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DR. DAN SUSKIN M.D. NPI 1679631881


NPI Information

NPI: 1679631881
Provider Name: DR. DAN SUSKIN, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 921-4492
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DR. Dan Suskin, M.D. is a neonatal-perinatal medicine pediatrics in Lawrenceville, GA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Dan Suskin, M.D. NPI is 1679631881. 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:

700 MEDICAL CENTER BLVD
GWINNETT WOMENS PAVILION
LAWRENCEVILLE, GA
ZIP 30046-693
Phone: (770) 921-4492
Fax: (770) 696-3358

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/8/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal Medicine036883GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110052477MEDICAIDGEORGIA
2322063MEDICAIDGEORGIA
3000700983FMEDICAIDGEORGIA
4117057MEDICAIDGEORGIA
5000700983BMEDICAIDGEORGIA
652412187OTHERGEORGIABLUE CROSS
7000700983DMEDICAIDGEORGIA

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

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