Active NPI
Susan Wozniak, MD, MBA
- Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P28836
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (410) 601-9000
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P28836 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001398 | MD | Practitioner - General Surgery | 2264662964 | Reassigns benefits to 3 organizations |
| I20160913000338 | DC | Practitioner - General Surgery | 2264662964 | Reassigns benefits to 1 organization |
| I20181218002404 | TX | Practitioner - General Surgery | 2264662964 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P28836 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Center, Inc | Surgery | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Surgery | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Eobert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Northwest Hospital Center, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Northwest Hospital Center, Inc. | Past | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Surgery | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
4000 River Crescent Dr
Annapolis, MD 21401
Phone (410) 224-8108
2435 W Belvedere Ave
Ste 42
Baltimore, MD 21215
Phone (410) 601-5547
2401 W Belvedere Ave
Baltimore, MD 21215
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
330 W Ben White Blvd
Austin, TX 78704
Phone (512) 705-7383
1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120
810 E 13th Ave
Belton, TX 76513
Phone (254) 939-1876
1103 Mary Jane St
Belton, TX 76513
Phone (254) 939-9327
10777 Westheimer Rd
Ste 1100
Houston, TX 77042
Phone (713) 260-9671
Organizations & group practices 9
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.
-
- Acute Care Nurse Practitioner
- Randallstown, MD
- NPI 1235669599
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1053759407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "P28836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.