Individual
MARK A SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S BROADWAY, SB-5, LEXINGTON, KY 40504-2701
(859) 258-4530
(859) 258-4870
Mailing address
1221 S BROADWAY, SB-5, LEXINGTON, KY 40504-2701
(859) 258-4530
(859) 258-4870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047818
ANTHEM BC/BS
KY
01
—
0037676
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
KY
01
—
0400360
UNITED HEALTHCARE
KY
01
—
0400544
UNITED HEALTHCARE
KY
01
—
110136243
RAILROAD MEDICARE
KY
01
—
1284109
UMWA
KY
01
—
1404232
UMWA
KY
01
—
611012421P
HUMANA HMO
KY
05
—
64-244361
—
KY
Enumeration date
06/08/2005
Last updated
01/09/2012
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