Susan Strellec, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057755 Issued in PA

Practice address

6400 Brooktree CT Ste 100
Wexford, PA 15090-9282

Phone

(412) 785-1057

Fax

(412) 785-1206

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Shady Grove Fertility Center of Pennsylvania PLC

  • Reproductive Endocrinology Physician
  • Chesterbrook, PA
  • NPI 1922353366
  NPD (past)
• Shady Grove Reproductive Science Center PC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1437232758
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1184091738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909282",
            "telephone_number": "412-785-1057",
            "fax_number": "412-785-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909282",
            "telephone_number": "412-785-1057",
            "fax_number": "412-785-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRELLEC",
        "first_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005134",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley A Stotsky, DPT
• Ann E Stowe, LPC
• Caitlyn Wenzel Stowe, PA-C
• Savannah Straub, NCC, LPC
• Stephanie A Straub, P.T.
• Jessica Ann Stroschein, BCBA
• Joni Michele Sturgill, LPC, NCC
• David Sullivan, M.ED
• Jessica Sullivan, PA-C
• M Colleen Sullivan, CRNP

• Medical Physician Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.