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DR. SUSAN S.B. TATE M.D. NPI 1811913585


NPI Information

NPI: 1811913585
Provider Name: DR. SUSAN S.B. TATE, M.D.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

CLIA Number: 18D2059446

Address:
2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY
ZIP 40220
Phone: (502) 454-7871
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DR. Susan S.b. Tate, M.D. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Louisville, KY with 36 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Susan S.b. Tate, M.D. NPI is 1811913585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY
ZIP 40220-903
Phone: (502) 454-7871
Fax: (502) 454-7872

The NPI 1811913585 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 CLIA number assigned to this NPI record is 18D2059446 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Insertion of temporary bladder catheter (HCPCS:51701)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 9/29/2014.


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
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery39021KENTUCKYYes

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
164084148MEDICAIDKENTUCKY
2000000337344OTHERKANSASANTHEM
350004926OTHERKENTUCKYPASSPORT PCP
450015262OTHERKENTUCKYPASSPORT SPECIALITY
550004854OTHERKENTUCKYPASSPORT SPECIALITY
6200502730MEDICAIDINDIANA
7E14734MEDICARE UPINKENTUCKY
8000000338030OTHERKENTUCKYANTHEM

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.