Individual provider Active NPI

Susan Steadman Sweeney, M.D.

  • Family Medicine Physician
  • Clifton, CO
National Provider Identifier
1023015237
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33947 Issued in CO
Practice address
3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Phone
(970) 434-6542
Fax
(970) 434-3327
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33947 CO Primary

Addresses

Primary practice location

3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687

Mailing address

3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Phone (970) 434-6542

Other identifiers 4

IdentifierTypeStateIssuer
2140491OtherCOAETNA- HMO
39610OtherCOBCBS
841547572004OtherCOROCKY MT HEALTH PLANS
01339472MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000384 AL Practitioner - Family Practice 5597852194 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Springhill LLC Family Medicine CurrentSince Jul 1, 2011 Accepting new patients
Greater Mobile Urgent Care Family Medicine Current Accepting new patients
Gmuc of Saraland Family Medicine CurrentSince Feb 4, 2023 Accepting new patients
Gmuc of Citronelle LLC Family Medicine PastSince Mar 4, 2012 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of Springhill LLC 34 clinicians

Practice addresses (Care Compare)

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1023015237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 I-70 BUSINESS LOOP",
            "address_2": "STE A4",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815207687",
            "telephone_number": "970-434-6542",
            "fax_number": "970-434-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 I-70 BUSINESS LOOP",
            "address_2": "STE A4",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815207687",
            "telephone_number": "970-434-6542",
            "fax_number": "970-434-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "SUSAN",
        "middle_name": "STEADMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "33947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA- HMO",
            "identifier": "2140491",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39610",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MT HEALTH PLANS",
            "identifier": "841547572004",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339472",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, CO

Sources for this page

Verify at the official NPI Registry.