Organization Active NPI

Lyle J. Swenson, M.D, P.a

  • Cardiovascular Disease Physician
  • Eagan, MN
National Provider Identifier
1023274479
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LYLE J. SWENSON, M.D, P.A
Practice address
2854 Highway 55
Suite #130
Eagan, MN 55121-2156
Phone
(651) 224-4930
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lyle J Swenson, M.D.
Title
President
Phone
(612) 747-9569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2854 Highway 55
Suite #130
Eagan, MN 55121-2156

Mailing address

2854 Highway 55
Suite #130
Eagan, MN 55121-2156
Phone (651) 224-4930

National Provider Directory

National Provider Directory

Locations

1875 Woodwinds Dr
Ste 240
Woodbury, MN 55125
Phone (651) 232-4340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1023274479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE #130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212156",
            "telephone_number": "651-224-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE #130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212156",
            "telephone_number": "651-224-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE J. SWENSON, M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-747-9569",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.