Active NPI
John H Susz DPM, PC
- Podiatrist
- Russell, PA
National Provider Identifier
1073754388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102278875 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
93 E 4th St
Dunkirk, NY 14048
305 E Fairmount Ave
Unit F
Lakewood, NY 14750
Phone (716) 664-9698
1 Timberview Ln
Russell, PA 16345
Phone (814) 757-5834
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- North Syracuse, NY
- NPI 1629501689
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1356738983
-
- Orthopaedic Surgery Physician
- Jamestown, NY
- NPI 1518911874
-
- Podiatrist
- Lakewood, NY
- NPI 1275543704
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102278875",
"state": "PA"
}
],
"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.