Susan L Pakula, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD05525 Issued in RI

Practice address

1 Commerce St
Pediatrics
Lincoln, RI 02865-1168

Phone

(401) 793-8484

Fax

(401) 793-8481

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anchor Medical Associates

  • General Practice Physician
  • Lincoln, RI
  • NPI 1205832029
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1285630947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST",
            "address_2": "PEDIATRICS",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651168",
            "telephone_number": "401-793-8484",
            "fax_number": "401-793-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST",
            "address_2": "PEDIATRICS",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651168",
            "telephone_number": "401-793-8484",
            "fax_number": "401-793-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKULA",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "MD05525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003061",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067871",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Group, Inc.
• Orthopedics Rhode Island, Inc
• Kevin J Otoole II
• Paul J Padula, MSN-FNP-C
• Sofia Paiz
• Paolucci Lincoln Dental Associates, PC
• Faith M Paradis, OTR
• Jong Hoon Park, D.M.D
• Dana G Parris, MD
• Partners in Psychiatry LLC

• Pediatric Adolescent Medicine Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Pediatric Adolescent Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.