Subramanyam Segu, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD036091L Issued in PA

Legal business name

SUBRAMANYAM SEGU, MD, INC

Practice address

2409 State St
Erie, PA 16503-1856

Phone

(814) 452-6320

Fax

(814) 453-7966

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie M Patterson

Title

Manager

Phone

(814) 452-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1104969450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-452-6320",
            "fax_number": "814-453-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-452-6320",
            "fax_number": "814-453-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBRAMANYAM SEGU, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-452-6320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD036091L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "875995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Alan Sturdivant, DO
• Andrew R Sturm, PA-C
• Karen J Styborski, PA C
• Sean C Su, MD
• Kevin Subers, MSW
• Melissa Marie Sulkowski, M.A.
• Charles Edward Sullivan, PHARMD
• Kathy M Sullivan, PA-C
• Nathan Sullivan, LSW
• Dalton Wade Summerhill

• Specialist in Erie, PA
• Providers in Erie, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.