Individual provider Active NPI

Susann Dempel, PA

  • Emergency Medicine Physician
  • Treasure Island, FL
National Provider Identifier
1992905848
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
PA9107862 Issued in FL
Practice address
10065 S Yacht Club Dr
Treasure Island, FL 33706-3101
Phone
(615) 243-0329
Fax
(615) 243-0329
NPI assigned
Jul 19, 2007
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TN595 TN
Emergency Medicine Physician 207P00000X PA9107862 FL Primary

Addresses

Primary practice location

10065 S Yacht Club Dr
Treasure Island, FL 33706-3101

Mailing address

10065 S Yacht Club Dr
Treasure Island, FL 33706-3101
Phone (615) 243-0329

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
595TNMDChiropractor
PA9107862FLMDEmergency Medicine Physician
TN595TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ehra Medical Services of Tennessee PC Single Specialty Past Accepting new patients
Brodrick ER SVCS Partnership LLC Single Specialty Past Accepting new patients
Sunbeam Point Emergency Physicians LLC Single Specialty Past Accepting new patients
TN-I Medical Services PC Single Specialty Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1992905848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 S YACHT CLUB DR",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063101",
            "telephone_number": "615-243-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 S YACHT CLUB DR",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063101",
            "telephone_number": "615-243-0329",
            "fax_number": "615-243-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPEL",
        "first_name": "SUSANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "TN595",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "PA9107862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.