Individual provider Active NPI

Gene A Swede, BC-HIS

  • Hearing Instrument Specialist
  • Redwood Falls, MN
National Provider Identifier
1346246204
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2004 Issued in MN
Practice address
109 E 2ND St
Redwood Falls, MN 56283-1601
Phone
(507) 637-3021
Fax
(507) 637-2321
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2004 MN Primary

Addresses

Primary practice location

109 E 2ND St
Redwood Falls, MN 56283-1601

Mailing address

109 E 2ND St
Redwood Falls, MN 56283-1601
Phone (507) 637-3021

Other identifiers 3

IdentifierTypeStateIssuer
122397OtherMNU-CARE/SCHAMA PROVIDER
171165800MedicaidMN
1A503TOOtherMNBLUE PLUS - MA PROVIDER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2004MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Top Quality Hearing Aid Center, Inc. Hearing Instrument Specialist 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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1346246204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 2ND ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831601",
            "telephone_number": "507-637-3021",
            "fax_number": "507-637-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 2ND ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831601",
            "telephone_number": "507-637-3021",
            "fax_number": "507-637-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEDE",
        "first_name": "GENE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE/SCHAMA PROVIDER",
            "identifier": "122397",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171165800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS - MA PROVIDER",
            "identifier": "1A503TO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.