Individual provider Active NPI

Suzanne Lagosky, DO

  • Interventional Pain Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1871541821
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0102037211 Issued in VA
Practice address
5213 Hickory Park Dr
Suite B
Glen Allen, VA 23059-2617
Phone
(703) 914-8000
Fax
(703) 642-3487
NPI assigned
May 4, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 0102037211 VA
Interventional Pain Medicine Physician 208VP0014X 0102037211 VA Primary

Addresses

Primary practice location

5213 Hickory Park Dr
Suite B
Glen Allen, VA 23059-2617

Mailing address

PO Box 79088
Baltimore, MD 21279-0088
Phone (703) 914-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0102037211VAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates LTD Past Accepting new patients
Midatlantic Spine Specialists P C Past Accepting new patients
Springfield Medical Center, P.C. 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, 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1871541821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79088",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790088",
            "telephone_number": "703-914-8000",
            "fax_number": "804-270-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 HICKORY PARK DR",
            "address_2": "SUITE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592617",
            "telephone_number": "703-914-8000",
            "fax_number": "703-642-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOSKY",
        "first_name": "SUZANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0102037211",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0102037211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.