Organization Active NPI

Douglas G. Swanson MD PC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1851443808
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24789 Issued in CO
Legal business name
DOUGLAS G. SWANSON MD PC
Practice address
265 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3141
Phone
(719) 635-7288
Fax
(719) 473-6113
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Douglas Gerald Swanson, MD
Title
Owner
Phone
(719) 635-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 24789 CO Primary

Addresses

Primary practice location

265 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3141

Mailing address

265 Parkside Dr
Suite 100
Colorado Springs, CO 80910-3141
Phone (719) 635-7288

Other identifiers 1

IdentifierTypeStateIssuer
01247899MedicaidCO

National Provider Directory

National Provider Directory

Locations

3245 International Cir
Ste 102
Colorado Springs, CO 80910
Phone (719) 633-8000

455 E Pikes Peak Ave
Ste 105
Colorado Springs, CO 80903
Phone (719) 635-7288

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1851443808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PARKSIDE DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103141",
            "telephone_number": "719-635-7288",
            "fax_number": "719-473-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 PARKSIDE DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103141",
            "telephone_number": "719-635-7288",
            "fax_number": "719-473-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G. SWANSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-635-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247899",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.