SUSAN ROOT MD NPI 1457367047

NPI Information

NPI: 1457367047
Provider Name: SUSAN ROOT, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
3RD AMBULATORY CARE CTR
2211 LOMAS BLVD. NE
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-2345
Get Directions

Susan Root, MD is an adolescent medicine pediatrics in Albuquerque, NM. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Susan Root, MD NPI is 1457367047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3RD AMBULATORY CARE CTR
2211 LOMAS BLVD. NE
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-2345

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	95-136	NEW MEXICO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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