DR. BROCK ANDREW SWANSON (NPI# 1710242854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710242854 |
| Entity Type | Individual |
| Full Name | DR. BROCK ANDREW SWANSON |
| Credential | D.P.M. |
| Practice Address |
927 Broadway St Quincy IL 62301-2719 |
| Practice Telephone | 2172246423 |
| Mailing Telephone | 2172246423 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-005681 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006387 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
927 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429957 | Venu Reddy | Internal Medicine | 927 Broadway St, Suite 204, Quincy, IL 62301-2719 | 2005-07-07 |
| 1932716925 | Olivia Louise Patterson | Registered Nurse | 927 Broadway St, Quincy, IL 62301-2719 | 2020-09-24 |
| 1598375727 | Marissa Jo Lumpkin | Behavior Technician | 927 Broadway St, Quincy, IL 62301-2719 | 2020-08-03 |
| 1093347429 | Mandi Nicole Law | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-02-04 |
| 1720618457 | Laura Starman | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-01-22 |
| 1033761234 | Ashley Monita Smith | Social Worker | 927 Broadway St, Quincy, IL 62301-2719 | 2019-07-09 |
| 1659834273 | Debra Anna Derhake | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1881157493 | Erin Katharine Vonderhaar | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1598228116 | Aleshia Dawn Gerding | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1992268510 | Dawn Crabtree | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528402070 | Michelle A. Morse | Podiatrist | 54 Miller St, Suite 201, Quincy, MA 02169-4725 | 2013-04-25 |
| 1023231693 | Midwest Foot and Ankle Specialists PC | Podiatrist | 3740 E Lake Ctr, Quincy, IL 62305-5805 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
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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.