BRENT A SUOZZI (NPI# 1093966269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093966269 |
Entity Type | Individual |
Full Name | BRENT A SUOZZI |
Credential | MD |
Practice Address |
8051 S Emerson Ave Ste 400 Indianapolis IN 46237-8633 |
Practice Telephone | 3177903355 |
Practice Fax Number | 3177903002 |
Mailing Telephone | 3177903355 |
Mailing Fax Number | 3177903002 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2019-05-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 01072583A | IN | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
01072583A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | LICENSE | 01072583A | 01 |
IN | 201190860 | 05 |
Street Address |
8051 S EMERSON AVE STE 400 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46237-8633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154317675 | James Robert Dunlop | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2005-09-20 |
1215467014 | Arielle Nikole Noel | Physician Assistant | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 | 2017-06-14 |
1639524234 | Kara Morton | Nurse Practitioner | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 | 2016-05-02 |
1053780148 | Ruth Ozug | Nurse Practitioner | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 | 2015-09-18 |
1760820831 | Tienne Randolph | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2013-06-11 |
1447491477 | Leslie Anne Foxlow | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2009-03-21 |
1053573907 | Cherrell Lanae Triplett | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2008-07-01 |
1922299973 | Jennifer N Mckay | Nurse Practitioner | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 | 2007-08-06 |
1518186881 | Southside Ob-gyn PC | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2007-04-25 |
1578645958 | Susan Diane Logsdon | Nurse Practitioner | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 | 2006-10-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
Find all providers in zip 46237 |
Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A 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. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
1003880527 | Gita S Singh | Obstetrics & Gynecology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-02-13 |
1386639565 | Scott C Boyd | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-14 |
City | INDIANAPOLIS |
Zip Code | 46237 |
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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.