Active NPI
Lester David Swartwood, M.D.
- Internal Medicine Physician
- Columbia Heights, MN
National Provider Identifier
1770685331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25402
- Practice address
- 4000 Central Ave NE
Columbia Heights, MN 55421-2968 - Phone
- (763) 572-5710
- Fax
- (763) 782-8100
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25402 | MN | Primary |
Addresses
Primary practice location
4000 Central Ave NE
Columbia Heights, MN 55421-2968
Mailing address
4000 Central Ave NE
Columbia Heights, MN 55421-2968
Phone (763) 572-5710
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370705900 | Medicaid | MN | |
| 0403899 | Other | MN | MEDICA |
| 1000896 | Other | MN | PREFERRED ONE |
| 107322 | Other | MN | UCARE MN |
| 22530 | Other | MN | AMERICA'S PPO |
| 6607196 | Other | MN | MEDICA URGENT CARE |
| HP19922 | Other | MN | HEALTHPARTNERS |
| 09F06SW | Other | MN | BCBS OF MN |
| 4125367 | Other | MN | AETNA INS |
Other names 1
- L. David Swartwood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25402 | MN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1770685331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-572-5710",
"fax_number": "763-782-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-572-5710",
"fax_number": "763-782-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTWOOD",
"first_name": "LESTER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "25402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370705900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0403899",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1000896",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MN",
"identifier": "107322",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "22530",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA URGENT CARE",
"identifier": "6607196",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP19922",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "09F06SW",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "4125367",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L.",
"last_name": "SWARTWOOD",
"middle_name": "DAVID",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.