Susan Cheryl Spell, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A71471 Issued in CA

Practice address

436 N Bedford Dr
Suite 300
Beverly Hills, CA 90210-4310

Phone

(310) 387-8420

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Cosmetic Physician S of Beverly Hills

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Beverly Hills, CA
  • NPI 1093925166
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1174718241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881924",
            "address_2": "PO BOX 881924",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093016",
            "telephone_number": "310-387-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-387-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELL",
        "first_name": "SUSAN",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A71471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Surgical Center, LLC
• S.E. Specter, MD PHD
• Pnina Spector-Shleifer, LCSW
• Speech With US
• Cynthia Speich, PSY.D.
• Brittney Jenice Speller, DPT
• Edward Lee Spencer, M.D.
• Fredelle Zaiman Spiegel, PH.D.
• Susan Spiegel, LCSW
• Spine Surgeon MD PC

• Legal Medicine in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.