Susan Michele Pell, ATC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TC032 Issued in KY

Practice address

350 Hospital Way
Suite 100
Somerset, KY 42503-2872

Phone

(606) 451-2628

Fax

(606) 451-2630

NPI assigned

Sep 12, 2006

Last updated

Sep 8, 2010By the provider in NPPES

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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.

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Medical Associates

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1023155462
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1053415760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2628",
            "fax_number": "606-451-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-2628",
            "fax_number": "606-451-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "SUSAN",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC032",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "001161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Marie Pauley, LPCC-S, NCC
• Maria A Pavez, MD
• Maegan Ruth Peach, DO
• Laura Elizabeth Pedersen
• Alex Michael Trey Pelfrey, PA-C
• Sara Beth Pence, APRN, FNP-BC
• Heather Pendery
• Abigail Alisa Perkins
• Alvin Dale Perkins, MD
• Rebecca Perrin

• Physician Assistant in Somerset, KY
• Providers in Somerset, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.