JUSTIN WILLIAM SUSZKO (NPI# 1184866527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184866527 |
Entity Type | Individual |
Full Name | JUSTIN WILLIAM SUSZKO |
Credential | MD |
Practice Address |
4525 3rd Ave Se Ste 100 Lacey WA 98503-1010 |
Practice Telephone | 3604128960 |
Practice Fax Number | 3604128970 |
Mailing Telephone | 3604128960 |
Mailing Fax Number | 3604128970 |
Enumeration Date | 2009-03-31 |
Last Update Date | 2018-05-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD60811152 | WA | Allopathic & Osteopathic Physicians |
Street Address |
4525 3RD AVE SE STE 100 |
City | LACEY |
State | WA |
Zip Code | 98503-1010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
Find all providers in zip 98503 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033370705 | Robyn B. Vera | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2008-06-24 |
1508817404 | Gregory W Allen | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2006-05-15 |
1508815440 | Haleigh Ann Werner | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2006-05-08 |
1528045853 | James F Raymond | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2005-12-28 |
1851378160 | Radiantcare Physicians, Pllc | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2005-12-28 |
1417934985 | Joseph Robert Hartman | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2005-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
1164630752 | Michael Allan Myers | Radiology | 8821 Ne 5th St., Vancouver, WA 98664 | 2007-05-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JUSTIN WILLIAM SUSZKO.
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.