Susannah L Collier MD PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

24822 Issued in OK

Legal business name

SUSANNAH L COLLIER MD PLLC

Practice address

3705 W Memorial Rd
Suite 101
Oklahoma City, OK 73134-1512

Phone

(405) 751-0020

Fax

(405) 751-0009

NPI assigned

Sep 23, 2008

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susannah L Collier, MDNPI 1659355311

Title

Manager

Phone

(405) 751-0020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susannah L. Collier, M.D.

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
  • NPI 1659355311
  Medicare reassignment NPD Authorized official
• Elise I Brantley, MD

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1215148507
  NPD

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1831349281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W MEMORIAL RD",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341512",
            "telephone_number": "405-751-0020",
            "fax_number": "405-751-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W MEMORIAL RD",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341512",
            "telephone_number": "405-751-0020",
            "fax_number": "405-751-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNAH L COLLIER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-751-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "24822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halima Suria, MD
• Carla Dale Surrett
• Kevin Roger Surveyor
• Amber Ladawn Surz
• Jordan Kenneth Susac, MD
• Caroline Susmilch
• Sara Jean Sustich
• Mark John Sutherland, PHARM D
• Jo Sutherlin, LCSW MSW
• Sara E. Suthers, MD

• MOHS-Micrographic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• MOHS-Micrographic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.