Suede Surgical Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036834 Issued in CT

Legal business name

SUEDE SURGICAL CARE LLC

Practice address

272 Main St
Manchester, CT 06042-3536

Phone

(860) 432-2100

Fax

(860) 432-5330

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad Maher Suede, MD.NPI 1871525279

Title

Owner

Phone

(860) 432-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

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

• Mohamad Maher Suede, M.D.

  • Surgery Physician
  • Manchester, CT
  • NPI 1871525279
  Medicare reassignment NPD Authorized official
• Kaitlin Finley Salkeld, PA-C

  • Physician Assistant
  • Hartford, CT
  • NPI 1780918391
  Medicare reassignment

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1598095598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423536",
            "telephone_number": "860-432-2100",
            "fax_number": "860-432-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423536",
            "telephone_number": "860-432-2100",
            "fax_number": "860-432-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUEDE SURGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "SUEDE",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-432-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "036834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Strobelberger, APRN
• Jennifer L Stroh, O.D.
• Charles Struzynski, RPH
• Mark David Sturgis, O.D.
• Steven Suchacz, DO
• Mohamad Maher Suede, M.D.
• Berkay T Suer, DDS
• Robin Bentley Suhie, MS, OTR/L
• Kate T Sulikowski, PT
• Joan P Sullivan

• Surgery Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.