Basic Information
| Provider Information | |||||||||
| NPI: | 1588645618 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWINDELL | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6680 TOWNE CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | HUNTINGDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166526934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004456262 | ||||||||
| FaxNumber: | 8149408471 | ||||||||
| Practice Location | |||||||||
| Address1: | 6680 TOWNE CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | HUNTINGDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166526934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004456262 | ||||||||
| FaxNumber: | 8149408471 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 08/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS010746L | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QH0002X | OS010749L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0019049990004 | 05 | PA | MEDICAID | 2093619 | 01 | PA | HIGHMARK | OTHER |