Susan Ann Whitt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1034787 Issued in OH

Practice address

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9612

Phone

(614) 920-1000

Fax

(614) 920-1007

NPI assigned

Sep 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diley Medical Group LLC

  • Internal Medicine Physician
  • Canal Winchester, OH
  • NPI 1073787537
  Medicare reassignment

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347148800000",
    "number": "1750630414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD",
            "address_2": "SUITE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD",
            "address_2": "SUITE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "1034787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra White, LPN
• Rosia White, LPN
• Shauna White
• Sierra N White, IMFT
• David Edward Whitt, D.O.
• Wigs by Charlette
• Oliver Wilhelm
• Lashawnda Ashanti Williams-Miles, R.N
• Kim Williams
• Shamita Williams

• Medical Physician Assistant in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; 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.