Active NPI
Jay V Swanson, M.D.
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27669
- Practice address
- 6820 E Brown Rd
Mesa, AZ 85207-3705 - Phone
- (480) 718-1285
- Fax
- (480) 718-1301
- NPI assigned
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27669 | AZ | Primary |
Addresses
Primary practice location
6820 E Brown Rd
Mesa, AZ 85207-3705
Mailing address
PO Box 7060
Chandler, AZ 85246-7060
Phone (480) 576-2409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501917 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27669 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Family Medicine | Current | Accepting new patients |
| Deseret Family Practice, LTD. | Family Medicine | Current | Accepting new patients |
| Allen Family Medicine PLLC | Family Medicine | Past | Accepting new patients |
Locations
3331 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 444-2017
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
1425 S Greenfield Rd
Mesa, AZ 85206
Phone (480) 981-3000
1425 S Greenfield Rd
Ste 1
Mesa, AZ 85206
1425 S Greenfield Rd
Ste 101
Mesa, AZ 85206
Phone (480) 964-5800
1425 S Greenfield Rd
#101101
Mesa, AZ 85206
6820 E Brown Rd
Mesa, AZ 85207
Phone (480) 718-1285
Interoperability endpoints
- https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
- jay.swanson.1@19654.direct.athenahealth.com
- https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
dba Deseret Family Medicine
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1215960638
Family Medicine
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1356614176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1346265675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7060",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852467060",
"telephone_number": "480-576-2409",
"fax_number": "480-718-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852073705",
"telephone_number": "480-718-1285",
"fax_number": "480-718-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "JAY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "27669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501917",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.