Individual provider Active NPI

Marc A Swanson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salem, VA
National Provider Identifier
1255350831
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0101046486 Issued in VA
Practice address
100 Knotbreak Rd
Salem, VA 24153-5414
Phone
(540) 444-5670
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101046486 VA Primary
Anesthesiology Physician 207L00000X 0101046486 VA

Addresses

Primary practice location

100 Knotbreak Rd
Salem, VA 24153-5414

Mailing address

3426 W Ridge Rd SW
Roanoke, VA 24014-4224
Phone (540) 494-9378

Other practice location 1

95 Ponderosa Dr
Christiansburg, VA 24073-6582
Phone (540) 444-5670

Other practice location 2

1101 1st St SW
Roanoke, VA 24016-4701
Phone (540) 444-5670

Other identifiers 1

IdentifierTypeStateIssuer
010376301MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
83.44
Improvement activities
40
Cost
81.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046486VAMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1255350831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 W RIDGE RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240144224",
            "telephone_number": "540-494-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535414",
            "telephone_number": "540-444-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Ponderosa Dr",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240736582",
            "country_code": "US",
            "telephone_number": "540-444-5670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164701",
            "country_code": "US",
            "telephone_number": "540-444-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101046486",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101046486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010376301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.