Active NPI
Paul Mathew Swanson, MD
- Hematology & Oncology Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0075493
- Practice address
- 1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585 - Phone
- (772) 335-5666
- Fax
- (772) 335-4826
- NPI assigned
- May 26, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0075493 | FL | Primary |
Addresses
Primary practice location
1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585
Mailing address
1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585
Phone (772) 335-5666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900002186 | Other | FL | RAILROAD MEDICARE |
| 0075493 | Other | FL | STATE LICENSE NUMBER |
| 43952 | Other | FL | BLUE CROSS BLUE SHIELD |
| 254047900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Vanderbilt University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1871 SE Tiffany Ave
Suite 100
Port Saint Lucie, FL 34952-7585
Phone (772) 335-5666
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- St Lucie Medical Center
- HCA Florida Lawnwood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 78.28
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0075493 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hem Onc Associates of the Treasure Coast, PA | Hematology & Oncology | Current | Accepting new patients |
| Hem Onc Associates of the Treasure Coast, PA | Current | Accepting new patients |
Locations
2100 Nebraska Ave
Ste 107
Fort Pierce, FL 34950
Phone (561) 220-4820
1871 SE Tiffany Ave
Ste 100
Port St Lucie, FL 34952
Phone (772) 335-5666
140 SW Chamber Ct
Ste 300
Saint Lucie West, FL 34986
Phone (772) 336-2992
501 SE Osceola St
Ste 303
Stuart, FL 34994
Phone (772) 223-5982
2081 SE Ocean Blvd
Ste 2A
Stuart, FL 34996
Phone (772) 223-5982
Interoperability endpoints
- paul.swanson@tcoast.ikm.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- Port St Lucie, FL
- NPI 1205882867
-
- Hematology & Oncology Physician
- Stuart, FL
- NPI 1477807477
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1861448243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 SE TIFFANY AVE",
"address_2": "SUITE 100",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527585",
"telephone_number": "772-335-5666",
"fax_number": "772-335-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 SE TIFFANY AVE",
"address_2": "SUITE 100",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527585",
"telephone_number": "772-335-5666",
"fax_number": "772-335-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "PAUL",
"middle_name": "MATHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "0075493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900002186",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "0075493",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "43952",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254047900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.