Active NPI
Chris Swanson Medical Group LLC
- Internal Medicine Physician
- Anchorage, AK
National Provider Identifier
1063102481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHRIS SWANSON MEDICAL GROUP LLC
- Practice address
- 3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679 - Phone
- (907) 297-9503
- NPI assigned
- May 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Swanson, MD
- Title
- Owner
- Phone
- (907) 297-9503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679
Mailing address
3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679
Phone (907) 297-9503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230616002724 | AK | Part B Supplier - Clinic/Group Practice | 8426416868 |
Receives reassigned benefits from 1 practitioner Practice locations: Anchorage, AK |
National Provider Directory
National Provider DirectoryLocations
3220 Providence Dr
Ste E3040
Anchorage, AK 99508
Phone (907) 297-9503
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1588633150
-
- Critical Care Medicine (Internal Medicine) Physician
- Lakewood, CO
- NPI 1942260237
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1063102481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 PROVIDENCE DR STE E3-040",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084679",
"telephone_number": "907-297-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 PROVIDENCE DR STE E3-040",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084679",
"telephone_number": "907-297-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS SWANSON MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-297-9503",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.