Suzanne D Connolly, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35086814 Issued in OH

Practice address

805 Columbia Rd
Suite 102
Westlake, OH 44145-1487

Phone

(440) 808-1925

Fax

(440) 808-1926

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sconnolly5419@direct.ccf.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1487604369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD",
            "address_2": "SUITE 102",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451487",
            "telephone_number": "440-808-1925",
            "fax_number": "440-808-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COLUMBIA RD",
            "address_2": "SUITE 102",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451487",
            "telephone_number": "440-808-1925",
            "fax_number": "440-808-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "SUZANNE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35086814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Psychological Health
• Elizabeth Marie Confalone, DPM
• Kimberly Conley, AANP NP-C
• Connection With Intention, LLC
• Katie Elizabeth Connell, PH.D.
• Karen L Connor, PT
• Deanna Marie Conroy, RPH
• Chrysanthos C Constantinou, D.M.D.
• Caitlin Conwell, MA, SLP
• Aubrey Marie Cook, DO

• Pediatrics Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.