Susan Elizabeth Champion, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

166997 Issued in NY

Practice address

St. Mary's Rehabilitation Center for Children
15 Valley Spring Road
Ossining, NY 10562

Phone

(914) 333-7061

Fax

(914) 333-7175

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972686723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. MARY'S REHABILITATION CENTER FOR CHILDREN",
            "address_2": "15 VALLEY SPRING ROAD",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-333-7061",
            "fax_number": "914-333-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. MARY'S REHABILITATION CENTER FOR CHILDREN",
            "address_2": "15 VALLEY SPRING ROAD",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-333-7061",
            "fax_number": "914-333-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "166997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Ossining, NY
• Providers in Ossining, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.