Active NPI
Suzanne F Shearen, M.D.
- Anesthesiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34660
- Practice address
- 6401 France Ave S
Edina, MN 55435-2104 - Phone
- (952) 924-5187
- NPI assigned
- Mar 23, 2006
- Last updated
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34660 | MN | Primary |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435-2104
Mailing address
10450 Hadley Ave N
White Bear Lake, MN 55110-1206
Phone (651) 426-5401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190563500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Current | Accepting new patients |
Locations
5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530
9145 Springbrook Dr NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 625-8999
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
1185 Town Centre Dr
Ste 205
Saint Paul, MN 55123
237 Radio Dr
Ste 200
Woodbury, MN 55125
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1700846938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 HADLEY AVE N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551101206",
"telephone_number": "651-426-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554352104",
"telephone_number": "952-924-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAREN",
"first_name": "SUZANNE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "34660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190563500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.