Susan N Pick

Primary specialty

SpecialistTaxonomy code 174400000X

License

023765 Issued in TN

Legal business name

SUSAN N PICK

Practice address

493 Lantana Rd
Crossville, TN 38555-4946

Phone

(931) 707-8383

Fax

(931) 707-1076

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan N. Pick, M.D.

Title

Sole Owner

Phone

(931) 707-8383

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Plateau Orthopedics Doing business as

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1346420924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570568",
            "telephone_number": "931-707-8383",
            "fax_number": "931-707-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 LANTANA RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554946",
            "telephone_number": "931-707-8383",
            "fax_number": "931-707-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN N PICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "931-707-8383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "023765",
            "primary": true
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TN",
            "license": "023765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "165713900",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1568572675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3279965",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716258",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVT SERVICES DME",
            "identifier": "1196780001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "3060722",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plateau Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick William Stull, D.C.
• Benjamin Ryan Summerlin, DC
• Summit Health Operations, LLC
• Summit Medical Group,PLLC
• Sunshine Specialty Clinic, PLLC
• Rebecca L Swafford, APN
• William Stacy Swafford, PA-C
• Synergy Medical Associates, PLLC
• Andrew Thomas Szaflarski, M.D.
• Erin Lobb Szarka, M.A., BCBA

• Specialist in Crossville, TN
• Providers in Crossville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.