Susan Judith Zlotnick-Hale, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15426 Issued in AL

Practice address

718 Smyth Rd
Manchester VA Medical Center - Primary Care
Manchester, NH 03104

Phone

(800) 892-8384

Fax

(603) 314-1653

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1003958844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "MANCHESTER VA MEDICAL CENTER - PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "800-892-8384",
            "fax_number": "603-314-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "MANCHESTER VA MEDICAL CENTER - PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "800-892-8384",
            "fax_number": "603-314-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOTNICK-HALE",
        "first_name": "SUSAN",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15426",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H-4814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith John Zimmermann, DC
• Lori Kristin Zinner, RN, NNP-BC
• Ronald P. Zinno, MD
• Amanda Ziobron, BS
• Stephanie Zipparo
• Linda J. Zollo, PH.D.
• Louis E Zollo, PT
• Magdi Atef Zordok, MD
• Teddi Zuckerman, PSYD
• Susan Marie Zukowski, OTR

• Family Medicine Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.