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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