Croteau Health Practice, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CROTEAU HEALTH PRACTICE, INC.

Doing business as

Suzanne Croteau, D.O.

Practice address

810 Orchard LN
Suite 102
Beavercreek Township, OH 45434-7229

Phone

(937) 320-4428

Fax

(937) 320-4408

NPI assigned

Oct 2, 2007

Last updated

Jun 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Therese Croteau, D.O.

Title

President

Phone

(937) 320-4428

Specialties & licenses 1

Addresses

Other names 1

• Suzanne Croteau, D.O. Doing business as

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1336336544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ORCHARD LN",
            "address_2": "SUITE 102",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454347229",
            "telephone_number": "937-320-4428",
            "fax_number": "937-320-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ORCHARD LN",
            "address_2": "SUITE 102",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454347229",
            "telephone_number": "937-320-4428",
            "fax_number": "937-320-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTEAU HEALTH PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "CROTEAU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-320-4428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne Croteau, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.