Organization
JIMMY D. SWANSON, MD, INC.
Active
Organization
JIMMY D. SWANSON, MD, INC.
Active
Other names
Swanson Orthopaedic Surgery and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY D SWANSON MD (PRESIDENT)
(812) 537-8402
Entity
Organization
Contact information
Practice address
272 BIELBY RD, LAWRENCEBURG, IN 47025-1056
(812) 537-8402
(812) 537-8425
Mailing address
PO BOX 4105, LAWRENCEBURG, IN 47025-4105
(812) 537-8402
(812) 537-8425
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01037561
IN
207X00000X
Orthopaedic Surgery Physician
35-05-3520-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014822
BLUE SHIELD INDIANA #
—
01
—
010025828
RAILROAD MEDICARE #
—
01
—
0251123-003
CIGNA RENDERING #
—
01
—
0901330
UNITED HEALTH CARE
—
05
—
100017200A
—
IN
01
—
124097500
DEPT OF LABOR PIN
—
01
—
53520
CHOICE CARE RENDERING #
—
01
—
645223
AETNA RENDERING #
—
Enumeration date
08/02/2005
Last updated
08/01/2009
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