Organization Active NPI

Eastern Shore Health Center, LLC

Doing business as Suzanne Tormoen, MD

  • Clinic/Center
  • Fairhope, AL
National Provider Identifier
1447459748
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EASTERN SHORE HEALTH CENTER, LLC
Doing business as
Suzanne Tormoen, MD
Practice address
908 Plantation Blvd
Fairhope, AL 36532-2952
Phone
(251) 990-2292
Fax
(251) 990-2293
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Suzanne Tormoen, MDNPI 1356309496
Title
Manager
Phone
(251) 990-2292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinic/Center 261Q00000X AL Primary

Addresses

Primary practice location

908 Plantation Blvd
Fairhope, AL 36532-2952

Mailing address

908 Plantation Blvd
Fairhope, AL 36532-2952
Phone (251) 990-2292

Other identifiers 5

IdentifierTypeStateIssuer
510-95646OtherALBCBS
11454869OtherALUNITED HEALTH CARE
1266173OtherAHCCS
000095646MedicaidAL
1356309496OtherALNPI FOR DR. SUZANNETORMOE

Other names 1

  • Suzanne Tormoen, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000813 AL Part B Supplier - Clinic/Group Practice 8022109404 Receives reassigned benefits from 2 practitioners
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Locations

908 Plantation Blvd
Fairhope, AL 36532
Phone (251) 517-3304

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1447459748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PLANTATION BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322952",
            "telephone_number": "251-990-2292",
            "fax_number": "251-990-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PLANTATION BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322952",
            "telephone_number": "251-990-2292",
            "fax_number": "251-990-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "TORMOEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "251-990-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-95646",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "11454869",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "1266173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095646",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. SUZANNETORMOE",
            "identifier": "1356309496",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne Tormoen, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.