Charles a Swanson

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

41349 Issued in MA

Legal business name

CHARLES A SWANSON

Practice address

21 Highland Ave
Suite 3
Newburyport, MA 01950-3872

Phone

(978) 462-4401

Fax

(978) 462-0145

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles A Swanson, M.D.

Title

Doctor of Dermatology

Phone

(978) 462-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1760879878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "STE 3",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-4401",
            "fax_number": "978-462-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 3",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-462-4401",
            "fax_number": "978-462-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A SWANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF DERMATOLOGY",
        "authorized_official_telephone_number": "978-462-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "41349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000930A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CH-Brigham LLC
• Patricia Ellen Chadwick, LICSW
• Bridget Chalker, BCBA
• Paul S. Chang, D.O.
• Changing Tides Therapeutic Counseling Inc.
• Charles a. Nickou, D.M.D LLC
• Meghan Chase, NP
• Rebecca Bierstedt Chase, P.N.P.
• Lenore Chesnutt, ARNP-PC
• Martha M. Chichester, N.P.

• Health Maintenance Organization in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Health Maintenance Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.