Active NPI
Erik E Swensson, M.D.
- Surgery Physician
- McMinnville, OR
National Provider Identifier
1194720524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD20803
- Practice address
- 392 NE Norton LN
McMinnville, OR 97128-8481 - Phone
- (503) 434-6060
- Fax
- (503) 435-6463
- NPI assigned
- Jun 13, 2005
- Last updated
- Feb 1, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD20803 | OR | Primary |
Addresses
Primary practice location
392 NE Norton LN
McMinnville, OR 97128-8481
Mailing address
392 NE Norton LN
McMinnville, OR 97128-8481
Phone (503) 434-6060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150834 | Medicaid | OR | |
| 113836 | Other | OR | GROUP PIN MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20803 | OR | MD | Specialist |
| MD20803 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon County Hospital, LLC | Past | Accepting new patients | |
| Willamette Valley Clinics LLC | Surgery | Past | Accepting new patients |
| Willamette Valley Clinics LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1814/brand/22/csg/69/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Sheridan, OR
- NPI 1033173604
-
dba Deklab Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TN
- NPI 1528165057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1194720524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 NE NORTON LN",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288481",
"telephone_number": "503-434-6060",
"fax_number": "503-435-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 NE NORTON LN",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288481",
"telephone_number": "503-434-6060",
"fax_number": "503-435-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSSON",
"first_name": "ERIK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD20803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150834",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN MEDICARE",
"identifier": "113836",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.