Susan Marie Arceneaux, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35-063143 Issued in OH

Practice address

597 Lake Rd
Chippewa Lake, OH 44215-9665

Phone

(330) 760-4776

Fax

(330) 725-0054

NPI assigned

Mar 9, 2006

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Locations

Interoperability endpoints

• Direct secure messaging: sarceneaux@direct.swgeneral.com

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.

• Susan Marie Arceneaux MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Chippewa Lake, OH
  • NPI 1225708530
  NPD Authorized official
• North Coast Spine Center, Inc

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1659455731
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1316915085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24498 NOBOTTOM RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381538",
            "telephone_number": "216-440-6759",
            "fax_number": "330-725-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 LAKE RD",
            "city": "CHIPPEWA LAKE",
            "state": "OH",
            "postal_code": "442159665",
            "telephone_number": "330-760-4776",
            "fax_number": "330-725-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7346 Lake Road",
            "address_purpose": "LOCATION",
            "city": "Chippewa Lake",
            "state": "OH",
            "postal_code": "442159665",
            "country_code": "US",
            "telephone_number": "330-760-4776",
            "fax_number": "330-725-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-063143",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35063143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Berger
• Lachae Marie Brown
• Taleah Brown
• Dennis J. Custer, D.D.S.
• Joseph Elsaesser

• Physical Medicine & Rehabilitation Physician in Chippewa Lake, OH
• Providers in Chippewa Lake, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.