NPIMap

Individual provider Active NPI

Susen A Rossino, MD

  • Family Medicine Physician
  • Seneca, PA
National Provider Identifier
1366535759
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD043871E Issued in PA
Practice address
One Park Way
Seneca, PA 16346-0802
Phone
(814) 676-5444
Fax
(814) 676-0342
NPI assigned
Sep 30, 2006
Last updated
Jun 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043871E PA
Family Medicine Physician 207Q00000X MD043871E PA Primary

Addresses

Primary practice location

One Park Way
Seneca, PA 16346-0802

Mailing address

PO Box 802
One Park Way,
Seneca, PA 16346-0802
Phone (814) 676-5444

Other names 1

  • Susen A Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000566 PA Practitioner - Family Practice 0941218333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Park Way
BHS Seneca Med Ctr
Seneca, PA 16346-0802
Phone (833) 604-7213

131 E Cunningham St
BHS Primary Care East Cunningham
Butler, PA 16001-5903
Phone (833) 391-0739

24 Doctors LN
Clarion, PA 16214-8574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043871EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Butler Medical Providers CurrentSince Jan 1, 2016 Accepting new patients
Butler Medical Providers Current Accepting new patients
Shippenville PA Opco LLC Past Accepting new patients
Guardian Elder Care at Shippenville LLC Past Accepting new patients
Oil City PA Opco LLC Past Accepting new patients
Guardian Elder Care at Oil City LLC Past Accepting new patients
SCS Opco LLC Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Clarion PA Opco LLC Past Accepting new patients
Oakwood Heights SNF Opco Operating Company LLC Past Accepting new patients

Locations

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

Interoperability endpoints

  • Direct secure messaging: susen.rossino@direct-address.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shippenville Nursing and RehabShippenville, PA, CCN 395607 Skilled nursing facility Adp of the SNF Dec 17, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1366535759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "address_2": "ONE PARK WAY,",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460802",
            "telephone_number": "814-676-5444",
            "fax_number": "814-676-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PARK WAY",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460802",
            "telephone_number": "814-676-5444",
            "fax_number": "814-676-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSINO",
        "first_name": "SUSEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "043871E",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043871E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSEN",
            "last_name": "MILLER",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.