JEFFREY LOUIS SUSMAN M.D. NPI 1295711711

NPI Information

  • NPI: 1295711711
  • Provider Name: JEFFREY LOUIS SUSMAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 CRESCENT AVENUE
    UNIVERSITY WYOMING FAMILY PRACTICE CENTER
    CINCINNATI, OH
    ZIP 45215
  • Phone: (513) 821-0275

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NPI Details

Jeffrey Louis Susman, M.D. is a family medicine in Cincinnati, OH with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jeffrey Louis Susman, M.D. NPI is 1295711711. 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:

305 CRESCENT AVENUE
UNIVERSITY WYOMING FAMILY PRACTICE CENTER
CINCINNATI, OH
ZIP 45215
Phone: (513) 821-0275
Fax: (513) 821-3621

The NPI 1295711711 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 12/16/2005 and was last updated on 9/12/2008.

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 Medicine35.077346OHIOYes

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
1PP00608993 ‎MEDICARE PINOHIO
2SU4238511MEDICARE PINOHIO
3B90910MEDICARE UPIN
42163135MEDICAIDOHIO
5SU0892322MEDICARE ID-TYPE UNSPECIFIED
6SU7363811MEDICARE PINOHIO
7SU0892328MEDICARE PINOHIO

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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