Vivian R Suico, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35046291 Issued in OH

Practice address

3745 Grove Ave
Lorain, OH 44055-2734

Phone

(440) 240-1655

Fax

(440) 245-1218

NPI assigned

Jun 15, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1447255625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LIVINGSTON AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523781",
            "telephone_number": "440-240-1655",
            "fax_number": "440-245-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GROVE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552734",
            "telephone_number": "440-240-1655",
            "fax_number": "440-245-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUICO",
        "first_name": "VIVIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35046291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelynn J Suetta, RN
• Sarah Kay Suffel, PHARM.D., RPH
• Leslie Sugiuchi
• Rachel Suhy, LPCC
• Edward Suico, M.D.
• Benjamin Sullivan
• Robert S Sullivan, PT
• Alicia M Summers, QMHS BA
• Summit Academy Community School for Alternative Learners
• Summit Academy Middle School Lorain

• Internal Medicine Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.