Provider Demographics
NPI:1720085772
Name:SWARTZ, STEVE K (PA-C)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:K
Last Name:SWARTZ
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:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54702-1510
Mailing Address - Country:US
Mailing Address - Phone:715-838-5222
Mailing Address - Fax:
Practice Address - Street 1:1221 WHIPPLE ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703
Practice Address - Country:US
Practice Address - Phone:715-838-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1778-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI378G5SWOtherBCBS OF MN
WIP00284597OtherRAILROAD MEDICARE
WI01 21777OtherMEDICA
WI01 21778OtherMEDICA - CHIPPEWA FALLS
WI41994000Medicaid
WI102166OtherSECURITY HEALTH PLAN
WI000705130Medicare PIN
WIP00284597OtherRAILROAD MEDICARE
Q26257Medicare UPIN