Active NPI
Ewa a. Susfal, M.D., P.C.
- Internal Medicine Physician
- Franklin, NC
National Provider Identifier
1194914770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200400983
- Legal business name
- EWA A. SUSFAL, M.D., P.C.
- Practice address
- 55 Medical Park Dr
Ste 118
Franklin, NC 28734-2635 - Phone
- (828) 349-6860
- Fax
- (828) 349-6865
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ewa Anna Susfal, M.D.
- Title
- President
- Phone
- (828) 349-6860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200400983 | NC | Primary |
Addresses
Primary practice location
55 Medical Park Dr
Ste 118
Franklin, NC 28734-2635
Mailing address
55 Medical Park Dr
Ste 118
Franklin, NC 28734-2635
Phone (828) 349-6860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137VF | Other | NC | BCBS |
| DC6876 | Other | NC | MEDICARE RAILROAD |
| 89137VF | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1194914770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MEDICAL PARK DR",
"address_2": "STE 118",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287342635",
"telephone_number": "828-349-6860",
"fax_number": "828-349-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEDICAL PARK DR",
"address_2": "STE 118",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287342635",
"telephone_number": "828-349-6860",
"fax_number": "828-349-6865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EWA A. SUSFAL, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "SUSFAL",
"authorized_official_first_name": "EWA",
"authorized_official_middle_name": "ANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-349-6860",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "200400983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "137VF",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DC6876",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89137VF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.