Individual provider Active NPI

Susana Wolmarans, MD

  • Emergency Medicine Physician
  • Crystal River, FL
National Provider Identifier
1588196265
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME175418 Issued in FL
Practice address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone
(352) 576-5600
NPI assigned
Mar 31, 2017
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 304745 NY
Emergency Medicine Physician 207P00000X 334764 LA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME175418 FL Primary

Addresses

Primary practice location

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Mailing address

1643 NW 136TH Ave Ste 100
Sunrise, FL 33323-2857
Phone (800) 424-3672

Other practice location 1

6670 Green Dr
Trussville, AL 35173-2610
Phone (205) 537-3337

Other practice location 2

7138 Sutton Pl Apt 2
Fresh Meadows, NY 11365-4135
Phone (917) 513-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, WV, NY, KY, LA, NC, SC, AL, FL9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20200727002431 ME Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20200731001122 WV Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20210308001728 NY Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 2 organizations
I20221121003194 KY Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 4 organizations
I20231108000401 LA Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20231226001747 NC Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20240120000397 SC Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20240130002685 AL Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization
I20250719000014 FL Practitioner - Emergency Medicine 3173947959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 576-5200

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3450

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304745NYMDLicensed Practical Nurse
334764LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Urgent Care Services Southeast PSC CurrentSince Feb 15, 2024 Accepting new patients
T J Samson Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Jun 25, 2020 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Baptist Health Medical Group Inc Emergency Medicine CurrentSince Jun 9, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 13, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 9, 2023 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Past Accepting new patients

Locations (25 of 28)

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

6670 Green Dr
Trussville, AL 35173
Phone (205) 537-3337

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

7620 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 365-8035

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1588196265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE STE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "800-424-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-576-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6670 Green Dr",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732610",
            "country_code": "US",
            "telephone_number": "205-537-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7138 Sutton Pl Apt 2",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113654135",
            "country_code": "US",
            "telephone_number": "917-513-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLMARANS",
        "first_name": "SUSANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "304745",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "334764",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME175418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.