Active NPI
Susan Mann-Sweeney, M.D.
- Pediatrics Physician
- Springfield, OR
National Provider Identifier
1366414054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD172023
- Practice address
- 3377 Riverbend Dr.
Pediatrics
Springfield, OR 97477 - Phone
- (541) 222-8500
- Fax
- (541) 222-6435
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD172023 | OR | Primary |
| Pediatrics Physician | 208000000X | ME96215 | FL | |
| Pediatrics Physician | 208000000X | 19006 | AZ |
Addresses
Primary practice location
3377 Riverbend Dr.
Pediatrics
Springfield, OR 97477
Mailing address
3377 Riverbend Dr.
Pediatrics
Springfield, OR 97477-8004
Phone (541) 222-8500
Other practice location 1
13650 Metropolis Avenue
Suite 101
Fort Myers, FL 33912
Phone (239) 768-2111
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288242003 | Other | AZ | APIPA INSURANCE |
| 288242 | Medicaid | AZ | |
| 1Z6556 | Other | AZ | HEALTHNET |
| 2882420 | Other | AZ | DEPT OF ECONOMIC SECURITY |
| 019006 | Other | AZ | MAYO INSURANCE |
| 860224023 | Other | AZ | UNITED HEALTHCARE |
| 00014248 | Other | AZ | BANNER HEALTH PLAN |
| AZ0823650 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 276325700 | Medicaid | FL |
Other names 1
- Susan Mann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19006 | AZ | MD | Pediatrics Physician |
| ME96215 | FL | MD | Pediatrics Physician |
| MD172023 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Coast Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1366414054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR.",
"address_2": "PEDIATRICS",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778004",
"telephone_number": "541-222-8500",
"fax_number": "541-222-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR.",
"address_2": "PEDIATRICS",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97477",
"telephone_number": "541-222-8500",
"fax_number": "541-222-6435"
}
],
"practiceLocations": [
{
"address_1": "13650 Metropolis Avenue",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "33912",
"country_code": "US",
"telephone_number": "239-768-2111",
"fax_number": "239-768-2113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN-SWEENEY",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD172023",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96215",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "19006",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APIPA INSURANCE",
"identifier": "288242003",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288242",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z6556",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF ECONOMIC SECURITY",
"identifier": "2882420",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO INSURANCE",
"identifier": "019006",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "860224023",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANNER HEALTH PLAN",
"identifier": "00014248",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0823650",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276325700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "MANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.