Mark Harris Shwayder

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Mark Harris Shwayder basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Mark Harris Shwayder
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Mark Harris Shwayder address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4650 W Sunset Blvd Los Angeles, CA, 90027-6062 United States
Phone Number :	888-631-2452

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1730454810
NPI Entity Type :	Individual
First Enrolment Date :	21 Mar, 2012
Last Updated On :	24 Oct, 2019

Medicare Participation:

Mark Harris Shwayder participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7517279128
Medicare Enrollment ID :	I20191003000538
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Oregon Health Sciences University School Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Mark Harris Shwayder accepts medicare insurance.

Group Practice Association:

Mark Harris Shwayder is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark Harris Shwayder is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Hospital Los Angeles Medical Group Inc	0143126920	163	4650 W Sunset Blvd Los Angeles, CA - 900276062 Ph: 3233618408	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Harris Shwayder are as mentioned. Primary taxonomy code for Mark Harris Shwayder, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A164194	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3720 Sw Bond Ave, Unit 2014 Portland, OR, 97239-4571 United States
Phone Number :	310-901-4995

Business Location:

Patients can refer following map for directions to Mark Harris Shwayder practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.