Organization Active NPI

Susana May MD LLC

  • Adult Medicine Physician
  • Marathon, FL
National Provider Identifier
1730315128
Registry record updated May 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME62312 Issued in FL
Legal business name
SUSANA MAY MD LLC
Practice address
5701 Overseas Hwy
Suite 17
Marathon, FL 33050-2784
Phone
(305) 743-2253
Fax
(305) 743-5383
NPI assigned
May 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2009

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

Authorized official

Name
Dr. Susana May, MDNPI 1053383703
Title
Sole MBR
Phone
(305) 852-7490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X ME62312 FL Primary

Addresses

Primary practice location

5701 Overseas Hwy
Suite 17
Marathon, FL 33050-2784

Mailing address

PO Box 739
Tavernier, FL 33070-0739
Phone (305) 852-7490

Other identifiers 2

IdentifierTypeStateIssuer
18085OtherFLBCBS
370998100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091124000487 FL Part B Supplier - Clinic/Group Practice 5698814093 Receives reassigned benefits from 2 practitioners
Practice locations: Key Largo, FL; Palmetto Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243728000000",
    "number": "1730315128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330700739",
            "telephone_number": "305-852-7490",
            "fax_number": "305-743-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 OVERSEAS HWY",
            "address_2": "SUITE 17",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502784",
            "telephone_number": "305-743-2253",
            "fax_number": "305-743-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANA MAY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2009-05-31",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "305-852-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME62312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18085",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370998100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.