Active NPI
Susan C Parker, MD
- Colon & Rectal Surgery Physician
- Tucson, AZ
National Provider Identifier
1851300594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 36508
- Practice address
- 1501 N Campbell Ave
Tucson, AZ 85724-0001 - Phone
- (520) 874-4135
- Fax
- (520) 874-4135
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 36508 | MN | Primary |
Addresses
Primary practice location
1501 N Campbell Ave
Tucson, AZ 85724-0001
Mailing address
575 E River Rd
Tucson, AZ 85704-5822
Phone (520) 874-4135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226217700 | Medicaid | MN |
Other names 1
- Susan M Congilosi
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36508 | MN | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelvic Floor Center, LLC | Colon & Rectal Surgery | Past | Accepting new patients |
| Colon & Rectal Surgery Associates LTD | Colon & Rectal Surgery | Past | Accepting new patients |
| Banner-University Medical Group | Family Medicine | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1376596775
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1538107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1851300594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E RIVER RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045822",
"telephone_number": "520-874-4135",
"fax_number": "520-874-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-874-4135",
"fax_number": "520-874-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MN",
"license": "36508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226217700",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CONGILOSI",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.