Individual provider Active NPI

Susanne Mont, M.D.

  • Internal Medicine Physician
  • Dover, OH
National Provider Identifier
1144537846
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
120867 Issued in OH
Practice address
659 Boulevard St
Dover, OH 44622-2026
Phone
(330) 987-3330
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 120867 OH Primary
Hospitalist Physician 208M00000X 120867 OH

Addresses

Primary practice location

659 Boulevard St
Dover, OH 44622-2026

Mailing address

805 E Main St
Louisville, OH 44641-1705
Phone (330) 312-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001639 OH Practitioner - Internal Medicine 8325274624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

1303 California Ave
Louisville, OH 44641-8737
Phone (330) 693-5021

Hospital & facility affiliations

  • Mercy Medical Center Home Health & Hospice LLC Home health agency, Canton, OH, CCN 367256
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
120867OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Feb 28, 2017 Accepting new patients
Mercy Professional Care, LLC Internal Medicine CurrentSince Feb 7, 2023 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

1303 California Ave
Louisville, OH 44641
Phone (330) 693-5021

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1144537846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411705",
            "telephone_number": "330-312-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-987-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONT",
        "first_name": "SUSANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "120867",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "120867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.