MR. RICHARD T SWENSON (NPI# 1053378554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053378554 |
| Entity Type | Individual |
| Full Name | MR. RICHARD T SWENSON |
| Credential | M.D. |
| Practice Address |
1705 Renaissance Blvd Ste 100 Edmond OK 73013-3041 |
| Mailing Address |
2109 Riverside Dr Norman OK 73072-6614 |
| Practice Telephone | 4052857500 |
| Practice Fax Number | 4052857501 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
14281 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100106950B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811297443 | Richard Patrick Swenson | Psychologist | 1147 E 25th St, Idaho Falls, ID 83404-7007 | 2010-10-29 |
| 1588920474 | Richard David Swenson | Orthopaedic Surgery | 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234 | 2012-04-05 |
| 1790820801 | Richard C Swenson | Physical Therapist | 2565 Elmwood Ave, Kenmore, NY 14217-1939 | 2007-02-20 |
| 1043301732 | Richard E Swenson | Family Medicine | 1501 S Oregon St, Yreka, CA 96097 | 2006-09-27 |
| Street Address |
1705 RENAISSANCE BLVD STE 100 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829405 | Michal Geralyn Christian | Physician Assistant | 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013-3041 | 2005-08-24 |
| 1083137939 | Oklahoma Arthritis Center, P.C. | Family Medicine | 1705 Renaissance Blvd, Edmond, OK 73013-3041 | 2017-07-24 |
| 1801286463 | Noel R Williams Md PC | Obstetrics & Gynecology | 1705 Renaissance Blvd, Suite 120, Edmond, OK 73013-3041 | 2015-02-03 |
| 1497046924 | James L. Fleckenstein Md Pllc | Radiology | 1705 Renaissance Blvd, Ste 160, Edmond, OK 73013-3041 | 2011-05-02 |
| 1265614200 | Qclinic LLC | Clinic/Center | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2007-11-30 |
| 1700065109 | Valir Outpatient Clinics LLC | Durable Medical Equipment & Medical Supplies | 1705 Renaissance Blvd, Suite 105, Edmond, OK 73013-3041 | 2007-11-01 |
| 1295921286 | Dental Facial Imaging LLC | Clinic/Center | 1705 Renaissance Blvd, Suite 135, Edmond, OK 73013-3041 | 2007-09-24 |
| 1619099926 | W Gregory Morgan IIi Md PC | General Practice | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2007-04-06 |
| 1477695864 | David Speegle | Family Medicine | 1705 Renaissance Blvd, Ste 120, Edmond, OK 73013-3043 | 2007-02-13 |
| 1760521645 | Taylor F Lancaster | Radiology | 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013-3041 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578512596 | Medhat S.f. Michael | Emergency Medicine | 1265 E 33rd St, Edmond, OK 73013-6307 | 2006-05-08 |
| 1639137409 | Jerry C Childs Jr. | Emergency Medicine | 1520 Morning Star, Edmond, OK 73034-6579 | 2006-05-02 |
| 1437629581 | Oklahoma Ep, Pllc | Emergency Medicine | 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
| 1518947100 | Elizabeth S Monnot | Emergency Medicine | 503 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2006-01-19 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
| 1629052311 | Donald L Sutmiller | Emergency Medicine | 119 W Main St, Hominy, OK 74035-1031 | 2005-12-06 |
| 1023008653 | Kirk M. Smith | Emergency Medicine | 4909 Se Mills Ave, Lawton, OK 73501-8705 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
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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.