Healthcare Provider Details

I. General information

NPI: 1588019681
Provider Name (Legal Business Name): DAVID SCHWEER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST # C-368
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

800 ROSE ST 339 WHITNEY HENDRICKSON BLDG
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5553
  • Fax:
Mailing address:
  • Phone: 859-323-3975
  • Fax: 859-323-1602

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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN 23315
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number53886
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number53886
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: