Susan Louise Vannucci, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

6969 Issued in AZ

Practice address

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503

Phone

(480) 619-4097

Fax

(480) 619-4098

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 4, 2017 through Apr 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ageless Health Institute, PC

  • Specialist
  • Phoenix, AZ
  • NPI 1720220338
  NPD (past)
• Anne-Marie Reed,D.O.,P.L.L.C.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760632855
  NPD (past)
• Michael E Villano MD LLC

  • Facial Plastic Surgery Physician
  • Bend, OR
  • NPI 1124202346
  NPD (past)
• Umpqua Valley Womens Care PC

  • Gynecology Physician
  • Roseburg, OR
  • NPI 1790905859
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255346938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "480-619-4097",
            "fax_number": "480-619-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "480-619-4097",
            "fax_number": "480-619-4098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20616 N Cave Creek Rd",
            "address_2": "Suite B-110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850244451",
            "country_code": "US",
            "telephone_number": "602-680-7703",
            "fax_number": "602-680-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANNUCCI",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "006969",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Bennett Vandolah, MD
• Mark E Vanduker
• Vangard Medical Inc
• Kelly Leah Vanlandingham, MA CCC-SLP
• Jordyn Vannini
• Aimen Vanood, MD
• Christian D Vanos, P.T.
• Penny A Vanpatten, PA-C
• Rebecca Leeann Vansickle
• Elizabeth Lynn Vantuinen Youngs, PSY.D, LPC

• Gynecology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.