Active NPI
Hy Sussman, MD
- Nephrology Physician
- Bluffton, SC
National Provider Identifier
1376812651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 6890
- Legal business name
- HY SUSSMAN, MD
- Practice address
- 14 Westbury Park, Suite 103
Bluffton, SC 29910-7461 - Phone
- (843) 384-6256
- Fax
- (706) 364-5090
- NPI assigned
- Dec 15, 2011
- Last updated
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hy C Sussman, MD
- Title
- President
- Phone
- (843) 384-6256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 6890 | SC | Primary |
Addresses
Primary practice location
14 Westbury Park, Suite 103
Bluffton, SC 29910-7461
Mailing address
PO Box 21919
Hilton Head, SC 29925
Phone (843) 717-4286
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPA743 | Medicaid | SC | |
| 000020039L | Medicaid | GA | |
| 390007139 | Other | GA | MEDICARE RR |
| 903035 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Hy C Sussman MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Augusta, GA
- NPI 1518055110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659657600000",
"number": "1376812651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21919",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "29925",
"telephone_number": "843-717-4286",
"fax_number": "843-717-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WESTBURY PARK, SUITE 103",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107461",
"telephone_number": "843-384-6256",
"fax_number": "706-364-5090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY SUSSMAN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "HY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-384-6256",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "6890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPA743",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000020039L",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "390007139",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903035",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.