LYLE JAMES SWENSON (NPI# 1679558977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679558977 |
| Entity Type | Individual |
| Full Name | LYLE JAMES SWENSON |
| Credential | MD |
| Practice Address |
927 Churchill St W Stillwater MN 55082 |
| Mailing Address |
8170 33rd Ave Ms: 211110q Bloomington MN 55425-4516 |
| Practice Telephone | 6514391234 |
| Practice Fax Number | 6514308591 |
| Mailing Telephone | 6514391234 |
| Mailing Fax Number | 6514308591 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
24407 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
24407 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 562382100 | 05 | |
| DEA | AS23513ZZ | 01 | |
| WI | 30744400 | 05 |
| Street Address |
927 CHURCHILL ST W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209911 | Patrick John Brod | Family Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2005-07-20 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1659725398 | Kelsey Rae Morinville | Nurse Anesthetist, Certified Registered | 927 Churchill St W, Stillwater, MN 55082 | 2016-04-19 |
| 1760861108 | Gregory Schad | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2015-05-19 |
| 1598084956 | Jennifer Lynn Boklewski | Emergency Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2010-05-25 |
| 1003132440 | Anika Schulte Phillips | Registered Nurse | 927 Churchill St W, Stillwater, MN 55082-6605 | 2010-04-09 |
| 1306076260 | Alison Wing | Internal Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-07-24 |
| 1285862045 | Casey Woster | Emergency Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-06-30 |
| 1689812604 | Kathleen M Dorwart | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-01-29 |
| 1265670319 | Laura M Eryou | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
| 1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
| 1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
| 1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
| 1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
| 1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
| 1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
| 1558599712 | Marat Yanavitski | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2009-06-26 |
| 1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on LYLE JAMES SWENSON.
| 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.