Susan Vega, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3P07 Issued in MO

Practice address

8 Country Club Rd
Country Club, MO 64505-1014

Phone

(816) 232-0743

Fax

(816) 364-4151

NPI assigned

Mar 9, 2006

Last updated

Jan 26, 2021By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

23.49 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

78.31

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: susan.vega@direct.mymlc.com
• Direct secure messaging: susanvega@svdo.allscriptsdirect.net

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.

• Susan a Vega DO.PC

  • Family Medicine Physician
  • Country Club, MO
  • NPI 1518167071
  Authorized official Same address or phone

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1093783862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COUNTRY CLUB RD",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645051014",
            "telephone_number": "816-232-0743",
            "fax_number": "816-364-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COUNTRY CLUB RD",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645051014",
            "telephone_number": "816-232-0743",
            "fax_number": "816-364-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3P07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18059179",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243615069",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00415188",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Semenchuk, LCSW
• Karley Jo Smith, MA, CF-SLP
• Susan a Vega DO.PC
• Tailored Counseling
• Thrive Family Wellness Center, LLC (Thrive Family Chiropractic)
• Benjamin J Walker

• Family Medicine Physician in Country Club, MO
• Providers in Country Club, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.