Susan Mary Geletka, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35.049584 Issued in OH

Practice address

9275 W Calla Rd
Canfield, OH 44406-9459

Phone

(330) 533-2775

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Liverpool Imaging Inc

  • Diagnostic Radiology Physician
  • East Liverpool, OH
  • NPI 1720266273
  NPD (past)
• Imaging Consultants of Findlay, Inc

  • Diagnostic Radiology Physician
  • Findlay, OH
  • NPI 1306069307
  NPD (past)
• V S Radiology Associates

  • Specialist
  • Pittsburgh, PA
  • NPI 1518904713
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1497781595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 W CALLA RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069459",
            "telephone_number": "330-533-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 W CALLA RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069459",
            "telephone_number": "330-533-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELETKA",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD031019E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.049584",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01047749A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301071351",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "10836",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-104891",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "168054-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001534109",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gateways to Better Living, Inc.
• Gateways to Better Living, Inc.
• Gateways to Better Living, Inc.
• Gateways to Better Living, Inc.
• Kelcey Jean Gaudet, CASE MANAGER
• Christina G Gemma, PAC
• Genesis Home,LTD.
• Nichole R George Cannon, LPCC-S
• Rachel George, PTA009666
• Evelyn Elaine Gere

• Diagnostic Radiology Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.