Active NPI
Susan Walden MD PA
- Developmental - Behavioral Pediatrics Physician
- Pawleys Island, SC
National Provider Identifier
1639127673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 13356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan M Walden-Cohn
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Developmental - Behavioral Pediatrics Physician
- Pawleys Island, SC
- NPI 1033369160
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.