DR. CRAIG BRADLEY SUSSMAN (NPI# 1326100736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326100736 |
| Entity Type | Individual |
| Full Name | DR. CRAIG BRADLEY SUSSMAN |
| Credential | M.D. |
| Practice Address |
3625 University Blvd S Jacksonville FL 32216-4207 |
| Mailing Address |
1500 Concord Ter Sunrise FL 33323-2815 |
| Practice Telephone | 9043396111 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548580404 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 100922 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
100922 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154591030 | Craig Sussman | Nurse Practitioner | 111 Old Road To Nine Acre Corner, Concord, MA 01742-4141 | 2008-03-06 |
| 1417049834 | Craig R Sussman | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2350 | 2006-09-30 |
| Street Address |
3625 UNIVERSITY BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664395 | Karen Elizabeth Anderson | Anesthesiology | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2005-07-22 |
| 1174122071 | Deleah Rene Pickler | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-10-21 |
| 1801401641 | Kara N Cordova | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2020-09-09 |
| 1174153654 | Marina Follick | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-01-23 |
| 1649818337 | Sarah Chapman Farris | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-13 |
| 1487291837 | Lee Willingham | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-12-04 |
| 1609411586 | Kyle Steven Scott | Nurse Anesthetist, Certified Registered | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-11-14 |
| 1982246328 | Amy Marie Suralis | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-10-16 |
| 1396391991 | Sarah Siebrandt | Occupational Therapist | 3625 University Blvd S, Jacksonville, FL 32216-4222 | 2019-08-11 |
| 1790347979 | Leda Hansen | Nurse Practitioner | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447209333 | Deborah Donlon | Pediatrics | 653-1 W 8th St # L16, Lrc, 3rd Floor, Jacksonville, FL 32209-6511 | 2006-05-08 |
| 1417266081 | Sfurti Nath | Pediatrics | 655 W 8th St, C-3, Jacksonville, FL 32209-6511 | 2010-09-30 |
| 1326368051 | Coastal Childrens Services, Pllc | Pediatrics | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2010-06-04 |
| 1225358179 | Shalinkumar Pradipbhai Patel | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2010-06-02 |
| 1770712390 | Sanket D Shah | Pediatrics | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2009-07-02 |
| 1922172691 | Catherine E Tsai | Pediatrics | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-11-17 |
| 1013929579 | Cynthia Marie Schultz | Pediatrics | 554 Keily Street, Bumed Centralized Credential and Privileging Direct, Jacksonville, FL 32212 | 2006-08-13 |
| 1932153673 | Madhur Mittal | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-05-19 |
| 1235195272 | Mae M Coleman | Pediatrics | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2006-04-26 |
| 1821055633 | Arthur James Vaughn | Pediatrics | 4205 Belfort Rd, #4090, Jacksonville, FL 32216-1471 | 2006-04-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.