Active NPI
Keith Sue-Ling, MD., PC
- Cardiovascular Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21825
- Legal business name
- KEITH SUE-LING, MD., PC
- Practice address
- 1349 Druid Park Ave
Augusta, GA 30904-5723 - Phone
- (706) 733-7537
- Fax
- (706) 733-2774
- NPI assigned
- Jun 4, 2015
- Last updated
- Jun 24, 2015
- 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
- Dr. Keith Sue-Ling, MD
- Title
- Owner
- Phone
- (706) 733-7537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21825 | GA | Primary |
Addresses
Primary practice location
1349 Druid Park Ave
Augusta, GA 30904-5723
Mailing address
1349 Druid Park Ave
Augusta, GA 30904-5723
Phone (706) 733-7537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000203794B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1349 Druid Park Ave
Augusta, GA 30904
Phone (706) 733-7537
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Cardiovascular Disease Physician
- Augusta, GA
- NPI 1730108846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1427438589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 DRUID PARK AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045723",
"telephone_number": "706-733-7537",
"fax_number": "706-733-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 DRUID PARK AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045723",
"telephone_number": "706-733-7537",
"fax_number": "706-733-2774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH SUE-LING, MD., PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "SUE-LING",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-733-7537",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "21825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000203794B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.