NPIMap

Organization Active NPI

Jimmy D. Swanson, MD, Inc.

  • Orthopaedic Surgery Physician
  • Lawrenceburg, IN
National Provider Identifier
1083615801
Registry record updated Aug 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01037561 Issued in IN
Legal business name
JIMMY D. SWANSON, MD, INC.
Practice address
272 Bielby Rd
Lawrenceburg, IN 47025-1056
Phone
(812) 537-8402
Fax
(812) 537-8425
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2009

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

Authorized official

Name
Jimmy D Swanson, MDNPI 1346363819
Title
President
Phone
(812) 537-8402

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 01037561 IN Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 35-05-3520-S OH

Addresses

Primary practice location

272 Bielby Rd
Lawrenceburg, IN 47025-1056

Mailing address

PO Box 4105
Lawrenceburg, IN 47025-4105
Phone (812) 537-8402

Other identifiers 8

IdentifierTypeStateIssuer
0251123-003OtherCIGNA RENDERING #
645223OtherAETNA RENDERING #
010025828OtherRAILROAD MEDICARE #
000000014822OtherBLUE SHIELD INDIANA #
53520OtherCHOICE CARE RENDERING #
0901330OtherUNITED HEALTH CARE
100017200AMedicaidIN
124097500OtherDEPT OF LABOR PIN

Other names 1

  • Swanson Orthopaedic Surgery and Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249084800000",
    "number": "1083615801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470254105",
            "telephone_number": "812-537-8402",
            "fax_number": "812-537-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251056",
            "telephone_number": "812-537-8402",
            "fax_number": "812-537-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY D. SWANSON, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-08-01",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-537-8402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01037561",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-05-3520-S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA RENDERING #",
            "identifier": "0251123-003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA RENDERING #",
            "identifier": "645223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "010025828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIANA #",
            "identifier": "000000014822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE RENDERING #",
            "identifier": "53520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0901330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100017200A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PIN",
            "identifier": "124097500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swanson Orthopaedic Surgery and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2009; 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.