JEROME ALLEN SWANSON JR. (NPI# 1992022628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992022628 |
| Entity Type | Individual |
| Full Name | JEROME ALLEN SWANSON JR. |
| Credential | M.D. |
| Practice Address |
7505 Metro Blvd Ste 400 Edina MN 55439 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 6125732200 |
| Practice Fax Number | 6125732274 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
54613 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
7505 METRO BLVD STE 400 |
| City | EDINA |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759193 | Christina Marie Braatz | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2005-09-09 |
| 1083022198 | Andrew Tyler Miller | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-08-01 |
| 1285045534 | Duncan Ben Davidson | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2014-05-08 |
| 1386063295 | Amanda Baillargeon | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-04-08 |
| 1013359744 | Meghan Maureen Davitt | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-07-23 |
| 1912347493 | Brenda Joy Hyde | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2013-06-28 |
| 1609214576 | Kayleen Jahangir | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-06-12 |
| 1902153240 | Anna Maria Blem Milner | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2012-08-06 |
| 1609131887 | Jillian Ann Karow | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2012-07-12 |
| 1932469673 | Alexander Zachary Copelan | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2012-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919272 | Vinit Amin | Radiology | 7505 Metro Blvd, Ste 400, Edina, MN 55439 | 2010-03-29 |
| 1255599403 | Bjorn Ingemar Engstrom | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2008-05-23 |
| 1649444167 | Thomas Andrew Gebhard | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2008-04-15 |
| 1063544047 | Naveen Krishne Gowda | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2007-03-12 |
| 1114014578 | David W Hunter | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2006-10-06 |
| 1255374450 | Clark William Schumacher | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2006-06-14 |
| 1225082829 | Subbarao Inampudi | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2006-05-19 |
| 1710930110 | Eduardo Ehrenwald | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043338171 | Medical Imaging North Pa | Radiology | 2900 E Beltline, Hibbing, MN 55746-4504 | 2007-03-27 |
| 1922560747 | Paige Johnson | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-04-01 |
| 1982136511 | Forrest Brian Linch | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-02 |
| 1629457502 | Scott Michael Thompson | Radiology | 200 1st St Sw, Rochester, MN 55905 | 2015-05-25 |
| 1710364906 | Jidi Gao | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-27 |
| 1205222700 | Francisco Javier Grippi Figueredo | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-10 |
| 1255776126 | Kent Andrew Cabatingan | Radiology | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2013-05-06 |
| 1619310612 | Richard Gyasi Frimpong | Radiology | 200 1st St Sw, Rochester, MN 55905 | 2013-04-10 |
| 1730422429 | Alexander Aris Covington | Radiology | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2013-04-01 |
| 1528389574 | Shamar Justin Young | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2010-06-14 |
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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.