Marie Maude Sussman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F420414-1 Issued in NY

Practice address

1205 N Hwy 11
West Union, SC 29696

Phone

(864) 638-5402

Fax

(864) 638-6126

NPI assigned

Jun 13, 2008

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Booker Family Practice, LLC

  • Family Medicine Physician
  • West Union, SC
  • NPI 1871413468
  NPD (past)
• Golden Corner Family Prac

  • Family Medicine Physician
  • West Union, SC
  • NPI 1184771321
  NPD (past)
• Westchester County Health Care Corporation

  dba Taylor Care Center at Westchester

  • Skilled Nursing Facility
  • Hawthorne, NY
  • NPI 1487735072
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1043470966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 JOCASSEE RIDGE WAY",
            "city": "SALEM",
            "state": "SC",
            "postal_code": "29676",
            "telephone_number": "914-391-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N HWY 11",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "29696",
            "telephone_number": "864-638-5402",
            "fax_number": "864-638-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "MARIE",
        "middle_name": "MAUDE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F420414-1",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Reynolds, PA
• Rosa Clark Medical Clinic Association, Inc. (Rosa Clark Medical Clinic, Inc.)
• Adam Frederick Schwartz, DMD
• Amanda Lee Simpson, PHARMD
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03891)
• Brian Terry, DMD
• The Truth Outreach
• Denise Thorsland, MSP, CCC-SLP
• Suneela Thulluri, RPH
• Julie Brewer Voss

• Nurse Practitioner in West Union, SC
• Providers in West Union, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.