Susan E Maclennan, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

420010057 Issued in VT

Practice address

105 Westview Rd Ste 120
Colchester, VT 05446-8025

Phone

(802) 444-4421

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Specialty

Plastic and Reconstructive Surgery

Education

Geisel School of Medicine at Dartmouth, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1346268018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTVIEW RD STE 120",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468025",
            "telephone_number": "802-444-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTVIEW RD STE 120",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468025",
            "telephone_number": "802-444-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLENNAN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VT",
            "license": "420010057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luminosity Counseling & Consulting
• Jane A Luria, APRN
• Louise F Lynch, P.T.
• Elizabeth Lyons, LICSW
• Maryanne Mackenzie, PT
• Kelly Macy, CCC-SLP
• Alina R Maestas, OTD, OTR/L
• Jacob Magnan, RD
• Kevin Maguire, MD
• Mahoney Chiropractic Group, LLC

• Plastic and Reconstructive Surgery Physician in Colchester, VT
• Providers in Colchester, VT by specialty
• Plastic and Reconstructive Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.