DR. SUZANNE DENISE DEBROSSE M.D. NPI 1720293160

NPI Information

NPI: 1720293160
Provider Name: DR. SUZANNE DENISE DEBROSSE, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
11100 EUCLID AVE
LAKESIDE 1500
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-3936
Get Directions

DR. Suzanne Denise Debrosse, M.D. is a clinical genetics (m.d.) medical genetics in Cleveland, OH with 20 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Suzanne Denise Debrosse, M.D. NPI is 1720293160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2004

The provider's business location address is:

11100 EUCLID AVE
LAKESIDE 1500
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-3936
Fax: (216) 844-7497

The NPI 1720293160 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 5/11/2007 and was last updated on 12/9/2020.

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	208000000X	Pediatrics		35-094127	OHIO	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	35.094127	OHIO	No
3	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	35.094127	OHIO	Yes

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
1	0056505	MEDICAID	OHIO
2	9648753	OTHER		AETNA
3	000000725150	OTHER		ANTHEM
4	2048816199ER	OTHER	OHIO	CARESOURCE
5	609409	OTHER	OHIO	WELLCARE
6	35.094127	OTHER	OHIO	LICENSE

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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