Dr. Jesse G Susi
Orthopaedic Surgeon
675 Old Ballas Rd Ste 100
Saint Louis
, Missouri 63141-7083
Dr. Jesse G Susi
Orthopaedic Surgeon
675 Old Ballas Rd Ste 100
Saint Louis
, Missouri 63141-7083
(314) 733-9009
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jesse G Susi
- 675 Old Ballas Rd Ste 100
- Saint Louis, MO
- Zip : 63141-7083
- Phone : (314) 733-9009
Second Address
- Dr. Jesse G Susi
- 675 Old Ballas Rd Ste 100
- Saint Louis, MO
- Zip : 63141-7083
- Phone : (314) 733-9009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | R7B02 | MO |
National Provider Identifier
| NPI | 1033145875 |
|---|---|
| Provider Name | Dr. Jesse G Susi |
| First Address | Saint Louis, MO 63141-7083 |
| Second Address | Saint Louis, MO 63141-7083 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 01/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0900102 | UNITED HEALTHCARE (01) | MO |
| 1092007002 | CIGNA (01) | MO |
| 171747 | HEALTHLINK (01) | MO |
| 200042300 | RAILROAD MEDICARE (01) | MO |
| 203085907 | (05) | MO |
| 22344 | BLUE CROSS BLUE SHIELD (01) | MO |
| 4420147 | AETNA (01) | MO |
| 83374V3223 | GROUP HEALTH PLAN (01) | MO |
| C28514 | (02) | MO |
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.