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NPI Code Detail

MEDICARE: JOHN SWAB D.O.

MEDICARE:   JOHN  SWAB  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician05-48109KS
2207X00000XOrthopaedic Surgery Physician20A18135CA
3207X00000XOrthopaedic Surgery Physician2021014909MO

General Provider Information

NPI Number : 1881076198
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN SWAB D.O.
Provider Business Mailing Address
First Line : 2861 NE INDEPENDENCE AVE STE 201
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-2379
Country : US
Telephone Number : 816-525-2840
Fax Number :
Provider Business Practice Location Address
First Line : 6301 N LUCERNE AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-3105
Country : US
Telephone Number : 816-525-2840
Fax Number : 816-525-2841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2015
Last Update Date : 10/21/2025

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Directions to “ JOHN SWAB D.O.” Practice Location

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