Individual provider Active NPI

Maurice G Swanson, MD

  • Family Medicine Physician
  • Monroe, OH
National Provider Identifier
1174524664
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61100 Issued in OH
Practice address
20 Overbrook Dr
Unit C
Monroe, OH 45050-3101
Phone
(513) 539-7356
Fax
(513) 539-7782
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61100 OH Primary

Addresses

Primary practice location

20 Overbrook Dr
Unit C
Monroe, OH 45050-3101

Mailing address

20 Overbrook Dr
Unit C
Monroe, OH 45050-3101
Phone (513) 539-7356

Other identifiers 1

IdentifierTypeStateIssuer
0835869MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61100OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Center, Inc. Family Medicine Current Accepting new patients

Locations

200 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-2535

20 Overbrook Dr
Ste C
Monroe, OH 45050
Phone (513) 539-7356

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1174524664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK DR",
            "address_2": "UNIT C",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503101",
            "telephone_number": "513-539-7356",
            "fax_number": "513-539-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK DR",
            "address_2": "UNIT C",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503101",
            "telephone_number": "513-539-7356",
            "fax_number": "513-539-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MAURICE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "61100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0835869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.