Jeffrey Louis Susman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.077346 Issued in OH

Practice address

305 Crescent Avenue
University Wyoming Family Practice Center
Cincinnati, OH 45215

Phone

(513) 821-0275

Fax

(513) 821-3621

NPI assigned

Dec 16, 2005

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

Locations

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• University Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1013983477
  Authorized official Same address or phone
• University Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1609842087
  NPD (past) Authorized official
• University Family Physicians, Inc.

  • Family Medicine Physician
  • West Chester, OH
  • NPI 1740256114
  NPD (past) Authorized official
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1295711711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061786",
            "telephone_number": "513-245-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CRESCENT AVENUE",
            "address_2": "UNIVERSITY WYOMING FAMILY PRACTICE CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45215",
            "telephone_number": "513-821-0275",
            "fax_number": "513-821-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSMAN",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.077346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Hoover Lisw
• Susan Kuschnir MD LLC
• Susan McElroy-Marcus MD LLC
• Susan R Kleinhenz Counseling LLC
• Briana Susarret
• Christina Ann Susshine, COTA/L
• Jeffrey Sussman, MD
• Shirley Walsh Suter, RD LD
• Diana Marie Sutherland, NP
• Avital Sutin

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.