Active NPI
Suzan Annette McGary, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Williamsport, PA
National Provider Identifier
1356322374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD043543E
- Practice address
- 1140 Sheridan St
Williamsport, PA 17701-3618 - Phone
- (570) 326-1100
- NPI assigned
- Nov 8, 2005
- Last updated
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD043543E | PA | Primary |
Addresses
Primary practice location
1140 Sheridan St
Williamsport, PA 17701-3618
Mailing address
1140 Sheridan St
Williamsport, PA 17701-3618
Phone (570) 326-1100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160449 | Other | PA | HIGHMARK BLUE SHIELD |
| 30122967 | Other | PA | AMERIHEALTH MERCY - WMG |
| 0017479590001 | Medicaid | PA | |
| 1585016 | Other | PA | GATEWAY |
Other names 1
- Dr. Suzan Annette Aufiero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Valley Vein Center, LLC | Current | Accepting new patients | |
| Sharon Regional Physicians Services | Past | Accepting new patients | |
| Sharon Regional Physicians Services | Past | Accepting new patients |
Locations
1140 Sheridan St
Williamsport, PA 17701
Phone (570) 326-1100
Organizations & group practices 3
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.
-
- Phlebology Physician
- Williamsport, PA
- NPI 1437583879
-
- Internal Medicine Physician
- Sharon, PA
- NPI 1114971199
-
dba SRPS Orthopaedic Center
- Orthopaedic Surgery Physician
- Hermitage, PA
- NPI 1871810705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1356322374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SHERIDAN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013618",
"telephone_number": "570-326-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SHERIDAN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013618",
"telephone_number": "570-326-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGARY",
"first_name": "SUZAN",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD043543E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "160449",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WMG",
"identifier": "30122967",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017479590001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1585016",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZAN",
"last_name": "AUFIERO",
"middle_name": "ANNETTE",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.