Active NPI
Suzanna Poplawski, PA-C
- Physician Assistant
- Hartford, CT
National Provider Identifier
1932611571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3996
- Practice address
- 85 Seymour St Ste 200
Hartford, CT 06106-5509 - Phone
- (860) 246-6589
- NPI assigned
- Nov 3, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3996 | CT | Primary |
Addresses
Primary practice location
85 Seymour St Ste 200
Hartford, CT 06106-5509
Mailing address
111 Founders PLZ Ste 400
East Hartford, CT 06108-3240
Other practice location 1
399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 676-0110
Other practice location 2
399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 676-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Wethersfield, CT
- NPI 1740315761
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1396795951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1932611571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLZ STE 400",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST STE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065509",
"telephone_number": "860-246-6589"
}
],
"practiceLocations": [
{
"address_1": "399 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321936",
"country_code": "US",
"telephone_number": "860-676-0110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "399 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321936",
"country_code": "US",
"telephone_number": "860-676-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POPLAWSKI",
"first_name": "SUZANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "3996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.