Douglas Gerald Swanson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24789 Issued in CO

Practice address

455 E Pikes Peak Ave
Ste 105
Colorado Springs, CO 80903-3672

Phone

(719) 635-7288

Fax

(719) 473-6113

NPI assigned

Apr 10, 2006

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Douglas Gerald Swanson Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Douglas G. Swanson MD PC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1851443808
  Authorized official Same address or phone

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1285697318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033672",
            "telephone_number": "719-635-7288",
            "fax_number": "719-473-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033672",
            "telephone_number": "719-635-7288",
            "fax_number": "719-473-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DOUGLAS",
        "middle_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247899",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "C530248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "SWANSON",
            "middle_name": "GERALD",
            "credential": "MD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emma G Swank
• Susan Ann Swank, PSY.D.
• Lauren Hope Swanner, CRNP, FNP-C
• Crystal Aylene Swanson, LMT, MSP
• Davilyn Swanson
• Joshua Swanson, DC
• Keanna Swanson, LMT
• Kimberly Swanson
• Leilah Swanson
• Stephanie Swanson, RN, CNM

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.