Suzanne Marie Mahon, RN DNSC AOCN APNG

Primary specialty

Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X

License

MO93348 Issued in MO

Practice address

3655 Vista
St Louis, MO 63104

Phone

(314) 577-6056

Fax

(314) 268-5108

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Suzanne Marie Dubuque Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smahon236787@direct-ehr-ssmhc.com

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.

• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fenton, MO
  • NPI 1124579966
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1184692931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 VISTA AVE FL 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-977-4330",
            "fax_number": "314-773-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 VISTA",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-577-6056",
            "fax_number": "314-268-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "RN DNSC AOCN APNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "MO",
            "license": "MO93348",
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "MO",
            "license": "MO93348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smahon236787@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "smahon236787@direct-ehr-ssmhc.com",
            "address_1": "3655 Vista",
            "city": "St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3655 Vista",
            "city": "St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DUBUQUE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nadine Mahmoud, MD
• Shafaq Mahmoud, M.B.,B.S.
• Shamseldeen Younes Mohamed Mahmoud, M.D
• Zainab Mahmoud, MD
• Gerald Mahon, M.D.
• Mahoney and Ballard DMD Inc
• Kari Mahoney
• Kathleen Elizabeth Mahoney, MD
• Kevin R Mahoney, MD
• Lindsey Mahoney, MD

• Oncology Clinical Nurse Specialist in St Louis, MO
• Providers in St Louis, MO by specialty
• Oncology Clinical Nurse Specialist in Missouri

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