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DEREK SWANSON
NPI 1174100663
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 29, 2021
3400 CIVIC CENTER BOULEVARD, 4 SOUTH PAVILION, DEPARTMENT OF ORAL AND MAXILLOFACIAL, PHILADELPHIA, PA 19104(215) 900-3506 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Sep 8, 2021, Jun 14, 2021 and 1 more (4 updates tracked since 2021).

About Derek Swanson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK SWANSON (NPI 1174100663) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174100663
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK SWANSON
Location Address3400 CIVIC CENTER BOULEVARD, 4 SOUTH PAVILION, DEPARTMENT OF ORAL AND MAXILLOFACIALPhiladelphia, PA 19104
Mailing Address3400 Civic Center Boulevard, 4 South Pavilion, PcamPhiladelphia, PA 19104 · (215) 900-3506
Phone(215) 900-3506
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateMarch 10, 20224 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1174100663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZA THOMAS CRNP
Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2891
DR. ANASTASSIA AMARO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
HAMDEE Y ATTALLAH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
TRACY S D'ENTREMONT MD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-5858
DR. JOSHUA DANIEL BRANDSTADTER M.D., PHD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3681
NICHOLAS ALEXANDER BEAM
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0063
MICHAEL S PARMACEK MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DR. WILLIAM DAVID SCHWEICKERT MD
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Swanson's NPI number?

The NPI number for Derek Swanson is 1174100663. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Derek Swanson located?

Derek Swanson practices at 3400 Civic Center Boulevard 4 South Pavilion, Department Of Oral And Maxillofacial, Philadelphia, PA 19104. The listed phone number is (215) 900-3506.

What is Derek Swanson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Swanson was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.