Individual provider Active NPI

Edward Winslow Swanson

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1578838959
Registry record updated Nov 26, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD470558 Issued in PA
Practice address
601 N Caroline St
Johns Hopkins Outpatient Center 8161
Baltimore, MD 21287-0006
Phone
(410) 955-9466
NPI assigned
Mar 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD470558 PA Primary

Addresses

Primary practice location

601 N Caroline St
Johns Hopkins Outpatient Center 8161
Baltimore, MD 21287-0006

Mailing address

PO Box 299
Gwynedd Valley, PA 19437-0299
Phone (508) 868-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1578838959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "GWYNEDD VALLEY",
            "state": "PA",
            "postal_code": "194370299",
            "telephone_number": "508-868-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "address_2": "JOHNS HOPKINS OUTPATIENT CENTER 8161",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "EDWARD",
        "middle_name": "WINSLOW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-18",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD470558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.