Individual provider Active NPI

Susan Schaner, M.D.

  • Dermatology Physician
  • Waldorf, MD
National Provider Identifier
1508845926
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0024395 Issued in MD
Practice address
7 Post Office Rd
Suite M
Waldorf, MD 20602-2744
Phone
(301) 932-5838
Fax
(301) 843-0324
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0024395 MD Primary

Addresses

Primary practice location

7 Post Office Rd
Suite M
Waldorf, MD 20602-2744

Mailing address

7 Post Office Rd
Suite M
Waldorf, MD 20602-2744
Phone (301) 932-5838

Other identifiers 3

IdentifierTypeStateIssuer
2136101OtherMDMAMSI/ALLIANCE
010014004OtherMDRAILROAD MEDICARE
42045202OtherMDBLUE CROSS OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Zhang MD LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1508845926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD",
            "address_2": "SUITE M",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "301-932-5838",
            "fax_number": "301-843-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD",
            "address_2": "SUITE M",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "301-932-5838",
            "fax_number": "301-843-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANER",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0024395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE",
            "identifier": "2136101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010014004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MARYLAND",
            "identifier": "42045202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.