Individual provider Active NPI

Susan Eliza Casar, PA-C

  • Physician Assistant
  • Black Mountain, NC
National Provider Identifier
1720153869
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102132 Issued in NC
Practice address
932 Old US Hwy 70 W
Black Mountain, NC 28711-2547
Phone
(828) 669-3170
Fax
(828) 669-3229
NPI assigned
Nov 22, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102132 NC Primary

Addresses

Primary practice location

932 Old US Hwy 70 W
Black Mountain, NC 28711-2547

Mailing address

932 Old US Hwy 70 W
Black Mountain, NC 28711-2547
Phone (828) 259-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000811 NC Order and Referring Only - Physician Assistant 6800070509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102132NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1720153869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 OLD US HWY 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-259-6913",
            "fax_number": "828-669-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OLD US HWY 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-669-3170",
            "fax_number": "828-669-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAR",
        "first_name": "SUSAN",
        "middle_name": "ELIZA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.