MEDICARE: DOUGLAS GERALD SWANSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	24789	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	C530248	OTHER		MEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285697318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS GERALD SWANSON MD

Provider Business Mailing Address
First Line	:	455 E PIKES PEAK AVE
Second Line	:	STE 105
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3672
Country	:	US
Telephone Number	:	719-635-7288
Fax Number	:	719-473-6113

Provider Business Practice Location Address
First Line	:	455 E PIKES PEAK AVE
Second Line	:	STE 105
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3672
Country	:	US
Telephone Number	:	719-635-7288
Fax Number	:	719-473-6113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	03/28/2019

Similar Medicare Providers

1902172786 — CTMD LLC DBA PARKSIDE HEART CARE
Practice Location Address:

455 E PIKES PEAK AVE , SUITE 100
COLORADO SPRINGS, CO
80903-3672

Practice Phone: 719-338-1324
Practice Fax:

1821610734 — KYNDAL ELIZABETH STROSSNER
Practice Location Address:

1203 LAWN LAKE TRL
COLORADO SPRINGS, CO
80921-3672

Practice Phone: 719-640-5882
Practice Fax:

1225113921 — DR. MICHAEL A YU D.D.S.
Practice Location Address:

66450 PIERSON BLVD
DESERT HOT SPRINGS, CA
92240-3672

Practice Phone: 760-329-2191
Practice Fax:

1154525855 — DR. JAMES S LAU DDS
Practice Location Address:

66450 PIERSON BLVD
DESERT HOT SPRINGS, CA
92240-3672

Practice Phone: 760-329-2191
Practice Fax: 760-329-3581

1841604139 — GENERATIONS AT HOME LLC
Practice Location Address:

210 S PINELLAS AVE , SUITE 158
TARPON SPRINGS, FL
34689-3672

Practice Phone: 727-940-3414
Practice Fax:

1386059210 — JOHN DENNY-LAVERE D.C
Practice Location Address:

210 S PINELLAS AVE STE 273
TARPON SPRINGS, FL
34689-3672

Practice Phone: 727-934-8368
Practice Fax: 727-934-8368

Directions to “ DOUGLAS GERALD SWANSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.