NPIMap

Organization Active NPI

Brian W Swanton MD PC

  • Clinic/Center
  • Lake Odessa, MI
National Provider Identifier
1770763773
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRIAN W SWANTON MD PC
Practice address
4294 Laurel Dr
Lake Odessa, MI 48849-9423
Phone
(616) 374-7660
Fax
(616) 374-0270
NPI assigned
Nov 7, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Brian W Swanton, MDNPI 1972612547
Title
Officer
Phone
(616) 374-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4294 Laurel Dr
Lake Odessa, MI 48849-9423

Mailing address

4294 Laurel Dr
PO Box 578
Lake Odessa, MI 48849-9423
Phone (616) 374-7660

Other identifiers 1

IdentifierTypeStateIssuer
2817978MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1770763773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 LAUREL DR",
            "address_2": "PO BOX 578",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488499423",
            "telephone_number": "616-374-7660",
            "fax_number": "616-374-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 LAUREL DR",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488499423",
            "telephone_number": "616-374-7660",
            "fax_number": "616-374-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W SWANTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SWANTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "616-374-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2817978",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Odessa, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.