Active NPI
Suzanne M. H. Jenkins, M.D.
- Gynecology Physician
- Oberlin, OH
National Provider Identifier
1609161280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 131434
- Practice address
- 23 Eric Nord Way
Ste 1
Oberlin, OH 44074-1583 - Phone
- (440) 533-9191
- NPI assigned
- Jun 13, 2011
- Last updated
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gynecology Physician | 207VG0400X | 131434 | OH | Primary |
Addresses
Primary practice location
23 Eric Nord Way
Ste 1
Oberlin, OH 44074-1583
Mailing address
55 S Main St
Ste 129
Oberlin, OH 44074-1626
Phone (630) 697-0742
Other names 1
- Ms. Suzanne Marie Hutchinson
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131434 | OH | MD | Gynecology Physician |
Organizations & group practices 1
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.
-
- Clinic/Center
- Oberlin, OH
- NPI 1245736941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1609161280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S MAIN ST",
"address_2": "STE 129",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741626",
"telephone_number": "630-697-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ERIC NORD WAY",
"address_2": "STE 1",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741583",
"telephone_number": "440-533-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SUZANNE",
"middle_name": "M. H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "131434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "HUTCHINSON",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.