Individual provider Active NPI

Susan P Dunbar, CNM

  • Advanced Practice Midwife
  • Syracuse, NY
National Provider Identifier
1700082468
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001203 Issued in NY
Practice address
4850 Broad Rd
CGH Pob Suite 2C
Syracuse, NY 13215-5100
Phone
(315) 492-5915
NPI assigned
Jun 21, 2007
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001203 NY Primary

Addresses

Primary practice location

4850 Broad Rd
CGH Pob Suite 2C
Syracuse, NY 13215-5100

Mailing address

4850 Broad Rd
Suite 2C
Syracuse, NY 13215-5100
Phone (315) 492-5915

Other identifiers 2

IdentifierTypeStateIssuer
00673518MedicaidMS
02691427MedicaidNY

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001203NYMDPsychoanalyst
F001203NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Associates, PC PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1700082468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "SUITE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155100",
            "telephone_number": "315-492-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "CGH POB SUITE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155100",
            "telephone_number": "315-492-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00673518",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.