Susan L Cavender M.D. PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14497 Issued in WV

Legal business name

SUSAN L CAVENDER M.D. PLLC

Practice address

1115 Lee St E
Charleston, WV 25301-2412

Phone

(304) 357-4512

Fax

(304) 357-4514

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Susan L Cavender, MDNPI 1306994710

Title

President

Phone

(304) 357-4512

Specialties & licenses 1

Addresses

Other names 1

• Susan L Cavender M.D. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Lynn Cavender, MD

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1306994710
  NPD (past) Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144747528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012412",
            "telephone_number": "304-357-4512",
            "fax_number": "304-357-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012412",
            "telephone_number": "304-357-4512",
            "fax_number": "304-357-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L CAVENDER M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAVENDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-357-4512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WV",
            "license": "14497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan L Cavender M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carolyn H Suppa, ED.D.
• Lorena M Surber, DDS
• Dorothy Jean Surface
• Emily Surface
• Megha Suri, M.D.
• Eduardo M Suson, MD
• Tara Suttles
• Cylena Sutton
• Katrina Sutton
• Marsha L. Sutton, FNP-BC

• General Practice Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.