Susan F Nelson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS 6525 Issued in FL

Practice address

6221 NW 36TH St
Virginia Gardens, FL 33166-7026

Phone

(305) 871-3627

Fax

(305) 871-7569

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associatesmd Medical Group Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1558900472
  Medicare reassignment Care Compare group NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Pinecrest, FL
  • NPI 1770719296
  Medicare reassignment Care Compare group
• Associatesmd Medical Group Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1073141156
  NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1629277686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4483 NW 36TH ST",
            "address_2": "SUITE 120",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667260",
            "telephone_number": "305-888-7555",
            "fax_number": "305-888-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 NW 36TH ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667026",
            "telephone_number": "305-871-3627",
            "fax_number": "305-871-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SUSAN",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS 6525",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS 6525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renier Rafael Morales, MA
• Zuraika Moya Tauile, APRN
• Multi-Specialty Group of Florida
• My Therapy Center, Inc.
• N & G Medical Center
• New Beginning
• New Beginning CM Agency
• New Med Supplies LLC
• New York Medical Services Inc
• New York Medical Services, Inc.

• Emergency Medicine Physician in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.