Iris Scott Suber, MCD-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4059 Issued in SC

Practice address

106 Dostak Dr
Anderson, SC 29621-6606

Phone

(864) 226-2477

Fax

(864) 226-2477

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anderson-Oconee Speech & Hearing Services

  • Hearing and Speech Clinic/Center
  • Anderson, SC
  • NPI 1396796496
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326249517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DOSTAK DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296216606",
            "telephone_number": "864-226-2477",
            "fax_number": "864-226-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DOSTAK DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296216606",
            "telephone_number": "864-226-2477",
            "fax_number": "864-226-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBER",
        "first_name": "IRIS",
        "middle_name": "SCOTT",
        "name_prefix": "Mrs.",
        "credential": "MCD-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "591173611",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190188",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James O. Stumpff, M.D.
• Kylie Sturgill
• Sarah Anne Sturkie, LPC-A
• Richard Paul Sturtz, M.D.
• Cathy F. Styles, O.T.
• Subha Parchuri, MD, PA
• Catherine Ray Sullivan, MPT
• Kayla Sullivan
• Kiara Sullivan
• Thomas James Sullivan Jr., MD

• Speech-Language Pathologist in Anderson, SC
• Providers in Anderson, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.