MEDICARE: DR. TEDDI SWIDINSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD-2018-0086	NM
2	208600000X	Surgery Physician	42110	AZ
3	208600000X	Surgery Physician	92292	ZZ

General Provider Information

NPI Number	:	1578090296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEDDI SWIDINSKY M.D.

Provider Business Mailing Address
First Line	:	1900 HOT SPRINGS BLVD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-3480
Country	:	US
Telephone Number	:	505-426-3795
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 LEGION DR STE B
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4898
Country	:	US
Telephone Number	:	505-426-3795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	12/07/2020

Similar Medicare Providers

1114920717 — SAN MIGUEL CLINIC CORP
Practice Location Address:

108 LEGION DR STE A
LAS VEGAS, NM
87701-4898

Practice Phone: 505-454-9499
Practice Fax:

1184193450 — SAN MIGUEL HOSPITAL CORPORATION
Practice Location Address:

108 LEGION DR STE A
LAS VEGAS, NM
87701-4898

Practice Phone: 505-425-2662
Practice Fax: 505-425-6410

1104780311 — JOSE EDUARDO RAMOS
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 702-436-4673
Practice Fax:

1841154937 — REBECCA ANN JAYAKUMAR PHARMD, CPC-INTERN
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 702-437-4673
Practice Fax:

1124913579 — MARIGOLD JOYCE GRINO NP
Practice Location Address:

601 S RANCHO DR STE A6
LAS VEGAS, NV
89106-4898

Practice Phone: 702-475-9915
Practice Fax:

1518133529 — H.O.P.E. COUNSELING SERVICES LLC
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 702-445-5653
Practice Fax: 702-438-4673

Directions to “ DR. TEDDI SWIDINSKY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.