Active NPI
Suzan Kovarick, M.D.
- Gynecology Physician
- Bethesda, MD
National Provider Identifier
1306977301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0028183
- Practice address
- 8218 Wisconsin Ave
#104
Bethesda, MD 20814-3107 - Phone
- (301) 654-9460
- Fax
- (301) 654-9461
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0028183 | MD | Primary |
Addresses
Primary practice location
8218 Wisconsin Ave
#104
Bethesda, MD 20814-3107
Mailing address
PO Box 1479
Columbia, MD 21044-0479
Phone (301) 654-9460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0028183 | MD | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Capital Women'S Care, L.L.C. | Past | Accepting new patients | |
| Capital Women'S Care, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1306977301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1479",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210440479",
"telephone_number": "301-654-9460",
"fax_number": "301-654-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVE",
"address_2": "#104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "301-654-9460",
"fax_number": "301-654-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVARICK",
"first_name": "SUZAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0028183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.