Provider Demographics
NPI:1699659599
Name:SWAISGOOD, GABRIEL S
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:S
Last Name:SWAISGOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3837 CHARFIELD LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6527
Mailing Address - Country:US
Mailing Address - Phone:513-505-0056
Mailing Address - Fax:
Practice Address - Street 1:3837 CHARFIELD LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45011-6527
Practice Address - Country:US
Practice Address - Phone:513-505-0056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program