Individual provider Active NPI

Paul Mathew Swanson, MD

  • Hematology & Oncology Physician
  • Port St Lucie, FL
National Provider Identifier
1861448243
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0075493 Issued in FL
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

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
900002186OtherFLRAILROAD MEDICARE
0075493OtherFLSTATE LICENSE NUMBER
43952OtherFLBLUE CROSS BLUE SHIELD
254047900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000493 FL Practitioner - Hematology/Oncology 9436250636 Reassigns benefits to 1 organization

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
Hem Onc Associates of the Treasure Coast, PAGroup PAC ID 2961416136, 7 clinicians

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 Hospital, Stuart, FL, CCN 100044
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as group
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

LicenseStateTypeSpecialty
0075493FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hem Onc Associates of the Treasure Coast, PA Hematology & Oncology CurrentSince Oct 1, 1996 Accepting new patients
Hem Onc Associates of the Treasure Coast, PA CurrentSince Jul 1, 1998 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.