Individual provider Active NPI

Suzanne Stevens Garcia, PA-C

  • Physician Assistant
  • Springfield, OR
National Provider Identifier
1851452163
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003266 Issued in VA
Practice address
21 Hayden Bridge Way
Springfield, OR 97477-1305
Phone
(541) 741-1226
Fax
(541) 741-0673
NPI assigned
Dec 12, 2006
Last updated
Aug 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003266 VA Primary
Medical Physician Assistant 363AM0700X PA01017 OR

Addresses

Primary practice location

21 Hayden Bridge Way
Springfield, OR 97477-1305

Mailing address

110 Houston St
Suite D
Lexington, VA 24450-2448
Phone (540) 462-3950

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01017ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Virginia University Current Accepting new patients
Southern Virginia University Current Accepting new patients
Carilion Emergency Services, Inc. Past Accepting new patients
Carilion Emergency Services, Inc. PastSince Dec 17, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgarcia93500@direct.carilionclinic.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1851452163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOUSTON ST",
            "address_2": "SUITE D",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502448",
            "telephone_number": "540-462-3950",
            "fax_number": "540-464-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771305",
            "telephone_number": "541-741-1226",
            "fax_number": "541-741-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SUZANNE",
        "middle_name": "STEVENS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003266",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.