Active NPI
Suzan L Ward, PH.D.
- Speech-Language Pathologist
- Yukon, OK
National Provider Identifier
1366498255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 474
- Practice address
- 1000 Winnipeg Dr
Yukon, OK 73099-5434 - Phone
- (405) 245-0156
- Fax
- (405) 265-4041
- NPI assigned
- May 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 474 | OK | Primary |
Addresses
Primary practice location
1000 Winnipeg Dr
Yukon, OK 73099-5434
Mailing address
PO Box 851413
Yukon, OK 73085-1413
Phone (405) 245-0156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100657640A | Other | OK | OKLAHOMA HEALTH CARE AUTH |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 474 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1366498255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851413",
"city": "YUKON",
"state": "OK",
"postal_code": "730851413",
"telephone_number": "405-245-0156",
"fax_number": "405-265-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WINNIPEG DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730995434",
"telephone_number": "405-245-0156",
"fax_number": "405-265-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "SUZAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA HEALTH CARE AUTH",
"identifier": "100657640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.