SUSAN A NEILSEN MD NPI 1447336946

NPI Information

NPI: 1447336946
Provider Name: SUSAN A NEILSEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15900 SNOW RD
BROOKPARK, OH
ZIP 44142
Phone: (216) 365-0772
Get Directions

Susan A Neilsen, MD is a family medicine in Brookpark, OH. 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. Susan A Neilsen, MD NPI is 1447336946. 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:

15900 SNOW RD
BROOKPARK, OH
ZIP 44142-859
Phone: (216) 365-0772

The NPI 1447336946 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 10/27/2006 and was last updated on 1/22/2021.

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	207Q00000X	Family Medicine		35065003	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	000000380939	OTHER	OHIO	ANTHEM BC/BS
2	378646	OTHER	OHIO	WELLCARE
3	740117	OTHER	OHIO	BCHP
4	000000370582	OTHER	OHIO	ANTHEM BC/BS
5	740121	OTHER	OHIO	BCHP
6	P00448233	OTHER	OHIO	RAILROAD CARE
7	0969966	MEDICAID	OHIO
8	341542312098	OTHER	OHIO	CARESOURCE
9	340714684101	OTHER	OHIO	CARESOURCE
10	196433	OTHER	OHIO	WELLCARE
11	P00368534	OTHER	OHIO	CARERR

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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