Judith Marie Szulecki, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101023435 Issued in VA

Practice address

312 Fairy Street Ext
Ste 201
Martinsville, VA 24112-1912

Phone

(276) 632-6496

Fax

(276) 632-6701

NPI assigned

Oct 27, 2005

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

Other identifiers 2

Other names 1

• Dr. Judith Szulecki Bunin Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16877/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen W Garrett, PA-C

  • Physician Assistant
  • Martinsville, VA
  • NPI 1912071796
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Szulecki Dermatology

  • Dermatology Physician
  • Martinsville, VA
  • NPI 1184156556
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215927538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CLEVELAND AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123714",
            "telephone_number": "276-632-6496",
            "fax_number": "276-632-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FAIRY STREET EXT",
            "address_2": "STE 201",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121912",
            "telephone_number": "276-632-6496",
            "fax_number": "276-632-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZULECKI",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101023435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005949173",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "001826",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BUNIN",
            "middle_name": "SZULECKI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suthar LTD (Medicine Shoppe)
• Paresh K. Suthar, OWNER
• Olton Swanson
• Sara Marie Swanson, MSN, RN, FNP, AANPCB
• Szulecki Dermatology
• Maria Tarquinio-Kuhn
• Tashas Bookkeeping & Tax Services
• Melissa Millner Tate
• Jeannie Marie Tatum, PT
• Alyssia Tyrell Taylor, DOD, NPI

• Dermatology Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.