Active NPI
Suzan Hadwan, DO
- Neurology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- DO2707
- Practice address
- 3131 La Canada St Ste 101
Las Vegas, NV 89169-2592 - Phone
- (702) 961-7310
- NPI assigned
- May 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5101022266 | MI | |
| Neurology Physician | 2084N0400X | DO2707 | NV | Primary |
Addresses
Primary practice location
3131 La Canada St Ste 101
Las Vegas, NV 89169-2592
Mailing address
PO Box 100744
Atlanta, GA 30384-0744
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SUZAN.HADWAN@hca3.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3949 Sunforest CT
Toledo, OH 43623-4473
Phone (419) 475-9341
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022266 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health - St Vincent Medical Center LLC | Past | Accepting new patients |
Locations
2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
3949 Sunforest Ct
Toledo, OH 43623
Phone (419) 474-3399
Interoperability endpoints
- suzan.hadwan@hca3.eclinicaldirectplus.com
- shadwan543205@direct.hfhs.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1962857607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100744",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692592",
"telephone_number": "702-961-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADWAN",
"first_name": "SUZAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "5101022266",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "DO2707",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SUZAN.HADWAN@hca3.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3006 S Maryland Pkwy Ste 765",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891092246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.