Individual provider Active NPI

Suzanne I Rovan, DVM

  • Veterinarian
  • Natick, MA
National Provider Identifier
1750623757
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
5578 Issued in MA
Practice address
5 Strathmore Rd
Natick, MA 01760-2418
Phone
(508) 319-2117
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 5578 MA Primary

Addresses

Primary practice location

5 Strathmore Rd
Natick, MA 01760-2418

Mailing address

5 Strathmore Rd
Natick, MA 01760-2418
Phone (508) 319-2117

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
5578MAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1750623757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STRATHMORE RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602418",
            "telephone_number": "508-319-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STRATHMORE RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602418",
            "telephone_number": "508-319-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVAN",
        "first_name": "SUZANNE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MA",
            "license": "5578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.