Attapoom Susupaus, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

125060733 Issued in IL

Practice address

201 East Huron St
Galter Pavillion 11-140
Chicago, IL 60611-2968

Phone

(312) 695-3662

NPI assigned

Mar 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1386918787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E OHIO ST UNIT 3504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115653",
            "telephone_number": "312-927-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST HURON ST",
            "address_2": "GALTER PAVILLION 11-140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112968",
            "telephone_number": "312-695-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSUPAUS",
        "first_name": "ATTAPOOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "125060733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil A. Sussman, D.C.
• Rita P. Sussman, PHD
• Kelly Sustaita, DNP
• Nedjema Sustento-Reodica, MD
• Courtney Susterich, MS, RDN, LDN, CNSC
• Ronak B Sutariya, MD
• Sarah Sutcliffe, LCSW
• Eugenie E Suter
• Maureen Natalie Suter, MD
• Cindy Suthar, APRN,NP-C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.