NPIMap

Organization Active NPI

Laurence M Susini MD PC

  • Orthopaedic Surgery Physician
  • Sierra Vista, AZ
National Provider Identifier
1629099569
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Sandy Kaplan
Title
Contracts
Phone
(520) 458-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 17611 AZ Primary

Addresses

Primary practice location

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

Mailing address

155 Calle Portal Ste 100
Sierra Vista, AZ 85635-2900
Phone (520) 458-6088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • 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.