Susan E Lenahan, MD

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

MD418579 Issued in PA

Practice address

4412 W Osborne Ave
Tampa, FL 33614-6963

Phone

(813) 914-9100

Fax

(813) 914-9200

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Aurora Florida LLC

  • Dermatopathology (Pathology) Physician
  • Tampa, FL
  • NPI 1902815384
  NPD (past)
• Mark & Kambour, LLC

  • Clinical Medical Laboratory
  • Coral Gables, FL
  • NPI 1780863183
  NPD (past)
• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Pittsburgh, PA
  • NPI 1821060641
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1376529206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 N JOG RD",
            "address_2": "SUITE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181749",
            "telephone_number": "561-626-5512",
            "fax_number": "561-626-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 W OSBORNE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146963",
            "telephone_number": "813-914-9100",
            "fax_number": "813-914-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENAHAN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD418579",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD418579",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD418579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Lemmon, COTA
• Xilma Lemois, PHARM D
• Alejandro A Lemon, MA
• Freddye Michelle Lemons, M.D.
• Jesse Lemoon
• Nuanxin Leng
• Alexander Lengerich, PHD
• Richard Mark Lennon, DMD
• Fiona Lennstrom, DPT
• Tracey Elizabeth Lento, RN

• Dermatopathology (Pathology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.