NPIMap

Organization Active NPI

Susan Koslow M.D.,Inc

  • Radiology Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1497028989
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
01042883A Issued in IN
Legal business name
SUSAN KOSLOW M.D.,INC
Practice address
477 E Trailwood Dr
Terre Haute, IN 47802-9606
Phone
(812) 234-4243
Fax
(812) 478-3663
NPI assigned
Feb 15, 2012
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Kris Doan
Title
Billing Supervisor
Phone
(812) 234-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 01042883A IN Primary

Addresses

Primary practice location

477 E Trailwood Dr
Terre Haute, IN 47802-9606

Mailing address

PO Box 10037
Terre Haute, IN 47801-0037
Phone (812) 234-4243

National Provider Directory

National Provider Directory

Locations

3387 S US Highway 41
Terre Haute, IN 47802
Phone (812) 232-5532

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1497028989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10037",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478010037",
            "telephone_number": "812-234-4243",
            "fax_number": "812-478-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E TRAILWOOD DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029606",
            "telephone_number": "812-234-4243",
            "fax_number": "812-478-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KOSLOW M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "812-234-4243"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IN",
            "license": "01042883A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.