Laurence M Susini MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

17611 Issued in AZ

Legal business name

LAURENCE M SUSINI MD PC

Practice address

155 Calle Portal Ste 100
Sierra Vista, AZ 85635-2900

Phone

(520) 458-6088

Fax

(520) 458-3983

NPI assigned

Jul 23, 2006

Organization subpart

No

Name

Sandy Kaplan

Title

Contracts

Phone

(520) 458-6331

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

• Laurence M Susini, MD

  • Orthopaedic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1588603179

  Orthopaedic Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2008.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1629099569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL STE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352900",
            "telephone_number": "520-458-6088",
            "fax_number": "520-458-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL STE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352900",
            "telephone_number": "520-458-6088",
            "fax_number": "520-458-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE M SUSINI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CONTRACTS",
        "authorized_official_telephone_number": "520-458-6331"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "17611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284985",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0779560",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lam
• Rebecca Lamas, FNP
• Gretchen Diane Lamberth, OTR
• Larry D. Bloom, DDS, PA
• Andrew Navindra Latchman, M.D.
• Lazy Horse Ranch Inc
• LCS Healthcare Group LLC
• Michael A Leavitt, D.D.S.
• Ann Lebeck, MD
• Genevieve Lebel, PT

• All providers in Sierra Vista, AZ
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.