Individual provider Active NPI

Jennifer Lynn Swanson, M.D.

  • Obstetrics & Gynecology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1477589240
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME96037 Issued in FL
Practice address
8340 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5180
Phone
(941) 907-9298
Fax
(941) 907-9148
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME96037 FL Primary

Addresses

Primary practice location

8340 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5180

Mailing address

8340 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5180
Phone (941) 907-9298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000321 FL Practitioner - Obstetrics/Gynecology 6709899362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Drexel University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

8340 Lakewood Ranch Blvd
Suite 140
Lakewood Ranch, FL 34202-5183
Phone (941) 907-9298

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96037FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2014 Accepting new patients

Locations

8340 Lakewood Ranch Blvd
Ste 140
Lakewood Ranch, FL 34202
Phone (941) 782-2800

8340 Lakewood Ranch Blvd
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 260-4440

8340 Lakewood Ranch Blvd
#1
Lakewood Ranch, FL 34202
Phone (941) 907-9298

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1617 S Tuttle Ave
Ste 1A
Sarasota, FL 34239
Phone (941) 330-8885

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.

Hospital & facility affiliations 3

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1477589240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-907-9298",
            "fax_number": "941-907-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-907-9298",
            "fax_number": "941-907-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME96037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.