Mark E Swanson, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

15020 Issued in NV

Practice address

5190 Neil Rd.
#215
Reno, NV 98502

Phone

(775) 784-4917

Fax

(775) 784-1428

NPI assigned

Sep 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1952703779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W. 2ND ST.",
            "address_2": "#235D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-682-8176",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD.",
            "address_2": "#215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "98502",
            "telephone_number": "775-784-4917",
            "fax_number": "775-784-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15020",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NV",
            "license": "15020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Conrad Swanson, M.D.
• Garrett Richard Swanson, D.M.D.
• John Swanson, MD
• Karmen M Swanson, MOTR/L
• Kelsey Laine Swanson, AGACNP
• Ryan A Swanson, PAC
• Tara Lorraine Swartz, LMSW, CSW-I
• Stephan Earl Swearngin, DO
• Janay Cree Sweatt
• Jeremy Sweedlow

• Developmental - Behavioral Pediatrics Physician in Reno, NV
• Providers in Reno, NV by specialty
• Developmental - Behavioral Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.