MARC A SWANSON (NPI# 1255350831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350831 |
| Entity Type | Individual |
| Full Name | MARC A SWANSON |
| Credential | MD |
| Practice Address |
100 Knotbreak Rd Salem VA 24153 |
| Mailing Address |
100 Knotbreak Rd Salem VA 24153-5414 |
| Practice Telephone | 5404445670 |
| Practice Fax Number | 5404445669 |
| Mailing Telephone | 5404445670 |
| Mailing Fax Number | 5404445669 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 0101046486 | VA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
0101046486V | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010376301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1802 Braeburn Dr, Salem, VA 241537357 | 5404445670 | 5404445669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881762839 | Marc A Swanson | Optometrist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-11-30 |
| Street Address |
100 KNOTBREAK RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737891 | Emma Perdue | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153-5414 | 2020-10-15 |
| 1184284135 | Adam Battaglia | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153-5414 | 2019-06-20 |
| 1508224775 | Jordan Webb Young | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2016-02-03 |
| 1033509088 | Kaitlin Scott Daniels | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2015-01-29 |
| 1861753386 | Andrew Richard Crichlow | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2012-05-31 |
| 1518118330 | Blue Ridge Pain Management Associates, PC | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-10 |
| 1326299751 | Dana Michelle Hurt Adams | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2008-10-03 |
| 1154571446 | Laura Davis | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2008-09-24 |
| 1093806192 | George M. Baylor | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-09-27 |
| 1134236763 | Anthony Louis Dragovich | Pain Medicine | 100 Knotbreak Rd, Salem, VA 24153 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077954 | Liberty Spine & Pain Center, P.C. | Pain Medicine | 350 Miller St Se, Salem, OR 97302-4272 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARC A SWANSON.
| 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.