Healthcare Provider Details

I. General information

NPI: 1447645700
Provider Name (Legal Business Name): SARAH ELIZABETH SWAUGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 HARRODSBURG RD. STE.125
LEXINGTON KY
40504
US

IV. Provider business mailing address

3333 BURNET AVE ML 7012
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5407
  • Fax:
Mailing address:
  • Phone: 513-636-7326
  • Fax: 513-803-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number55743
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: