Susan C Hecker MD, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD60237462 Issued in WA

Legal business name

SUSAN C HECKER MD, PLLC

Practice address

9631 N Nevada St
Suite 300
Spokane, WA 99218-1133

Phone

(509) 489-4040

Fax

(509) 489-9190

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Susan Carnine Hecker, MD

Title

Owner

Phone

(208) 699-9870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1538605035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 W MELVILLE RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049027",
            "telephone_number": "208-699-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "SUITE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181133",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C HECKER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CARNINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-699-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD60237462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marlene J. Susumi, O.D.

• Primary Care Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.