk, LA 71459 | 2006-12-28 |
| 1457414575 | Troy Louis Bidez | Physician Assistant | Bldg 1585 3rd St., Fort Polk, LA 71459 | 2006-12-19 |
| 1063982734 | Derrick Bieller | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2018-11-26 |
| 1164932760 | Jacob Lee Cook | Physician Assistant | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2017-10-09 |
| 1104354968 | Alexander Kenney | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2017-05-24 |
| 1114379823 | Matthew Schulte | Physician Assistant | 1585 3rd St, Bldg 285, Fort Polk, LA 71459-5102 | 2016-07-06 |
| 1770943839 | Jason Lynn Newman Jr. | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2016-03-02 |
| 1922429042 | Christopher Brian Hunt | Physician Assistant | 1585 3rd St, Fort Polk, LA 71459-5102 | 2013-12-16 |
| Find all providers in FORT POLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.