Organization Active NPI

Susan C Gaskill MD PA

  • Diagnostic Radiology Physician
  • Dickinson, TX
National Provider Identifier
1386776722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUSAN C GASKILL MD PA
Practice address
2211 West FM 646
100
Dickinson, TX 77539
Phone
(877) 868-4286
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan C Gaskill, MD
Title
President
Phone
(877) 868-4286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2211 West FM 646
100
Dickinson, TX 77539

Mailing address

PO Box 25943
Oklahoma City, OK 73125-0943
Phone (877) 868-4286

National Provider Directory

National Provider Directory

Locations

2211 FM 646 Rd W
Dickinson, TX 77539
Phone (281) 337-9730

2211 FM 646 Rd W
#100
Dickinson, TX 77539
Phone (877) 868-4286

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386776722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25943",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250943",
            "telephone_number": "877-868-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 WEST FM 646",
            "address_2": "100",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "877-868-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C GASKILL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASKILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-868-4286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.