Active NPI
Marc A Swanson, MD
- Pain Medicine (Anesthesiology) Physician
- Salem, VA
National Provider Identifier
1255350831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0101046486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010376301 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.2 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101046486 | VA | MD | Pain 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.