Individual provider Active NPI

Susan C Ways, PHD MD

  • Obstetrics & Gynecology Physician
  • Modesto, CA
National Provider Identifier
1033287685
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G063946 Issued in CA
Practice address
200 W Coolidge Ave
Modesto, CA 95350
Phone
(209) 577-5005
Fax
(209) 521-1533
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G063946 CA Primary

Addresses

Primary practice location

200 W Coolidge Ave
Modesto, CA 95350

Mailing address

200 W Coolidge Ave
Modesto, CA 95350
Phone (209) 577-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040324001243 CA Practitioner - Obstetrics/Gynecology 9830080068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of California Medical Group IncGroup PAC ID 9234388745, 12 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (919) 358-5014

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G063946CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Ways PHD MD Inc. Obstetrics & Gynecology CurrentSince Jan 3, 2006 Accepting new patients
First Choice Physician Partners CurrentSince Apr 1, 2017 Accepting new patients
First Choice Physician Partners CurrentSince Apr 1, 2017 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 19, 2021 Accepting new patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince May 15, 2020 Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients

Locations

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

200 W Coolidge Ave
Modesto, CA 95350
Phone (209) 521-1533

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDDCA/Endpoint/DFDDCA

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1033287685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-577-5005",
            "fax_number": "209-521-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-577-5005",
            "fax_number": "209-521-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYS",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "PHD MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G063946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.