Suzanne Cullers Kabzinski, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA08867 Issued in TX

Practice address

508 Medical Center Blvd Ste 350
Conroe, TX 77304-2845

Phone

(936) 760-9900

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.cullers@166622370791428.direct.elationemr.com

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.

• Scarborough Family Medicine, PLLC

  dba Family Life Medical

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1679997530
  Medicare reassignment NPD
• Scarborough Family Medicine PLLC

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1558620559
  NPD

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1720403066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28326 STERLING OAK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864935",
            "telephone_number": "407-908-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 350",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042845",
            "telephone_number": "936-760-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABZINSKI",
        "first_name": "SUZANNE",
        "middle_name": "CULLERS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA08867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• K&K Medigo LLC
• Iman Kadri
• Sarah Mead Kaer
• Mahdi Mannan Kaheri, DO
• Perwaiz Kahn, M.D,
• Mark Kakos, LCDC

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.