Provider Type Icon

MIKE SWANN MD LLC NPI 1689907081


NPI Information

NPI: 1689907081
Provider Name: MIKE SWANN, MD, LLC

Doing Business As: SWANN DERMATOLOGY & ESTHETICS

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 26D2031359

Address:
3850 S NATIONAL AVE
SUITE 705
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 888-0858
Get Directions

MIKE SWANN, MD, LLC is a procedural dermatology dermatology in Springfield, MO. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MIKE SWANN, MD, LLC NPI is 1689907081. The provider is registered as an organization entity type.
The provider Is Doing Business As Swann Dermatology & Esthetics.

The provider's business location address is:

3850 S NATIONAL AVE
SUITE 705
SPRINGFIELD, MO
ZIP 65807-287
Phone: (417) 888-0858
Fax: (417) 889-0476

The provider's authorized official is Michael H. Swann .
The authorized official title is Owner and has the following contact phone number (417) 888-0858.

The CLIA number assigned to this NPI record is 26D2031359 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2009 and was last updated on 4/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory26D2031359MISSOURINo
2207NS0135XDermatologyProcedural Dermatology2007005538MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.