BRIAN R. SWENSON (NPI# 1922116086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922116086 |
| Entity Type | Individual |
| Full Name | BRIAN R. SWENSON |
| Credential | M.D. |
| Practice Address |
1965 S Fremont Ave Suite 100 Springfield MO 65804-2201 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178203800 |
| Practice Fax Number | 4178203810 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2011012611 | MO | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 2011012611 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1922116086 | 05 | |
| AR | 207498001 | 05 | |
| MO | RR MEDICARE | P01095875 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194889931 | Brian M Swenson | Dentist | 105 N Washington St, El Campo, TX 77437 | 2006-12-19 |
| 1578569182 | Brian Robert Swenson | Psychiatry & Neurology | 204 Cargile Ln, Nashville, TN 37205-3206 | 2005-06-28 |
| 1407029242 | Brian D Swenson | Anesthesiology | 1450 Western Ave Ste 102, Albany, NY 12203-3539 | 2008-04-11 |
| Street Address |
1965 S FREMONT AVE SUITE 100 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834074 | Tyrun Keith Richardson | Urology | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2005-07-14 |
| 1366934069 | Kelsi Brooke Yates | Registered Nurse | 1965 S Fremont Ave, Springfield, MO 65804 | 2018-05-30 |
| 1629515440 | Ashley Jenkins | Physician Assistant | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2017-01-31 |
| 1538602719 | Brianna Sikes | Registered Nurse | 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201 | 2016-11-21 |
| 1497105779 | Krista Norrick | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-16 |
| 1952750846 | Lori Pumphrey | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-10 |
| 1306205414 | Jason Hall | Physician Assistant | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-02-17 |
| 1811382500 | Megan A. Martin | Nurse Practitioner | 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | 2015-03-31 |
| 1588055578 | Inna L. Bates | Nurse Practitioner | 1965 S Fremont Ave, Suite 350, Springfield, MO 65804-2201 | 2015-02-11 |
| 1770990228 | Karina Marie Guffey | Nurse Practitioner | 1965 S Fremont Ave, Springfield, MO 65804-2201 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405585 | Jan B Wojcik | Colon & Rectal Surgery | 175 Carew Street, Suite 110, Springfield, MA 01104 | 2005-11-21 |
| 1457348401 | Jan Rakinic | Colon & Rectal Surgery | 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 | 2005-10-04 |
| 1902149644 | Jennifer Lu | Colon & Rectal Surgery | 1965 S Fremont Ave Ste 100, Springfield, MO 65804 | 2013-04-01 |
| 1164759924 | Rakesh Hegde | Colon & Rectal Surgery | 1001 E Primrose St, Springfield, MO 65807 | 2009-11-14 |
| 1962623827 | Elizabeth Dawn Wietfeldt | Colon & Rectal Surgery | 900 N 1st St, Springfield, IL 62702-3749 | 2007-05-01 |
| 1760608764 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 1176 E Home Rd, Springfield, OH 45503 | 2007-04-18 |
| 1164554044 | John Trombold | Colon & Rectal Surgery | 1001 E Primrose St, Springfield, MO 65807-5155 | 2007-03-09 |
| 1558458349 | John D. Zander | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
| 1659465813 | James W. Thiele | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-03 |
| 1043317373 | Peter M.c. Hofmann | Colon & Rectal Surgery | 900 N 1st St, Springfield, IL 62702-3749 | 2006-09-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on BRIAN R. SWENSON.
| 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.