Active NPI
Susan F Schwartz, M. D.
- Geriatric Medicine (Internal Medicine) Physician
- Sarver, PA
National Provider Identifier
1104983089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD042767E
- Practice address
- 561 N Pike Rd
Sarver, PA 16055-8513 - Phone
- (724) 360-0274
- Fax
- (724) 360-0200
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD042767E | PA | Primary |
Addresses
Primary practice location
561 N Pike Rd
Sarver, PA 16055-8513
Mailing address
PO Box 256
Cabot, PA 16023-1256
Phone (724) 360-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7190570 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042767E | PA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104983089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "CABOT",
"state": "PA",
"postal_code": "160231256",
"telephone_number": "724-360-0200",
"fax_number": "724-360-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 N PIKE RD",
"city": "SARVER",
"state": "PA",
"postal_code": "160558513",
"telephone_number": "724-360-0274",
"fax_number": "724-360-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD042767E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7190570",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.