Individual provider Active NPI

Christy Ann Susec, DVM

  • Veterinarian
  • Waynesville, OH
National Provider Identifier
1720328636
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VET . 8334 Issued in OH
Practice address
7477 Township Line Rd
Waynesville, OH 45068-8051
Phone
(513) 897-6991
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VET . 8334 OH Primary

Addresses

Primary practice location

7477 Township Line Rd
Waynesville, OH 45068-8051

Mailing address

7477 Township Line Rd
Waynesville, OH 45068-8051
Phone (513) 897-6991

Other identifiers 1

IdentifierTypeStateIssuer
VET . 8334OtherOHVETERINARY MEDICAL LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VET . 8334OHMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1720328636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 TOWNSHIP LINE RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688051",
            "telephone_number": "513-897-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 TOWNSHIP LINE RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688051",
            "telephone_number": "513-897-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSEC",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "OH",
            "license": "VET . 8334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERINARY MEDICAL LICENSE",
            "identifier": "VET . 8334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.