Susan R Fair, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

TP004402Y Issued in PA

Practice address

6998 Crider Rd Ste 120
Mars, PA 16046-2390

Phone

(724) 742-3820

Fax

(724) 742-3838

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Susan Floyd, MD, PC

  • Obstetrics & Gynecology Physician
  • Wexford, PA
  • NPI 1194860163
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1174523328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6998 CRIDER RD STE 120",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462390",
            "telephone_number": "724-742-3820",
            "fax_number": "724-742-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6998 CRIDER RD STE 120",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462390",
            "telephone_number": "724-742-3820",
            "fax_number": "724-742-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "TP004402Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Theresa A Eury
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• Finn Chiropractic, Inc.
• Sean Patrick Finn, MPT
• Shawn T Finn, D.C.
• Alyssa Forte, LSW
• Amber Foster

• All providers in Mars, PA
• Women's Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.