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DR. MARK GREGORY SWEDENBURG MD NPI 1164599015


NPI Information

NPI: 1164599015
Provider Name: DR. MARK GREGORY SWEDENBURG, MD
Classification: Preventive Medicine - 2083A0100X
Entity Type: Individual

Specialization: Aerospace Medicine

PECOS Registration: Yes

Address:
400 OLD SMITHFIELD RD
GOLDSBORO, NC
ZIP 27530
Phone: (919) 581-4660
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DR. Mark Gregory Swedenburg, MD is an aerospace medicine preventive medicine in Goldsboro, NC. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. DR. Mark Gregory Swedenburg, MD NPI is 1164599015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 OLD SMITHFIELD RD
GOLDSBORO, NC
ZIP 27530-464
Phone: (919) 581-4660

The NPI 1164599015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine200200290NORTH CAROLINANo
22083A0100XPreventive MedicineAerospace Medicine200200290NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13406028MEDICAIDNORTH CAROLINA
2H 88722MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.