JOEL C SWANSON (NPI# 1013956705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013956705 |
| Entity Type | Individual |
| Full Name | JOEL C SWANSON |
| Credential | MD |
| Practice Address |
323 E Riverside Dr, Suite 224 Samg Ehp Family Medicine Eagle ID 83616-6815 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083026000 |
| Practice Fax Number | 2083026055 |
| Mailing Telephone | 2083026000 |
| Mailing Fax Number | 2083026055 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M8006 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805814100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447225313 | Joel W Swanson | Specialist | 4485 William Flynn Hwy, Allison Park, PA 15101-1424 | 2006-02-22 |
| Street Address |
323 E RIVERSIDE DR, SUITE 224 SAMG EHP FAMILY MEDICINE |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306385950 | Basis Internal Medicine | Internal Medicine | 723 W Headwaters Dr, Eagle, ID 83616-5749 | 2017-02-15 |
| 1609004597 | Eagle Internal Medicine, Pllc | Internal Medicine | 1025 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6834 | 2009-06-30 |
| 1275630733 | Marion Luque,pllc | Internal Medicine | 1139 E. Winding Creek Dr, Eagle, ID 83616 | 2006-09-19 |
| 1093825903 | Jennifer S Anderson | Internal Medicine | 343 E Riverside Drive, Ste 224, Eagle, ID 83616 | 2006-08-30 |
| 1851401004 | Diana Cristina Dumitrascu | Internal Medicine | 1139 E Winding Creek Dr, Eagle, ID 83616-7232 | 2006-08-30 |
| 1295747046 | Robert John Haake | Internal Medicine | 500 E Shore Dr, Suite 100, Eagle, ID 83616-6908 | 2006-08-12 |
| 1306886767 | Stan A Eisele | Internal Medicine | 323 E Riverside Dr Ste 224, Eagle, ID 83616 | 2006-06-07 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1194773598 | Kimberly R Tanabe | Internal Medicine | 3101 E State St, Suite 2120, Eagle, ID 83616-6232 | 2006-05-05 |
| 1124088331 | Marion Lynn Luque | Internal Medicine | 1139 E. Winding Creek Drive, Eagle, ID 83616-6566 | 2006-03-23 |
| Find all providers in EAGLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.