DR. JOHN DAVID SWANSON IV (NPI# 1255459558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255459558 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID SWANSON IV |
| Credential | MD |
| Practice Address |
750 N Syringa St Ste 100 Post Falls ID 83854-5275 |
| Mailing Address |
1593 E Polston Ave Post Falls ID 83854-5326 |
| Practice Telephone | 2082622600 |
| Practice Fax Number | 2082622700 |
| Mailing Telephone | 2082622300 |
| Mailing Fax Number | 2082622390 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M-9075 | ID | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
M-9075 | ID | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
M-9075 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2106827 | 05 | |
| ID | 1255459558 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 W Dalton Ave Ste A, Coeur D Alene, ID 838158600 | 2082092060 | 2082092070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447751318 | John Carter Swanson | Physical Therapist | 6900 Orchard Lake Rd Ste Ll09, West Bloomfield, MI 48322-3423 | 2018-02-26 |
| 1982098091 | John Swanson | Behavioral Analyst | 165 Alae St, Hilo, HI 96720-2504 | 2015-03-26 |
| 1659690428 | John Leroy Swanson | Counselor | 260 Sw Madison Ave Ste 107, Corvallis, OR 97333-4728 | 2010-05-19 |
| 1972777167 | John Michael Swanson | Speech-Language Pathologist | 1026 Grand Ave, Superior, WI 54880-1755 | 2008-04-17 |
| 1518057579 | John Stewart Swanson | Psychiatry & Neurology | 1 Prince Street, Massachusetts Department of Mental Health, Northampton, MA 01061-0389 | 2006-10-13 |
| 1487646949 | John L Swanson | Physician Assistant | 2825 8th Ave N, Billings, MT 59101-0909 | 2005-08-19 |
| 1821529082 | John Swanson | Counselor | 340 17th St, Ashland, KY 41101-7628 | 2017-03-21 |
| 1942644604 | John Michael Swanson | Student in an Organized Health Care Education/Training Program | 5115 Centre Ave, Upmc Hillman Cancer Center, Pittsburgh, PA 15232 | 2013-04-24 |
| 1053697136 | John Charles Swanson | Pharmacist | 1133 N Johns St, Dodgeville, WI 53533-1277 | 2011-11-02 |
| 1972767689 | John Russell Swanson | Optometrist | 350 Marshall St, Coldwater, MI 49036-1175 | 2008-07-11 |
| Street Address |
750 N SYRINGA ST STE 100 |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-5275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204100 | David Charles King | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2005-09-06 |
| 1437504842 | Joseph Paul Behunin | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2016-05-04 |
| 1225147200 | Mark Daniel Yovichin | Family Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-08-30 |
| 1497864326 | Ronald C Wick | Family Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-08-30 |
| 1982714820 | James P Mullen | Family Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-08-30 |
| 1760592125 | Chad W Scarola | Family Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-08-30 |
| 1467494187 | Kirk Hjeltness | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588773527 | James Peter Winter | Emergency Medicine | 1624 E Seltice Way, Post Falls, ID 83854-7022 | 2006-08-30 |
| 1043204100 | David Charles King | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2005-09-06 |
| 1437504842 | Joseph Paul Behunin | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2016-05-04 |
| 1467494187 | Kirk Hjeltness | Emergency Medicine | 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1972914406 | Jonathan Robert Jerkins | Emergency Medicine | 700 W Ironwood Dr Ste 155, Coeur D Alene, ID 83814-4462 | 2014-05-19 |
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1124306295 | Austin Heath Rasmussen | Emergency Medicine | 637 Pine St, Gooding, ID 83330-1755 | 2011-07-23 |
| 1962799460 | Tyler James Harris | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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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.