Individual provider Active NPI

Ayako Suzuki, MD, PHD, MSC

  • Gastroenterology Physician
  • Durham, NC
National Provider Identifier
1659555167
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2009-01827 Issued in NC
Practice address
200 Trent Dr Duke University Medical Ctr
Duke South, Orange Zone, #0340
Durham, NC 27710-0001
Phone
(919) 668-8891
Fax
(919) 681-8147
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X
Gastroenterology Physician 207RG0100X 2009-01827 NC Primary
Hepatology Physician 207RI0008X 2009-01827 NC

Addresses

Primary practice location

200 Trent Dr Duke University Medical Ctr
Duke South, Orange Zone, #0340
Durham, NC 27710-0001

Mailing address

200 Trent Dr Duke University Medical Ctr
Duke South, Orange Zone, #0340
Durham, NC 27710-0001
Phone (919) 668-8891

Other identifiers 5

IdentifierTypeStateIssuer
1659555167OtherTRICADE
30805584OtherNCDRIVER'S LICENCE NUMBER
1659555167MedicaidSC
1659555167MedicaidVA
5918858MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2009-01827NCMDHepatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1659555167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENT DR DUKE UNIVERSITY MEDICAL CTR",
            "address_2": "DUKE SOUTH, ORANGE ZONE, #0340",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-668-8891",
            "fax_number": "919-681-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENT DR DUKE UNIVERSITY MEDICAL CTR",
            "address_2": "DUKE SOUTH, ORANGE ZONE, #0340",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-668-8891",
            "fax_number": "919-681-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "AYAKO",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2009-01827",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NC",
            "license": "2009-01827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICADE",
            "identifier": "1659555167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENCE NUMBER",
            "identifier": "30805584",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659555167",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659555167",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.