Individual provider Active NPI

Suzette C Worbois, D.O.

  • General Practice Physician
  • Williamsburg, VA
National Provider Identifier
1306946249
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0102202136 Issued in VA
Practice address
263 McLaws Cir
Suite# 105
Williamsburg, VA 23185-5674
Phone
(757) 941-5600
Fax
(757) 564-0557
NPI assigned
Sep 22, 2006
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39020000X VA
General Practice Physician 208D00000X 0102202136 VA Primary

Addresses

Primary practice location

263 McLaws Cir
Suite# 105
Williamsburg, VA 23185-5674

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other names 1

  • Dr. Sue Fair Parks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20120514000121 VA Practitioner - Family PracticePractitioner - Psychiatry 6406019348 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102202138VAMDPsychiatry Physician
39020000XVAMDPsychiatry Physician
0102202136VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Medical Practices, LLC CurrentSince Sep 22, 2022 Accepting new patients
Vpa PC General Practice CurrentSince May 6, 2013 Accepting new patients
Vpa PC General Practice CurrentSince May 6, 2013 Accepting new patients
Mills Medical Practices, LLC Past Accepting new patients

Locations

26110 Emery Rd
Ste 300
Warrensvl Hts, OH 44128
Phone (216) 292-5750

230 Charwood Dr
Ste A
Abingdon, VA 24210
Phone (276) 378-8808

6330 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 994-1103

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1306946249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "877-473-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MCLAWS CIR",
            "address_2": "SUITE# 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855674",
            "telephone_number": "757-941-5600",
            "fax_number": "757-564-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORBOIS",
        "first_name": "SUZETTE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102202136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "PARKS",
            "middle_name": "FAIR",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.