Individual provider Active NPI

Susan Jean St.Germain

  • Specialist
  • Worcester, MA
National Provider Identifier
1952551806
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
237 Millbury St
Worcester, MA 01610-2177
Phone
(508) 755-1228
Fax
(508) 797-3477
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA Primary

Addresses

Primary practice location

237 Millbury St
Worcester, MA 01610-2177

Mailing address

237 Millbury St
Worcester, MA 01610-2177
Phone (508) 755-1228

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1952551806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MILLBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102177",
            "telephone_number": "508-755-1228",
            "fax_number": "508-797-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MILLBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102177",
            "telephone_number": "508-755-1228",
            "fax_number": "508-797-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.GERMAIN",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.