Provider Demographics
NPI:1942238845
Name:SWARTS, KAREN (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SWARTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10609 KENNEDY PEAK LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-5044
Mailing Address - Country:US
Mailing Address - Phone:419-852-2597
Mailing Address - Fax:
Practice Address - Street 1:1430 E CALVADA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5852
Practice Address - Country:US
Practice Address - Phone:775-505-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12709208000000X, 208000000X
CAC53532208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2501402Medicaid
11339818OtherCAQH
NV1942238845Medicaid
NV1942238845Medicaid
NVAZ833ZMedicare PIN