Individual provider Active NPI

Suzan Hadwan, DO

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1962857607
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO2707 Issued in NV
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

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address SUZAN.HADWAN@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230214002758 OH Practitioner - Neurology 2264726090 Reassigns benefits to 1 organization
I20260625004442 MI Practitioner - Neurology 2264726090 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5101022266MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 26, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 26, 2023 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

  • Direct secure messaging: suzan.hadwan@hca3.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.