Individual provider Active NPI

Susan H Magness Carver, MD

  • Pediatrics Physician
  • Coshocton, OH
National Provider Identifier
1467524199
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35043965 Issued in OH
Practice address
507 S 16TH St
Coshocton, OH 43812
Phone
(740) 622-8299
Fax
(740) 622-4436
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35043965 OH Primary

Addresses

Primary practice location

507 S 16TH St
Coshocton, OH 43812

Mailing address

507 S 16TH St
Coshocton, OH 43812
Phone (740) 622-8299

Other identifiers 2

IdentifierTypeStateIssuer
0573106MedicaidOH
000000118509OtherANTHEM

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100713000248 OH Practitioner - Pediatric Medicine 0446382378 Practice locations: Coshocton, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35043965OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467524199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S 16TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-8299",
            "fax_number": "740-622-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S 16TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-8299",
            "fax_number": "740-622-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNESS CARVER",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35043965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573106",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.