Individual provider Active NPI

Thomas H Swanson, MD

  • Neurology Physician
  • Missoula, MT
National Provider Identifier
1376535575
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
11860 Issued in MT
Practice address
2825 Fort Missoula Rd Ste 121
Missoula, MT 59804-7403
Phone
(406) 926-3500
Fax
(406) 926-3498
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301086966 MI
Neurology Physician 2084N0400X 11860 MT Primary

Addresses

Primary practice location

2825 Fort Missoula Rd Ste 121
Missoula, MT 59804-7403

Mailing address

2825 Fort Missoula Rd Ste 121
Missoula, MT 59804-7403
Phone (406) 926-3500

Other practice location 1

3230 Beach Lake Dr W
Milford, MI 48380-2874
Phone (406) 274-2295

Other identifiers 1

IdentifierTypeStateIssuer
0938641MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081202000413 MT Practitioner - Neurology 2062309891 Reassigns benefits to 1 organization
I20180706001872 MI Practitioner - Neurology 2062309891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montana Neurology PLLCGroup PAC ID 9436296928, 2 clinicians

Practice addresses (Care Compare)

2825 Fort Missoula Rd
Suite 121
Missoula, MT 59804-7403
Phone (406) 926-3500

Hospital & facility affiliations

  • Community Medical Center Hospital, Missoula, MT, CCN 270023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301086966MIMDNeurology Physician
11860MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Neurology PLLC Neurology CurrentSince Jun 16, 2009 Accepting new patients
University Physician Group CurrentSince Jun 19, 2019 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients
Montana Neurobehavioral Specialists Neurology Past Accepting new patients
Midwest Neuroscience Inc Neurology PastSince May 1, 1998 Accepting new patients
Midwest Neuroscience Inc Past Accepting new patients

Locations

4201 Saint Antoine St
Ste 8D
Detroit, MI 48201
Phone (313) 577-1245

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

2825 Fort Missoula Rd
Ste 121
Missoula, MT 59804
Phone (406) 327-4234

Interoperability endpoints

  • Direct secure messaging: thomas.swanson.1@2827.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1376535575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 121",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-926-3500",
            "fax_number": "406-926-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 121",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-926-3500",
            "fax_number": "406-926-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Beach Lake Dr W",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483802874",
            "country_code": "US",
            "telephone_number": "406-274-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "THOMAS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301086966",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "11860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.