Raymond Elmer Swanson, MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

010304708 Issued in IN

Practice address

207 Island View Dr
Goshen, IN 46526-5213

Phone

(574) 533-0066

NPI assigned

Mar 18, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Raymond Elmer Swanson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1518209592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ISLAND VIEW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265213",
            "telephone_number": "574-533-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ISLAND VIEW DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265213",
            "telephone_number": "574-533-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "RAYMOND",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "010304708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "SWANSON",
            "middle_name": "ELMER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gene A. Stutsman, DDS
• Phyllis D Stutzman, MSW
• Michelle Suen, RN, MSN, PMHNP
• Mayra Suter, LCSW
• Sharese A. Swafford, LMHC, LCAC
• Scott Swanson, M.D.
• Sheldon Swartz, LMFT
• Tiffany Autumn Swartzentruber, RD, CSO, CD
• Madison Rose Sweeney, FNP-BC
• Colleen Joy Swihart, OTR

• Clinical Medical Laboratory in Goshen, IN
• Providers in Goshen, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.