Geoffrey N Swanson MD PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

M6536 Issued in ID

Legal business name

GEOFFREY N SWANSON MD PA

Doing business as

Ada Medical Associates

Practice address

2321 E Gala St
Suite 2
Meridian, ID 83642-7692

Phone

(208) 288-2255

Fax

(208) 288-1535

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey N Swanson, ND

Title

Owner

Phone

(208) 288-2255

Specialties & licenses 1

Addresses

Other names 1

• Ada Medical Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darcie L Levenson, PA

  • Medical Physician Assistant
  • Meridian, ID
  • NPI 1912058512

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1447449640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 2",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-288-2255",
            "fax_number": "208-288-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 2",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427692",
            "telephone_number": "208-288-2255",
            "fax_number": "208-288-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY N SWANSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-288-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "M6536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Service Dogs Inc
• Genesis Surgical Assisting LLC
• Jane Gennrich, PHARMD
• Katherine Jane Gentry, M.D.
• Robert E Gentry, DC
• Kyle Ronald George, P.A.-C
• Michaela George, LMSW
• Stefan Georgiev, PT, DPT
• Jake D Gerard, D.M.D.
• Alice Giard, LMSW

• Medical Physician Assistant in Meridian, ID
• Providers in Meridian, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.