Susan Bennett Giesecke, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD015549E Issued in PA

Practice address

726 Canterbury LN
Villanova, PA 19085-2052

Phone

(610) 745-4358

Fax

(610) 520-2303

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1104815869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 CANTERBURY LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852052",
            "telephone_number": "610-745-4358",
            "fax_number": "610-520-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 CANTERBURY LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852052",
            "telephone_number": "610-745-4358",
            "fax_number": "610-520-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESECKE",
        "first_name": "SUSAN",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD015549E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Finkelstein, M.ED, MS, RD, LDN
• Lisa Beth Freedman, M.D.
• Erich Joseph Freimuth, M.D.
• Bruce Freundlich
• Paul Aaron Friedman, M.D.
• David Ginsberg, D.O.
• Mary Monahan Glynn, PT
• John Goldener, M.D.
• Sari Goldman, PSYD
• Caley Gowen, CRNP

• Diagnostic Radiology Physician in Villanova, PA
• Providers in Villanova, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.

Verify at the official NPI Registry.