Active NPI
Eric Swanson, MD FACS FRCSC
- Plastic and Reconstructive Surgery Physician
- Leawood, KS
National Provider Identifier
1396802898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0423027
- Practice address
- 11413 Ash
Leawood, KS 66211 - Phone
- (913) 663-1030
- Fax
- (913) 663-1032
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0423027 | KS | Primary |
Addresses
Primary practice location
11413 Ash
Leawood, KS 66211
Mailing address
11413 Ash
Leawood, KS 66211
Phone (913) 663-1030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000968 | Other | KS | MEDICARE B |
| 15267076 | Other | BCBS OF KC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0423027 | KS | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1396802898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11413 ASH",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-663-1030",
"fax_number": "913-663-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11413 ASH",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-663-1030",
"fax_number": "913-663-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD FACS FRCSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KS",
"license": "0423027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "0000968",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC",
"identifier": "15267076",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.