Individual provider Active NPI

Suzanne G.H. Low

  • Anesthesiology Physician
  • Wausau, WI
National Provider Identifier
1194025833
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20469-020 Issued in WI
Practice address
6209 Lakeshore Dr.
Wausau, WI 54401-7753
Phone
(715) 359-0299
Fax
(715) 355-2159
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20469-020 WI Primary

Addresses

Primary practice location

6209 Lakeshore Dr.
Wausau, WI 54401-7753

Mailing address

6209 Lakeshore Dr.
Wausau, WI 54401-7753
Phone (715) 359-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20469-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1194025833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 LAKESHORE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017753",
            "telephone_number": "715-359-0299",
            "fax_number": "715-355-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 LAKESHORE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017753",
            "telephone_number": "715-359-0299",
            "fax_number": "715-355-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "SUZANNE",
        "middle_name": "G.H.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "20469-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.