Organization Active NPI

Dr. Susan Rodgin

  • Medical Specialty Clinic/Center
  • Wayland, MA
National Provider Identifier
1528448693
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DR. SUSAN RODGIN
Practice address
39 W Plain St
Wayland, MA 01778-4409
Phone
(508) 651-3887
Fax
(508) 651-3888
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Susan Rodgin, ODNPI 1194839209
Title
OD/Owner
Phone
(508) 651-3887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

39 W Plain St
Wayland, MA 01778-4409

Mailing address

PO Box 5121
39 West Plain Street
Wayland, MA 01778-6121
Phone (508) 651-3887

National Provider Directory

National Provider Directory

Locations

39 W Plain St
Wayland, MA 01778
Phone (508) 377-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1528448693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5121",
            "address_2": "39 WEST PLAIN STREET",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017786121",
            "telephone_number": "508-651-3887",
            "fax_number": "508-651-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W PLAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784409",
            "telephone_number": "508-651-3887",
            "fax_number": "508-651-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN RODGIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "RODGIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "508-651-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.