Active NPI
Suzanne M. R. Konopka, PA
- Medical Physician Assistant
- Asheville, NC
National Provider Identifier
1114984630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 21562
- Practice address
- 11 River Ridge Dr
Asheville, NC 28803-1299 - Phone
- (828) 299-0154
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 21562 | NC | Primary |
Addresses
Primary practice location
11 River Ridge Dr
Asheville, NC 28803-1299
Mailing address
92 Reed Rd
Asheville, NC 28805-8717
Phone (828) 242-6160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8981419 | Medicaid | NC | |
| 2757902 | Other | NC | MEDICARE ID |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21562 | NC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1114984630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 REED RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288058717",
"telephone_number": "828-242-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RIVER RIDGE DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031299",
"telephone_number": "828-299-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPKA",
"first_name": "SUZANNE",
"middle_name": "M. R.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "21562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8981419",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "2757902",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.