Susan a Vega DO.PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3P07 Issued in MO

Legal business name

SUSAN A VEGA DO.PC

Doing business as

Susan A Vega DO.PC

Practice address

8 Country Club Rd
Country Club, MO 64505-1014

Phone

(816) 232-0743

Fax

(816) 361-4151

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan A Vega, DO

Title

Physician

Phone

(816) 232-0743

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Susan A Vega DO.PC Doing business as

Locations

Interoperability endpoints

• Direct secure messaging: susanvega@svdo.allscriptsdirect.net

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1518167071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COUNTRY CLUB RD",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645051014",
            "telephone_number": "816-232-0743",
            "fax_number": "816-364-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COUNTRY CLUB RD",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645051014",
            "telephone_number": "816-232-0743",
            "fax_number": "816-361-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A VEGA DO.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "816-232-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3P07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00415188",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243615069",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan A Vega DO.PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitzi M. Cleary, Otd, Otr/L, Inc.
• Jaclyn Renee' Powell
• James Dale Schoonover, DC
• Christina Semenchuk, LCSW
• Karley Jo Smith, MA, CF-SLP
• Tailored Counseling
• Thrive Family Wellness Center, LLC (Thrive Family Chiropractic)
• Susan Vega, DO
• Benjamin J Walker

• Family Medicine Physician in Country Club, MO
• Providers in Country Club, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.