Susan Andracchi MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUSAN ANDRACCHI MD PA

Practice address

2512 Delaney Rd
Wilmington, NC 28403-6002

Phone

(910) 202-1067

Fax

(910) 343-0171

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Susan Andracchi, MDNPI 1205835915

Title

President

Phone

(910) 202-1067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Andracchi, MD

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1205835915
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1336304708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-202-1067",
            "fax_number": "910-343-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-202-1067",
            "fax_number": "910-343-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ANDRACCHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "ANDRACCHI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-202-1067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.