Susan V Estrada-Te, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD062293L Issued in PA

Practice address

239 Edgewood Drive Ext
Transfer, PA 16154-1817

Phone

(724) 589-6441

NPI assigned

Nov 29, 2005

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan V. Estrada, MD, PC

  • Internal Medicine Physician
  • Transfer, PA
  • NPI 1164558433
  Medicare reassignment NPD Authorized official
• Penn North Centers for Advanced Wound Care PC

  • Surgery Physician
  • Erie, PA
  • NPI 1003897307
  NPD (past)
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Emlenton, PA
  • NPI 1750181038
  NPD (past)
• Titusville Area Health Services, Inc.

  • Surgery Physician
  • Titusville, PA
  • NPI 1255349981
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1396728812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 STONEY BROOK BLVD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161257803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 EDGEWOOD DRIVE EXT",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "161541817",
            "telephone_number": "724-589-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA-TE",
        "first_name": "SUSAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062293L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016769370007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D&R Pain Management Inc.
• Ann Renee Davis, LPN
• Valerie Lynn Dodds, CRNP
• Joyce L Eckard, M.D.
• Edgewood Professional Services LLC
• Christina Lynn Hoover
• Hallie Marie Hudson, PHARMD
• Emery Leroy Johnson Jr.
• Zachary Johnson, PHARMD
• Steven Jordan

• Internal Medicine Physician in Transfer, PA
• Providers in Transfer, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.