Swanlake Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8652 Issued in NV

Legal business name

SWANLAKE MEDICAL CENTER

Practice address

3330 S Hualapai Way
Suite #120
Las Vegas, NV 89117-7716

Phone

(702) 765-5253

Fax

(702) 765-5354

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor R Bruce, MD

Title

President

Phone

(702) 765-5253

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kodwo Bosemefi Dickson, M .D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1154503563
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1316169980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S HUALAPAI WAY",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177716",
            "telephone_number": "702-765-5253",
            "fax_number": "702-765-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S HUALAPAI WAY",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177716",
            "telephone_number": "702-765-5253",
            "fax_number": "702-765-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANLAKE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-765-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8652",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9484",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "8652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortez Swanigan
• Sheena Swanigan
• Vincent Swanigan
• Quinnett Swank, EDD
• Anne Swanke, MSW
• Lisa Ann Swansen, FNP-C
• Brenda Joy Swanson, OT
• Deija Swanson
• Elana Swanson
• Eric D Swanson, M.D.,D.M.D.

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.