Organization Active NPI

Robert J. Swangard, M.D., P.C.

  • Vascular Surgery Physician
  • Eugene, OR
National Provider Identifier
1750414330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD12018 Issued in OR
Legal business name
ROBERT J. SWANGARD, M.D., P.C.
Practice address
655 E 11TH Ave Ste 2a
Eugene, OR 97401-3683
Phone
(541) 484-6133
Fax
(541) 484-5105
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane L. Kintigh
Title
Business Office Manager
Phone
(541) 484-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD12018 OR Primary

Addresses

Primary practice location

655 E 11TH Ave Ste 2a
Eugene, OR 97401-3683

Mailing address

655 E 11TH Ave Ste 2a
Eugene, OR 97401-3683
Phone (541) 484-6133

Other identifiers 1

IdentifierTypeStateIssuer
192245MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE STE 2A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013683",
            "telephone_number": "541-484-6133",
            "fax_number": "541-484-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE STE 2A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013683",
            "telephone_number": "541-484-6133",
            "fax_number": "541-484-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. SWANGARD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINTIGH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "541-484-6133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD12018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192245",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.