EVAN SUSSENBACH (NPI# 1588954325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588954325 |
| Entity Type | Individual |
| Full Name | EVAN SUSSENBACH |
| Credential | M.D. |
| Practice Address |
2616 Warm Springs Rd Columbus GA 31904-5323 |
| Practice Telephone | 7063233491 |
| Practice Fax Number | 7066609191 |
| Mailing Telephone | 7063233491 |
| Mailing Fax Number | 7066609191 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 069646 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2616 WARM SPRINGS RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194788687 | James G Brooks Jr. | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904 | 2006-04-07 |
| 1306187554 | Eye Surgery Center of West Georgia Incorporated | Clinic/Center | 2616 Warm Springs Rd, Suite B, Columbus, GA 31904-5323 | 2013-03-13 |
| 1407140031 | Timothy Paul Kao | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904 | 2011-05-31 |
| 1518113737 | Patrick Alexander Stow | Optometrist | 2616 Warm Springs Rd, Columbus, GA 31904-5323 | 2008-08-08 |
| 1871773788 | West Georgia Optical Inc | Eyewear Supplier (Equipment, not the service) | 2616 Warm Springs Rd, Suite A, Columbus, GA 31904-5323 | 2007-11-08 |
| 1891904868 | Cynthia Puro Nix | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904 | 2007-05-22 |
| 1871702654 | Casey C Geringer | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904 | 2007-05-21 |
| 1871609826 | Rebecca Peery Moran | Physical Therapist | 2616 Warm Springs Rd, Suite B, Columbus, GA 31904-5323 | 2006-08-22 |
| 1104834902 | River City Physical Therapy | Physical Therapist | 2616 Warm Springs Rd, Suite B, Columbus, GA 31904-5323 | 2006-08-04 |
| 1639192131 | Stephen L Beaty | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904-5323 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773580 | Andrew Joseph Mueller | Ophthalmology | 262 Neil Ave Ste 430, Columbus, OH 43215-7312 | 2016-03-23 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1396087946 | Sean Lutmer | Ophthalmology | 7667 Pine Ridge Dr, Columbus, GA 31909-2128 | 2013-03-21 |
| 1093941684 | Albert Henlay Laws | Ophthalmology | 200 4th Ave S, Columbus, MS 39701-5645 | 2009-06-09 |
| 1417131558 | Midwest Retina, Inc | Ophthalmology | 500 E Main St Ste 300, Columbus, OH 43215-5369 | 2007-12-26 |
| 1740488378 | Carissa Klaas I | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2007-07-05 |
| 1710050141 | Phyllis Visocan | Ophthalmology | 1669 W Lane Ave, Columbus, OH 43221-3339 | 2006-11-15 |
| 1962573808 | Heather Caroline Koelling | Ophthalmology | 2929 Kenny Road, Suite 150, Columbus, OH 43221-2415 | 2006-11-13 |
| 1265503254 | Louise Anne Doyle | Ophthalmology | 4830 Knightsbridge Blvd Ste G, Columbus, OH 43214-2300 | 2006-11-13 |
| 1114008091 | Andrea Knellinger Sawchyn | Ophthalmology | 915 Olentangy River Rd Ste 5000, Columbus, OH 43212-3154 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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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.