Active NPI
Laura Lee Swan-O'Hanlon, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1013125384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD427284
- Practice address
- 1500 John F Kennedy Boulevard
2 Penn Center, Suite 1410, C/O O'Hanlon
Philadelphia, PA 19102 - Phone
- (267) 546-9066
- NPI assigned
- May 19, 2007
- Reactivated
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD427284 | PA | Primary |
Addresses
Primary practice location
1500 John F Kennedy Boulevard
2 Penn Center, Suite 1410, C/O O'Hanlon
Philadelphia, PA 19102
Mailing address
1500 John F Kennedy Boulevard
2 Penn Center, Suite 1410, C/O O'Hanlon
Philadelphia, PA 19102
Phone (267) 546-9066
Other names 1
- Laura Lee Swan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD427284 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1013125384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 JOHN F KENNEDY BOULEVARD",
"address_2": "2 PENN CENTER, SUITE 1410, C/O O'HANLON",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "267-546-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 JOHN F KENNEDY BOULEVARD",
"address_2": "2 PENN CENTER, SUITE 1410, C/O O'HANLON",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "267-546-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN-O'HANLON",
"first_name": "LAURA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"deactivation_date": "2009-01-27",
"reactivation_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD427284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SWAN",
"middle_name": "LEE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.