Susan L. Salak, D.P.M., P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003648L Issued in PA

Legal business name

SUSAN L. SALAK, D.P.M., P.C.

Practice address

34 S Main St
Suite 9
Wilkes Barre, PA 18701-1723

Phone

(570) 823-0187

Fax

(570) 823-0188

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Susan L. Salak, D.P.M., P.C., D.P.M.

Title

Podiatrist

Phone

(570) 823-0187

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L. Salak, D.P.M., P.C.

  • Podiatrist
  • Wilkes Barre, PA
  • NPI 1154365807
  Medicare reassignment

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1063595031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011723",
            "telephone_number": "570-823-0187",
            "fax_number": "570-823-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011723",
            "telephone_number": "570-823-0187",
            "fax_number": "570-823-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. SALAK, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SALAK, D.P.M., P.C.",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "570-823-0187",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003648L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SA1626367",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "803141",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014528270005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John James Supinski
• Brandon Woo Ram Sur, MD
• Michael J Surdy, PHARMD.
• Surehealth LTC Pharmacy
• Manoj Suryanarayanan, M.D
• Albin F Susek, DDS
• Mehgan M Susek, D.P.M.
• Mairin McHale Sutkowski, PA-C
• John Sweeney, CRNA
• Tara Lynn Sweeney, DPT

• Podiatrist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.