Susan H Andersen, MD
Individual provider Active NPI Pediatrics Physician · Wilson, NC
NPI 1891875340 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891875340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 32333 (NC)
- Practice address
- 1702 Medical Park Dr W
Wilson, NC 27893-2705 - Phone
- (252) 243-7944
- Fax
- (252) 243-6097
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32333 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- drandersen@easterncarolinapediatrics.opdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32333 | NC | Yes |
Addresses
Primary practice location
1702 Medical Park Dr W
Wilson, NC 27893-2705
Mailing address
1702 Medical Park Dr W
Wilson, NC 27893-2705
Phone (252) 243-7944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911095 | Medicaid | NC |
Other names
- Dr. Susan H Andersen
Other providers in Wilson, NC
- America'S Family Services
- Amethyst LLC
- Amy Grassi Watson, PC
- An & FC Barnes Health Services, Inc.
- Anchor Family Therapy
- Dudley Buist Anderson
- Holly Nichole Anderson
- Kent Thomas Anderson
- Anesthesia Services Associates
- Jane Angell
All providers in Wilson, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.