NPIMap

Organization Active NPI

John H Susz DPM, PC

  • Podiatrist
  • Russell, PA
National Provider Identifier
1073754388
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JOHN H SUSZ DPM, PC
Practice address
1 Timberview LN
Russell, PA 16345-4149
Phone
(814) 757-8204
Fax
(814) 757-7785
NPI assigned
Mar 16, 2009
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Dr. John Henry Susz, D.P.M.NPI 1790736734
Title
President
Phone
(814) 331-2583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

1 Timberview LN
Russell, PA 16345-4149

Mailing address

514 Springside Dr
Warren, PA 16365-5301
Phone (814) 726-1864

Other practice location 1

116 E Main St
Westfield, NY 14787-1300
Phone (716) 664-9698

Other practice location 2

305 E Fairmount Ave Unit F
Lakewood, NY 14750-2000
Phone (716) 664-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090423000687 PA Part B Supplier - Clinic/Group Practice 0345398723 Receives reassigned benefits from 6 practitioners
Practice locations: Russell, PA
O20110901000332 PA DME Supplier - Physician - Podiatry 0345398723 Practice locations: Russell, PA
O20120410000171 NY Part B Supplier - Clinic/Group Practice 0345398723 Receives reassigned benefits from 4 practitioners
Practice locations: Westfield, NY; Lakewood, NY; Jamestown, NY

National Provider Directory

National Provider Directory

Locations

93 E 4th St
Dunkirk, NY 14048

305 E Fairmount Ave
Unit F
Lakewood, NY 14750
Phone (716) 664-9698

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1073754388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SPRINGSIDE DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655301",
            "telephone_number": "814-726-1864",
            "fax_number": "814-757-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBERVIEW LN",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163454149",
            "telephone_number": "814-757-8204",
            "fax_number": "814-757-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NY",
            "postal_code": "147871300",
            "country_code": "US",
            "telephone_number": "716-664-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Fairmount Ave Unit F",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147502000",
            "country_code": "US",
            "telephone_number": "716-664-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN H SUSZ DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SUSZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-331-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.