Organization Active NPI

Susan Ways PHD MD Inc.

  • Obstetrics & Gynecology Physician
  • Modesto, CA
National Provider Identifier
1295850048
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G63946 Issued in CA
Legal business name
SUSAN WAYS PHD MD INC.
Practice address
200 W Coolidge Ave
Modesto, CA 95350-4447
Phone
(209) 577-5005
Fax
(209) 521-1533
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Susan Cynthia Ways, M.D.NPI 1033287685
Title
Ceo
Phone
(209) 577-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G63946 CA Primary

Addresses

Primary practice location

200 W Coolidge Ave
Modesto, CA 95350-4447

Mailing address

200 W Coolidge Ave
Modesto, CA 95350-4447
Phone (209) 577-5005

National Provider Directory

National Provider Directory

Locations

1400 Florida Ave
Modesto, CA 95350
Phone (209) 573-6181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1295850048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504447",
            "telephone_number": "209-577-5005",
            "fax_number": "209-521-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504447",
            "telephone_number": "209-577-5005",
            "fax_number": "209-521-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WAYS PHD MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WAYS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-577-5005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G63946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.