Individual provider Active NPI

Stephen Gene Swanson, MD FACOG

  • Obstetrics & Gynecology Physician
  • Lincoln, NE
National Provider Identifier
1619963931
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12889 Issued in NE
Practice address
220 Lyncrest Dr
Lincoln, NE 68510-2229
Phone
(402) 434-3370
Fax
(402) 489-0731
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 12889 NE Primary

Addresses

Primary practice location

220 Lyncrest Dr
Lincoln, NE 68510-2229

Mailing address

220 Lyncrest Dr
Lincoln, NE 68510-2229
Phone (402) 434-3370

Other identifiers 1

IdentifierTypeStateIssuer
47055126013MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20041014000473 NE Practitioner - Obstetrics/Gynecology 8729971106

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sswanson@wcol.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1619963931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LYNCREST DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102229",
            "telephone_number": "402-434-3370",
            "fax_number": "402-489-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LYNCREST DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102229",
            "telephone_number": "402-434-3370",
            "fax_number": "402-489-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "STEPHEN",
        "middle_name": "GENE",
        "credential": "MD FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "12889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055126013",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.