Dr. Jeffrey Sussman
Surgical Oncologist
234 Goodman St Barrett Center, Ml 0772
Cincinnati
, Ohio 45267-1000
Dr. Jeffrey Sussman
Surgical Oncologist
234 Goodman St Barrett Center, Ml 0772
Cincinnati
, Ohio 45267-1000
(513) 585-5511
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Sussman
- Po Box 636256 Central Credentialing
- Cincinnati, OH
- Zip : 45263-6256
- Fax : (513) 585-5511
- Phone : (513) 585-5506
Second Address
- Dr. Jeffrey Sussman
- 234 Goodman St Barrett Center, Ml 0772
- Cincinnati, OH
- Zip : 45267-1000
- Fax : (513) 584-0459
- Phone : (513) 584-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 35-072812 | OH |
National Provider Identifier
| NPI | 1205804846 |
|---|---|
| Provider Name | Dr. Jeffrey Sussman |
| First Address | Cincinnati, OH 45263-6256 |
| Second Address | Cincinnati, OH 45267-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 12/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2040393 | (05) | OH |
| G13743 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.