Susan M McMaster, D O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29909 Issued in CO

Practice address

1705 Arbor Way
Colorado Springs, CO 80905-2128

Phone

(719) 471-6512

Fax

(719) 572-9033

NPI assigned

Aug 9, 2005

Last updated

Aug 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Center for the Advancement of Heathcare Education and Delivery

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1104014927
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1154322733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "CASCADE",
            "state": "CO",
            "postal_code": "808090490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ARBOR WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052128",
            "telephone_number": "719-471-6512",
            "fax_number": "719-572-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "D O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29909",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "632",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-23055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299098",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa McLister, MSOT, OTR
• Charles Dewey McMahon, M.D.
• John M McMahon, M.D.
• Daniel McManaway
• Amanda McMaster
• Madison McMichael
• Bryce McMillan
• Catherine McMillan, RMT
• Kimberly McMillan, LPC-C
• Molly Christine McMillen, CAA

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.