Kenneth Roger Susman, M.D. is a specialist in Fort Bragg, CA with 36 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kenneth Roger Susman, M.D. NPI is 1962551119. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:1988
The provider's business location address is:
510 CYPRESS ST
SUITE B
FORT BRAGG, CA
ZIP 95437-411
Phone: (707) 961-1972
Fax: (707) 961-1978
The NPI 1962551119 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 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.
- Destruction of 2-14 skin growths (HCPCS:17003)
- Destruction of skin growth (HCPCS:17000)
The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.