Organization Active NPI

Oh Susannah

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1659518074
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
N/A
Legal business name
OH SUSANNAH
Practice address
332 W Sunset Rd
Suite 2B
San Antonio, TX 78209-1767
Phone
(210) 386-2296
Fax
(210) 828-3698
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Ms. Susan L. Moreland, N/A
Title
Member
Phone
(210) 386-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X N/A Primary

Addresses

Primary practice location

332 W Sunset Rd
Suite 2B
San Antonio, TX 78209-1767

Mailing address

101 S Skipper Dr
San Antonio, TX 78216-7446
Phone (210) 386-2296

Other identifiers 1

IdentifierTypeStateIssuer
181471702MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Oh Susannah3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

332 W Sunset Rd
Ste 2B
San Antonio, TX 78209
Phone (210) 386-2296

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1659518074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SKIPPER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167446",
            "telephone_number": "210-386-2296",
            "fax_number": "210-828-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SUNSET RD",
            "address_2": "SUITE 2B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091767",
            "telephone_number": "210-386-2296",
            "fax_number": "210-828-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH SUSANNAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-386-2296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181471702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.