MRS. SUSAN E. DESJARDINS MD NPI 1124092473

NPI Information

NPI: 1124092473
Provider Name: MRS. SUSAN E. DESJARDINS, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Organization: ORLANDO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806
Phone: (407) 649-6907
Get Directions

MRS. Susan E. Desjardins, MD is a pediatric cardiology pediatrics in Orlando, FL with 33 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. MRS. Susan E. Desjardins, MD NPI is 1124092473. 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:

1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806-215
Phone: (407) 649-6907
Fax: (407) 481-2035

The NPI 1124092473 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 2/14/2006 and was last updated on 11/11/2016.

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
1	2080P0202X	Pediatrics	Pediatric Cardiology	ME88230	FLORIDA	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	81816Y	MEDICARE PIN	FLORIDA
2	267945100	MEDICAID	FLORIDA
3	ME88230	OTHER	FLORIDA	MEDICAL 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: 11/14/2023

NPI Synchronization or Removal

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