Active NPI
Gwen S Hanson, MD PLLC
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1528075272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00041591
- Practice address
- 1409 140TH PL NE
Suite #106
Bellevue, WA 98007 - Phone
- (425) 614-1205
- Fax
- (425) 641-5796
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00041591 | WA | Primary |
Addresses
Primary practice location
1409 140TH PL NE
Suite #106
Bellevue, WA 98007
Mailing address
1409 140TH PL NE
Suite #106
Bellevue, WA 98007
Phone (425) 614-1205
Other names 1
- Dr. Gwen Sharyl Szwarc
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 |
|---|---|---|---|
| MD00041591 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Family Physicians P a | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1972601789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528075272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 140TH PL NE",
"address_2": "SUITE #106",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-614-1205",
"fax_number": "425-641-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 140TH PL NE",
"address_2": "SUITE #106",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-614-1205",
"fax_number": "425-641-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "GWEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD PLLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00041591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWEN",
"last_name": "SZWARC",
"middle_name": "SHARYL",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.