Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0421585 | KS |
N | 207RC0000X | Internist - Cardiovascular Disease | 51270-020 | WI |
N | 207RI0011X | Interventional Cardiology | 0421585 | KS |
N | 207RI0011X | Interventional Cardiology | 51270-020 | WI |
NPI | 1013973288 |
---|---|
Provider Name | Donald J. Mcsweyn |
First Address | Kansas City, KS 66112-1655 |
Second Address | Kansas City, KS 66112-1636 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34983600 | (05) | WI |
DQ2452 | MEDICARE RAILROAD CARRIER PTAN (01) | MO |
F24768 | (02) | |
P00855578 | MEDICARE RAILROAD CARRIER PTAN (01) | KS |