Organization Active NPI

Susan Walden MD PA

  • Developmental - Behavioral Pediatrics Physician
  • Pawleys Island, SC
National Provider Identifier
1639127673
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
13356 Issued in SC
Legal business name
SUSAN WALDEN MD PA
Practice address
55 Alston Rd
Pawleys Island, SC 29585
Phone
(843) 237-5398
Fax
(843) 237-3561
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Susan M Walden-CohnNPI 1033369160
Title
Developmental Pediatrician Owner
Phone
(843) 237-5398

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
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X 13356 SC Primary

Addresses

Primary practice location

55 Alston Rd
Pawleys Island, SC 29585

Mailing address

55 Alston Rd
Pawleys Island, SC 29585
Phone (843) 237-5398

Other names 1

  • Developmental Pediatrics Other name

National Provider Directory

National Provider Directory

Locations

55 Alston Rd
Pawleys Island, SC 29585
Phone (843) 237-5398

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1639127673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ALSTON RD",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-237-5398",
            "fax_number": "843-237-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ALSTON RD",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-237-5398",
            "fax_number": "843-237-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WALDEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WALDEN-COHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DEVELOPMENTAL PEDIATRICIAN OWNER",
        "authorized_official_telephone_number": "843-237-5398",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "SC",
            "license": "13356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pawleys Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.