Active NPI
Douglas G. Swanson MD PC
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1851443808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24789
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01247899 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.