Melanie M Suchanek, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME96800 Issued in FL

Practice address

5509 Grand Blvd
Suite 300
New Port Richey, FL 34652-3836

Phone

(727) 232-0644

Fax

(866) 615-6461

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1003002759
  NPD (past)
• Fall Prevention and Rehabilitation, LLP

  • Chiropractor
  • West Orange, NJ
  • NPI 1639105919
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1891801197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 GRAND BLVD",
            "address_2": "SUITE 300",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523836",
            "telephone_number": "727-232-0644",
            "fax_number": "866-615-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 GRAND BLVD",
            "address_2": "SUITE 300",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523836",
            "telephone_number": "727-232-0644",
            "fax_number": "866-615-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHANEK",
        "first_name": "MELANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96800",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME96800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277408900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00404899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Stubbs, RBT
• Jillian Audreya Fawn Stuper, DNP, MSN, FNP-C
• Kristi Sturgill, MS CCC-SLP
• Abelardo Suarez, RN
• Ronald Oscar Suarez, LMT
• Charles Livingston Suggs III, MD
• Brandi Sullivan, LCSW
• Claudia A Sullivan, LCSW
• Summerville at New Port Richey, LLC (Emeritus at New Port Richey)
• Courtney B'Nai Summerville, CEO

• Geriatric Medicine (Internal Medicine) Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.