Individual provider Active NPI

Suzanne Tormoen, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1356309496
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20114 Issued in AL
Practice address
908 Plantation Blvd
Fairhope, AL 36532
Phone
(251) 990-2292
Fax
(251) 990-2293
NPI assigned
May 1, 2006
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20114 AL Primary

Addresses

Primary practice location

908 Plantation Blvd
Fairhope, AL 36532

Mailing address

908 Plantation Blvd
Fairhope, AL 36532-2952
Phone (251) 990-2292

Other identifiers 3

IdentifierTypeStateIssuer
000095646MedicaidAL
20-8344338OtherALTAX ID #
51095646OtherALBLUE CROSS/BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drtormoen@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000278 AL Practitioner - Internal Medicine 9234169483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Health Center, LLCGroup PAC ID 8022109404, 2 clinicians

Practice addresses (Care Compare)

908 Plantation Blvd
Fairhope, AL 36532-2952
Phone (251) 990-2292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20114ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Health Center, LLC CurrentSince Feb 1, 2007 Accepting new patients
Imc-Eastern Shore Adult Medicine, LLC Internal Medicine Past Accepting new patients

Locations

82 Plantation Pointe
Fairhope, AL 36532
Phone (251) 422-1913

908 Plantation Blvd
Fairhope, AL 36532
Phone (251) 517-3304

Interoperability endpoints

  • Direct secure messaging: drtormoen@direct.practicefusion.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1356309496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PLANTATION BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322952",
            "telephone_number": "251-990-2292",
            "fax_number": "251-990-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PLANTATION BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-990-2292",
            "fax_number": "251-990-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORMOEN",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095646",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "20-8344338",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51095646",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drtormoen@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "908 Plantation Blvd",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.