Wilbur Suesberry MD Inc a Medical Corp

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C29033 Issued in CA

Legal business name

WILBUR SUESBERRY MD INC A MEDICAL CORP

Practice address

1205 Garces Hwy
Suite 207
Delano, CA 93215-3639

Phone

(661) 721-1422

Fax

(661) 721-2738

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Wilbur Suesberry, MD

Title

Ceo

Phone

(661) 721-1422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1609148162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GARCES HWY",
            "address_2": "SUITE 207",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153639",
            "telephone_number": "661-721-1422",
            "fax_number": "661-721-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GARCES HWY",
            "address_2": "SUITE 207",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153639",
            "telephone_number": "661-721-1422",
            "fax_number": "661-721-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR SUESBERRY MD INC A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "SUESBERRY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-721-1422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C29033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Delano, CA
• Providers in Delano, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.