Provider Demographics
NPI:1588983241
Name:SWAGLER, KARL ANDREW MORRISON (PA-C)
Entity type:Individual
Prefix:MR
First Name:KARL ANDREW
Middle Name:MORRISON
Last Name:SWAGLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-5180
Mailing Address - Fax:412-692-7355
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-5180
Practice Address - Fax:412-692-7355
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
IN10002566A363A00000X
PAMA060630363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA060630OtherPENNSYLVANIA BOARD OF MEDICINE, PHYSICIAN ASSISTANT LICENSE
GA5846OtherGEORGIA COMPOSITE MEDICAL BOARD, PHYSICIAN ASSISTANT LICENSE
IN10002566AOtherINDIANA PROFESSIONAL LICENSING AGENCY, PHYSICIAN ASSISTANT LICENSE
IN10002566BOtherINDIANA PROFESSIONAL LICENSING AGENCY, CSR-PHYSICIAN ASSISTANT LICENSE
1087880OtherNCCPA
MS2731873OtherDEA