SWAN SURGICAL, PLLC (NPI# 1811121015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811121015 |
| Entity Type | Organization |
| Organization Name | SWAN SURGICAL, PLLC |
| Practice Address |
353 New Shackle Island Rd Ste B224 Hendersonville TN 37075-2379 |
| Practice Telephone | 6152061700 |
| Practice Fax Number | 6155907268 |
| Mailing Telephone | 6152061700 |
| Mailing Fax Number | 6155907268 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | DR. CHAD R SWAN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6152061700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 40052 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
40052 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1514848 | 05 |
| Street Address |
353 NEW SHACKLE ISLAND RD STE B224 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164598876 | Patrick W Meacham | Surgery | 353 New Shackle Island Rd Suite 348c, Hendersonville, TN 37075 | 2006-11-27 |
| 1144675877 | Mission Hospital, Inc. | Surgery | 691 Blythe Street Ct, Hendersonville, NC 28739-4095 | 2016-05-02 |
| 1619340833 | Henderson County Hospital Corporation | Surgery | 835 Fleming St, Hendersonville, NC 28791-3527 | 2015-11-10 |
| 1417123712 | Wnc Surgical Associates Pllc | Surgery | 840 Fleming St, Suite 1, Hendersonville, NC 28791 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548375 | Center for Vein Restoration Tn Pllc | Surgery | 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 | 2020-08-12 |
| 1972129534 | Aadi, LLC | Surgery | 7425 Ziegler Rd Ste 101, Chattanooga, TN 37421-4178 | 2020-06-19 |
| 1871002055 | Sumner Physician Practices LLC | Surgery | 225 Big Station Camp Blvd Ste 211, Gallatin, TN 37066-8466 | 2017-09-20 |
| 1679969729 | Jeffrey Thomas Johnston | Surgery | 910 Madison Ave Fl 2, Memphis, TN 38103-3403 | 2015-04-15 |
| 1811330830 | Patrick Yu | Surgery | 1222 Trotwood Ave Ste 211, Columbia, TN 38401-6405 | 2013-04-09 |
| 1578838629 | Karen Parks Rudolph | Surgery | 2108 E 3rd Street, Chattanooga, TN 37404-1622 | 2012-03-21 |
| 1588857148 | James Eric Gardner, Md | Surgery | 400 Market Blvd, Collierville, TN 38017-6516 | 2007-08-27 |
| 1437356482 | Vascular Wellness Center Inc | Surgery | 1720 West Ave Ste 103, Crossville, TN 38555-6066 | 2007-07-02 |
| 1528289808 | Shaun Michael Stickley | Surgery | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2007-05-02 |
| 1992813158 | Larry Dale Burke | Surgery | 6025 Walnut Grove Rd Ste 311, Memphis, TN 38120-2123 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.