Active NPI
Suzanne A Salhab, M.D
- Addiction Medicine (Family Medicine) Physician
- Temple Terrace, FL
National Provider Identifier
1811200165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME119290
- Practice address
- 11808 N 56TH St
Temple Terrace, FL 33617-1536 - Phone
- (813) 769-9866
- Fax
- (813) 315-6313
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME119290 | FL | |
| Specialist | 174400000X | ME119290 | FL | |
| Family Medicine Physician | 207Q00000X | ME119290 | FL | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME119290 | FL | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | ME119290 | FL | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME119290 | FL | Primary |
Addresses
Primary practice location
11808 N 56TH St
Temple Terrace, FL 33617-1536
Mailing address
11808 N 56TH St
Temple Terrace, FL 33617-1536
Phone (813) 769-9866
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01430305 | Other | FL | R&R MEDICARE |
| 651548 | Medicaid | FL | |
| ME119290 | Other | FL | ACTIVE LICENSE |
Other names 1
- Dr. Suzanne A Salhab
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| Suz M.D. LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Temple Terrace, FL
- NPI 1891233219
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1811200165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171536",
"telephone_number": "813-769-9866",
"fax_number": "813-315-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171536",
"telephone_number": "813-769-9866",
"fax_number": "813-315-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALHAB",
"first_name": "SUZANNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME119290",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME119290",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME119290",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME119290",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "FL",
"license": "ME119290",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME119290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R&R MEDICARE",
"identifier": "P01430305",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651548",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACTIVE LICENSE",
"identifier": "ME119290",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "SALHAB",
"middle_name": "A",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.