Robert B Sussman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5835 Issued in HI

Practice address

660 Kailua Rd
Kailua, HI 96734

Phone

(808) 954-4485

Fax

(808) 266-3904

NPI assigned

Jan 19, 2006

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Acute Care Medical Services Inc

  dba The Medical Corner

  • Family Medicine Physician
  • Kailua, HI
  • NPI 1164606091
  Authorized official Same address or phone
• The Medical Corner

  • Clinic/Center
  • Kailua, HI
  • NPI 1851621718
  Authorized official Same address or phone

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1639159114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 KAILUA RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-954-4485",
            "fax_number": "808-266-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KAILUA RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-954-4485",
            "fax_number": "808-266-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Allen Summers
• Sunnyside Medical Clinic LLC
• Susan M. Cohen, Psy.D. LLC
• Susan S. Hiraoka, DPM, LLC
• Susan Vicenti MD, LLC
• Maria Cielita Sutherland
• Tara Michelle Sutphin
• Hannah Sutton
• Ross Suyemura
• Suzanne Rice PSYD LLC

• Family Medicine Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.