Individual provider Active NPI

Suzanne Proctor Hallquist, PA-C

  • Medical Physician Assistant
  • Durham, NC
National Provider Identifier
1790334894
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-09418 Issued in NC
Practice address
234 Crooked Creek Pkwy Ste 200
Durham, NC 27713-8506
Phone
(919) 590-0157
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-09418 NC Primary

Addresses

Primary practice location

234 Crooked Creek Pkwy Ste 200
Durham, NC 27713-8506

Mailing address

103 N Fields Cir
Chapel Hill, NC 27516-4332
Phone (919) 381-0897

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191218002894 NC Practitioner - Physician Assistant 5799119061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

234 Crooked Creek Pkwy
Suite 200
Durham, NC 27713-8506
Phone (919) 213-6631

5834 Fayetteville Rd
Suite 113
Durham, NC 27713-9091
Phone (919) 544-6644

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-09418NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Nov 11, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Nov 11, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc Internal Medicine Current Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

234 Crooked Creek Pkwy
Ste 200
Durham, NC 27713
Phone (919) 213-6631

Interoperability endpoints

  • Direct secure messaging: shallquist406512@direct.medicine.duke.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1790334894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N FIELDS CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164332",
            "telephone_number": "919-381-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CROOKED CREEK PKWY STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138506",
            "telephone_number": "919-590-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLQUIST",
        "first_name": "SUZANNE",
        "middle_name": "PROCTOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.