Individual provider Active NPI

Eric W Svenson, MD

  • Radiation Oncology Physician
  • Meadville, PA
National Provider Identifier
1669526398
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD036727E Issued in PA
Practice address
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone
(814) 373-2335
Fax
(814) 373-2338
NPI assigned
Jan 22, 2007
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35053495 OH
Radiation Oncology Physician 2085R0001X MD036727E PA Primary

Addresses

Primary practice location

16792 Conneaut Lake Rd
Meadville, PA 16335-3748

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-2335

Other identifiers 4

IdentifierTypeStateIssuer
H051470OtherOHMEDICARE PTAN
000000154701OtherOHANTHEM BCBS
001057044-0003MedicaidPA
0628959MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150319002074 PA Practitioner - Radiation Oncology 9739288119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35053495OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Mar 30, 2015 Accepting new patients
Meadville Medical Center CurrentSince Mar 30, 2015 Accepting new patients
Dermatology Associates of Youngstown Inc Past Accepting new patients
Permian Radiation Oncology Radiation Oncology Past Accepting new patients
Radiation Oncology of Youngstown Inc Radiation Oncology Past Accepting new patients
Triad Health Services, LLC PastSince Mar 1, 2015 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

16792 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 373-2335

16792 Conneaut Lake Rd
#G
Meadville, PA 16335
Phone (814) 373-2335

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

Interoperability endpoints

  • Direct secure messaging: eric.w.svenson@directaddress.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1669526398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-2335",
            "fax_number": "814-373-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16792 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353748",
            "telephone_number": "814-373-2335",
            "fax_number": "814-373-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSON",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35053495",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD036727E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H051470",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000154701",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001057044-0003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628959",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.