Organization Active NPI

Steven H Swedberg MD PS

  • Ophthalmology Physician
  • Edmonds, WA
National Provider Identifier
1760655732
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD 00033003 Issued in WA
Legal business name
STEVEN H SWEDBERG MD PS
Practice address
21827 76TH Ave W
Ste 102
Edmonds, WA 98026-7981
Phone
(425) 778-2500
Fax
(425) 778-5600
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2014

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

Authorized official

Name
Dr. Steven H Swedberg, M.D.NPI 1821162900
Title
President
Phone
(425) 778-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD 00033003 WA Primary

Addresses

Primary practice location

21827 76TH Ave W
Ste 102
Edmonds, WA 98026-7981

Mailing address

21827 76TH Ave W
Ste 102
Edmonds, WA 98026-7981
Phone (425) 778-2500

Other identifiers 1

IdentifierTypeStateIssuer
7109887MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316001082 WA Part B Supplier - Clinic/Group Practice 5193615052 Receives reassigned benefits from 2 practitioners
Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory

Locations

21827 76th Ave W
Ste 102
Edmonds, WA 98026
Phone (360) 647-7750

Practitioners & affiliated clinicians

Practitioners 7

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408233600000",
    "number": "1760655732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W",
            "address_2": "STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267981",
            "telephone_number": "425-778-2500",
            "fax_number": "425-778-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W",
            "address_2": "STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267981",
            "telephone_number": "425-778-2500",
            "fax_number": "425-778-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN H SWEDBERG MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-08-17",
        "status": "A",
        "authorized_official_last_name": "SWEDBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-778-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD 00033003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109887",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.