Healthcare Provider Details

I. General information

NPI: 1558455519
Provider Name (Legal Business Name): DOUGLAS A SWIFT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 HOUMA BLVD SUITE 203
METAIRIE LA
70006-4326
US

IV. Provider business mailing address

3601 HOUMA BLVD SUITE 203
METAIRIE LA
70006-4326
US

V. Phone/Fax

Practice location:
  • Phone: 504-779-2667
  • Fax:
Mailing address:
  • Phone: 504-779-2667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number13848
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2083T0002X
TaxonomyMedical Toxicology (Preventive Medicine) Physician
License Number13848
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: