Susan Su-CHI Perng, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075284P Issued in OH

Practice address

611 Fulton St
Port Clinton, OH 43452-2008

Phone

(419) 734-0699

Fax

(419) 734-0320

NPI assigned

Aug 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harbor Light Health Care Corp

  • Family Medicine Physician
  • Port Clinton, OH
  • NPI 1518093475
  NPD (past)
• Wuu Jau Perng, M.D.

  • General Practice Physician
  • Hinckley, OH
  • NPI 1083895437
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1386636710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522008",
            "telephone_number": "419-734-0699",
            "fax_number": "419-734-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNG",
        "first_name": "SUSAN",
        "middle_name": "SU-CHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075284P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Herbert Omley, DO
• Lydia Grace Ott, ATC
• Mary Beth Ott, P.C.C.
• Kelly Sue Patton-Cook, PTA,LMT
• Peaceful Mind Counseling and Wellness
• Alyxandra Marie Perram
• Angela Petersen
• Derik Phillips
• Joshua Duepree Pitts, MS CDCA
• Elizabeth Ann Pollauf, RPH

• Family Medicine Physician in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.