Individual provider Active NPI

Susan Roseanne Panny, M.D.

  • Clinical Genetics (M.D.) Physician
  • Baltimore, MD
National Provider Identifier
1568693331
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
D0026746 Issued in MD
Practice address
201 W Preston St
Suite 424
Baltimore, MD 21201-2301
Phone
(410) 767-6730
Fax
(410) 333-5047
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X D0026746 MD Primary
Pediatrics Physician 208000000X D0026746 MD

Addresses

Primary practice location

201 W Preston St
Suite 424
Baltimore, MD 21201-2301

Mailing address

400 Symphony Circle
# 425
Hunt Valley, MD 21030-2054
Phone (410) 329-1995

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0026746MDMDClinical Genetics (M.D.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1568693331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SYMPHONY CIRCLE",
            "address_2": "# 425",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302054",
            "telephone_number": "410-329-1995",
            "fax_number": "410-329-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PRESTON ST",
            "address_2": "SUITE 424",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012301",
            "telephone_number": "410-767-6730",
            "fax_number": "410-333-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNY",
        "first_name": "SUSAN",
        "middle_name": "ROSEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MD",
            "license": "D0026746",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0026746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.