Individual provider Active NPI

David Michael Susco, M.D.

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1124070206
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31080 Issued in NC
Practice address
1911 Hillandale Rd
Suite 1040
Durham, NC 27705-2666
Phone
(919) 382-1933
Fax
(919) 383-1517
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31080 NC Primary

Addresses

Primary practice location

1911 Hillandale Rd
Suite 1040
Durham, NC 27705-2666

Mailing address

1911 Hillandale Rd
Suite 1040
Durham, NC 27705-2666
Phone (919) 382-1933

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

LicenseStateTypeSpecialty
31080NCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1124070206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HILLANDALE RD",
            "address_2": "SUITE 1040",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052666",
            "telephone_number": "919-382-1933",
            "fax_number": "919-383-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HILLANDALE RD",
            "address_2": "SUITE 1040",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052666",
            "telephone_number": "919-382-1933",
            "fax_number": "919-383-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSCO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.