Active NPI
Gregory J Swedo, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fairfax, VA
National Provider Identifier
1295757334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101039463
- Practice address
- 2832 Juniper St
Fairfax, VA 22031-4402 - Phone
- (703) 645-6190
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101039463 | VA | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 0101039463 | VA |
Addresses
Primary practice location
2832 Juniper St
Fairfax, VA 22031-4402
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5741
Other practice location 1
2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7222
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 |
|---|---|---|---|
| 0101039463 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Pathology Associates, P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Alexandria, VA
- NPI 1629181169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1295757334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5741",
"fax_number": "703-645-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 JUNIPER ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314402",
"telephone_number": "703-645-6190"
}
],
"practiceLocations": [
{
"address_1": "2501 Parkers Ln",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063209",
"country_code": "US",
"telephone_number": "703-664-7222",
"fax_number": "703-664-7393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEDO",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101039463",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "VA",
"license": "0101039463",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.