Organization Active NPI

Lakewood Ranch Obstetrics and Gynecology PL

  • Obstetrics & Gynecology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1811258981
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME96037 Issued in FL
Legal business name
LAKEWOOD RANCH OBSTETRICS AND GYNECOLOGY PL
Practice address
8340 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5180
Phone
(330) 519-5005
Fax
(866) 875-5367
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Jennifer Swanson, MD
Title
Owner
Phone
(330) 519-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME96037 FL Primary

Addresses

Primary practice location

8340 Lakewood Ranch Blvd
Suite 101
Lakewood Ranch, FL 34202-5180

Mailing address

8340 Lakewood Ranch Blvd
Suite 140
Lakewood Ranch, FL 34202-5180
Phone (330) 519-5005

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2041584Lakewood Obstetrics and Gynecology LLC8340 Lakewood Ranch Blvd Ste 140, Bradenton, FL 34202Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

8340 Lakewood Ranch Blvd
Ste 104
Lakewood Ranch, FL 34202

8340 Lakewood Ranch Blvd
#1
Lakewood Ranch, FL 34202
Phone (941) 907-9298

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1811258981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 140",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "330-519-5005",
            "fax_number": "866-875-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "330-519-5005",
            "fax_number": "866-875-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH OBSTETRICS AND GYNECOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-519-5005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME96037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.