Susan V. Estrada, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 062293 L Issued in PA

Legal business name

SUSAN V. ESTRADA, MD, PC

Practice address

239 Edgewood Drive Extension
Transfer, PA 16154

Phone

(724) 646-0400

NPI assigned

Feb 23, 2007

Last updated

Nov 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Victoria Estrada-TeNPI 1396728812

Title

Administrator

Phone

(724) 347-0861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan V Estrada-Te, MD

  • Internal Medicine Physician
  • Transfer, PA
  • NPI 1396728812
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1164558433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 STONEY BROOK BLVD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161257803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 EDGEWOOD DRIVE EXTENSION",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "16154",
            "telephone_number": "724-646-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN V. ESTRADA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ESTRADA-TE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-347-0861",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 062293 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Lynn Rusnak
• SBW Pharmacy, Inc. (Reynolds Pharmacy)
• Shenango Valley Anesthesia Inc
• John Sonoga
• Surgery Center at Edgewood Place, LLC (Edgewood Surgical Hospital)
• Transfer Pharmacy Inc (Edgewood Pharmacy)
• Jeffrey L. Watts, D.O.
• Delia Salazer Wiles, CRNA
• Monique Rose Zacherl, LPN

• Internal Medicine Physician in Transfer, PA
• Providers in Transfer, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.