Individual provider Active NPI

Suzan Annette McGary, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Williamsport, PA
National Provider Identifier
1356322374
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD043543E Issued in PA
Practice address
1140 Sheridan St
Williamsport, PA 17701-3618
Phone
(570) 326-1100
NPI assigned
Nov 8, 2005
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
160449OtherPAHIGHMARK BLUE SHIELD
30122967OtherPAAMERIHEALTH MERCY - WMG
0017479590001MedicaidPA
1585016OtherPAGATEWAY

Other names 1

  • Dr. Suzan Annette Aufiero Professional name

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Valley Vein Center, LLC CurrentSince Oct 1, 2013 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.

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

Verify at the official NPI Registry.