Healthcare Provider Details
I. General information
NPI: 1114912995
Provider Name (Legal Business Name): NEIL LOUIS SCHWIMLEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2005
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2351 HUDSON RD STE 1
CEDAR FALLS IA
50614-4246
US
IV. Provider business mailing address
PO BOX 2758
WATERLOO IA
50704-2758
US
V. Phone/Fax
- Phone: 319-273-5275
- Fax:
- Phone: 319-235-5390
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 5101014892 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | 34.012429 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | DO05500 |
| License Number State | IA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | DO-05500 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: