Randall H Suslick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101032102 Issued in VA

Practice address

946 N Main St
Chase City, VA 23924-1139

Phone

(434) 372-5141

Fax

(434) 372-8910

NPI assigned

Jun 10, 2005

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1841294493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241139",
            "telephone_number": "434-372-5141",
            "fax_number": "434-372-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 N MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241139",
            "telephone_number": "434-372-5141",
            "fax_number": "434-372-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSLICK",
        "first_name": "RANDALL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Chase City, VA
• Providers in Chase City, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.