Active NPI
Suzanne Emery Middlebrook, P.A.
- Physician Assistant
- Center, TX
National Provider Identifier
1972829786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01200
- Practice address
- 304 Logansport St
Center, TX 75935-3521 - Phone
- (936) 598-3226
- Fax
- (936) 598-3255
- NPI assigned
- Apr 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01200 | TX | Primary |
Addresses
Primary practice location
304 Logansport St
Center, TX 75935-3521
Mailing address
304 Logansport St
Center, TX 75935-3521
Phone (936) 598-3226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1972829786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LOGANSPORT ST",
"city": "CENTER",
"state": "TX",
"postal_code": "759353521",
"telephone_number": "936-598-3226",
"fax_number": "936-598-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 LOGANSPORT ST",
"city": "CENTER",
"state": "TX",
"postal_code": "759353521",
"telephone_number": "936-598-3226",
"fax_number": "936-598-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLEBROOK",
"first_name": "SUZANNE",
"middle_name": "EMERY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.