Active NPI
Robert J. Swangard, M.D., P.C.
- Vascular Surgery Physician
- Eugene, OR
National Provider Identifier
1336179746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD12018
- Practice address
- 2885 Arline Way
Eugene, OR 97403-2527 - Phone
- (541) 484-6133
- Fax
- (541) 484-6133
- NPI assigned
- Jul 3, 2006
- Last updated
- Oct 4, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD12018 | OR | Primary |
Addresses
Primary practice location
2885 Arline Way
Eugene, OR 97403-2527
Mailing address
PO Box 236
Springfield, OR 97477
Phone (541) 484-6133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19224-5 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060802000048 | OR | Practitioner - Vascular Surgery | 6305859786 | Practice locations: Eugene, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2885 Arline Way
Eugene, OR 97403-2527
Phone (541) 484-6133
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12018 | OR | MD | Dentist |
| MD12018 | OR | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Swangard, M.D., P.C. | Vascular Surgery | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Eugene, OR
- NPI 1750414330
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412380800000",
"number": "1336179746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97477",
"telephone_number": "541-484-6133",
"fax_number": "541-484-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 ARLINE WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974032527",
"telephone_number": "541-484-6133",
"fax_number": "541-484-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANGARD",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D., P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD12018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19224-5",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.
- 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.