Active NPI
Susan Elizabeth Damon, MD
- Pediatrics Physician
- Centennial, CO
National Provider Identifier
1225100324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35186
- Practice address
- 6909 S Holly Cir Ste 260
Centennial, CO 80112-6248 - Phone
- (303) 981-0097
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35186 | CO | |
| Pediatrics Physician | 208000000X | 35186 | CO | Primary |
Addresses
Primary practice location
6909 S Holly Cir Ste 260
Centennial, CO 80112-6248
Mailing address
6909 S Holly Cir Ste 260
Centennial, CO 80112-6248
Phone (720) 773-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01351865 | Medicaid | CO |
Other names 1
- Susan Elizabeth Teitsma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35186 | CO | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- sdamon4384@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1225100324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 S HOLLY CIR STE 260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126248",
"telephone_number": "720-773-7373",
"fax_number": "720-773-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 S HOLLY CIR STE 260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126248",
"telephone_number": "303-981-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CO",
"license": "35186",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "35186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01351865",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "TEITSMA",
"middle_name": "ELIZABETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.