Susan R. Parsons, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Practice address

1616 Eastport Plaza Dr
Collinsville, IL 62234-6128

Phone

(317) 872-0116

Fax

(317) 874-1440

NPI assigned

Sep 7, 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Diagnostic Cytology Laboratories Inc

  • Clinical Medical Laboratory
  • Granite City, IL
  • NPI 1083778328
  NPD (past)
• DCL Medical Laboratories LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1194840595

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• DCL Medical Laboratories LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1316112337
  NPD (past)
• WCP Pathology, PC

  • Clinical Medical Laboratory
  • Maryland Heights, MO
  • NPI 1215008396

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1497858831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 ZIONSVILLE RD",
            "address_2": "SUITE #200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681065",
            "telephone_number": "317-872-0116",
            "fax_number": "317-874-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EASTPORT PLAZA DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346128",
            "telephone_number": "317-872-0116",
            "fax_number": "317-874-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICARE COMPLETE",
            "identifier": "1100334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "G60834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH",
            "identifier": "253187",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5811655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tynesha Oden
• Steven Ogle, RPH
• Tara Ojeda, RN
• One Hope United
• Kelly Ann Ottensmeier, LCPC
• Dina Payne, MSW, LCSW
• PC Associates, LLC
• PC Associates, LLC
• Elizabeth Lynne Peel, MA, CCC-SLP
• Alyssa Kaylee Pellmann, PT, DPT

• Anatomic Pathology & Clinical Pathology Physician in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.