MARK R SUSSKIND (NPI# 1003996950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003996950 |
Entity Type | Individual |
Full Name | MARK R SUSSKIND |
Credential | MD |
Practice Address |
1234 Empire St Fairfield CA 94533-5711 |
Mailing Address |
10470 Old Placerville Rd #100 Sacramento CA 95827-2539 |
Practice Telephone | 7074263911 |
Practice Fax Number | 7074342043 |
Mailing Telephone | 8666810736 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2015-05-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | G63205 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G632050 | 05 |
Street Address |
1234 EMPIRE ST |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-5711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215024591 | Henry H Collins | Pediatrics | 1234 Empire St, Fairfield, CA 94533-5711 | 2006-10-06 |
1144870304 | Diandria Aliysha Donaldson | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2019-09-18 |
1790265833 | Yasmina Ehab Bazaraa | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-08-17 |
1730686171 | Miarah Jones | Counselor | 1234 Empire St, Fairfield, CA 94533 | 2018-04-11 |
1609376920 | Roxanne Michelle Rodeznomedearis | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-02-13 |
1255882577 | Amanda Raquel Portillo | Marriage & Family Therapist | 1234 Empire St, Suite 2300, Fairfield, CA 94533-5711 | 2016-10-21 |
1699224659 | Melissa Mae Torrez | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-09-30 |
1144680513 | Kevin Anderson | Marriage & Family Therapist | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-02-29 |
1194198580 | Camilia Kaye Shoulders | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-11-05 |
1770959181 | Rosemary O'leary | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235435637 | John David Anderson | Urology | 4469 Green Valley Road, Fairfield, CA 94534-1365 | 2011-02-02 |
1073691564 | Herkanwal S. Khaira | Urology | 1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 | 2006-11-01 |
1659316487 | Mark R Howard | Urology | 7921 Jessies Way, Fairfield, OH 45011-8077 | 2006-06-17 |
1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
1942643820 | Matthew Love | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2013-04-10 |
1356600969 | Stephen Frederick Kappa | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2012-05-16 |
1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
1073746459 | Tri State Urologic Services Psc Inc | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2009-09-01 |
1881856482 | Daniel Francis Robertshaw | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2008-06-26 |
1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
Find all providers in FAIRFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.