Susan Downer Foreman, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

23843 Issued in NC

Practice address

925 Conference Dr
Greenville, NC 27858-5971

Phone

(252) 756-4899

Fax

(252) 756-5141

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

• Eastern Psychiatric & Behavioral Specialists, PLLC

  • Medical Specialty Clinic/Center
  • Greenville, NC
  • NPI 1558426007
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710042387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WILLIAMSBURG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586327",
            "telephone_number": "252-355-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585971",
            "telephone_number": "252-756-4899",
            "fax_number": "252-756-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "SUSAN",
        "middle_name": "DOWNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "23843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED IDENTIFICATION NUMBER",
            "identifier": "562165173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893308A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3308A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen C. Ford, R.N., N.P.
• Jessica Ford, PHD
• Jon Wyatt Ford
• Nicholas A Ford, MA
• Robert Ray Foreman, D.D.S.
• Clayton Joseph Foret, M.D.
• Holly Gail Fornes, MS, CCC-SLP
• Israel Fornville
• Amy Forrest, AGNP
• Forsyth Chiropractic and Wellness LLC

• All providers in Greenville, NC
• Developmental - Behavioral Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.