Organization Active NPI

Dr. Suusan B. Betzer

  • Family Medicine Physician
  • St. Petersburg, FL
National Provider Identifier
1629163787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME34870 Issued in FL
Legal business name
DR. SUUSAN B. BETZER
Practice address
461 7TH Avenue South
St. Petersburg, FL 33701-4818
Phone
(727) 823-0402
Fax
(727) 823-4153
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan B BetzerNPI 1245340520
Title
M.D
Phone
(727) 823-0402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME34870 FL Primary

Addresses

Primary practice location

461 7TH Avenue South
St. Petersburg, FL 33701-4818

Mailing address

461 7TH Avenue South
St. Petersburg, FL 33701-4818
Phone (727) 823-0402

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629163787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 7TH AVENUE SOUTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014818",
            "telephone_number": "727-823-0402",
            "fax_number": "727-823-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 7TH AVENUE SOUTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014818",
            "telephone_number": "727-823-0402",
            "fax_number": "727-823-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUUSAN B. BETZER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETZER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "727-823-0402",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME34870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.