NPIMap

Individual provider Active NPI

Suzanne Forman Strand, DO

  • Otolaryngology Physician
  • Salem, OR
National Provider Identifier
1457748576
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DO197730 Issued in OR
Practice address
3099 River Rd S Ste 150
Salem, OR 97302-9754
Phone
(503) 581-1567
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X DO197730 OR Primary

Addresses

Primary practice location

3099 River Rd S Ste 150
Salem, OR 97302-9754

Mailing address

3099 River Rd S Ste 150
Salem, OR 97302-9754
Phone (503) 581-1567

Other names 1

  • Suzanne Nicole Forman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000661 OR Practitioner - Otolaryngology 3870887847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Ear Nose and Throat LLPGroup PAC ID 5597737643, 14 clinicians

Practice addresses (Care Compare)

3099 River Rd S
Suite 150
Salem, OR 97302-9754
Phone (503) 581-1567

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Ear Nose & Throat LLP Single Specialty CurrentSince Jul 20, 2020 Accepting new patients
ENT Specialists, P.C. Single Specialty PastSince Jul 1, 2007 Accepting new patients

Locations

3099 River Rd S
Ste 150
Salem, OR 97302
Phone (503) 485-2581

Interoperability endpoints

  • Direct secure messaging: strands@entsalem.emadirect.md

Organizations & group practices 2

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

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1457748576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-581-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-581-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAND",
        "first_name": "SUZANNE",
        "middle_name": "FORMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-02-08",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "DO197730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "FORMAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.