MARK R SUSSKIND MD NPI 1003996950

NPI Information

  • NPI: 1003996950
  • Provider Name: MARK R SUSSKIND, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • Address: 1234 EMPIRE ST
    FAIRFIELD, CA
    ZIP 94533
  • Phone: (707) 426-3911

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NPI Details

Mark R Susskind, MD is an urology in Fairfield, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Mark R Susskind, MD NPI is 1003996950. 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:

1234 EMPIRE ST
FAIRFIELD, CA
ZIP 94533-711
Phone: (707) 426-3911
Fax: (707) 434-2043

The enumeration date for this NPI number is 10/16/2006 and was last updated on 5/26/2015.

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
1208800000XUrologyG63205CALIFORNIAYes

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
100G632050MEDICARE ID-TYPE UNSPECIFIED
2A53730MEDICARE UPIN
300G632050MEDICAIDCALIFORNIA

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: 11/21/2025

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