MARK R SUSSKIND


Address: 1234 Empire St, Fairfield, CA 94533-5711
Phone: 7074263911

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology G63205 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G632050 05

Office Location

Street Address 1234 EMPIRE ST
City FAIRFIELD
State CA
Zip Code 94533-5711

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City FAIRFIELD
Zip Code 94533

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Dataset Information

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.

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