Active NPI
Suzanne Sysko Clough, MD
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
National Provider Identifier
1972779221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- D61441
- Practice address
- 115 Norris Rd
Wilmington, DE 19803-4516 - Phone
- (443) 414-3764
- NPI assigned
- May 7, 2008
- Last updated
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | D61441 | MD | Primary |
Addresses
Primary practice location
115 Norris Rd
Wilmington, DE 19803-4516
Mailing address
115 Norris Rd
Wilmington, DE 19803-4516
Phone (443) 414-3764
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D61441 | MD | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1972779221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NORRIS RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198034516",
"telephone_number": "443-414-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NORRIS RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198034516",
"telephone_number": "443-414-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "SUZANNE",
"middle_name": "SYSKO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MD",
"license": "D61441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.