Healthcare Provider Details

I. General information

NPI: 1811983760
Provider Name (Legal Business Name): JAMES ROBERT SWEGLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 PLEASANT ST STE 211
DES MOINES IA
50309
US

IV. Provider business mailing address

7147 VISTA DR STE 150
WEST DES MOINES IA
50266-9313
US

V. Phone/Fax

Practice location:
  • Phone: 515-283-1541
  • Fax: 515-283-0473
Mailing address:
  • Phone: 515-875-9925
  • Fax: 515-875-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD-25502
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD-25502
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: