Individual provider Active NPI

Susan D Vasko, MD

  • Plastic Surgery Physician
  • Columbus, OH
National Provider Identifier
1316938251
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
3500056166 Issued in OH
Practice address
5005 Arlington Centre Blvd
Columbus, OH 43220-2912
Phone
(614) 246-6900
Fax
(614) 246-6909
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 3500056166 OH Primary

Addresses

Primary practice location

5005 Arlington Centre Blvd
Columbus, OH 43220-2912

Mailing address

5005 Arlington Centre Blvd
Columbus, OH 43220-2912
Phone (614) 246-6900

Other practice location 1

4030 Easton Sta Ste 260
Columbus, OH 43219-7012
Phone (614) 246-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111027000331 OH Practitioner - Plastic and Reconstructive Surgery 8224137062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Columbus Aesthetic and Plastic Surgery, IncGroup PAC ID 6103865837, 7 clinicians

Practice addresses (Care Compare)

5005 Arlington Centre Blvd
Upper Arlington, OH 43220-2912
Phone (614) 246-6900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3500056166OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316938251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ARLINGTON CENTRE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202912",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Easton Sta Ste 260",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432197012",
            "country_code": "US",
            "telephone_number": "614-246-6900",
            "fax_number": "614-246-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASKO",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "3500056166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.