Stephen Sussman
Otolaryngologist (ENT Doctor)
2180 Main St
Wailuku
, Hawaii 96793-1666
Stephen Sussman
Otolaryngologist (ENT Doctor)
2180 Main St
Wailuku
, Hawaii 96793-1666
(808) 948-7438
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Stephen Sussman
- 2180 Main St
- Wailuku, HI
- Zip : 96793-1666
- Fax : (808) 948-7438
- Phone : (808) 242-6464
Second Address
- Stephen Sussman
- 2180 Main St
- Wailuku, HI
- Zip : 96793-1666
- Fax : (808) 948-7438
- Phone : (808) 242-6464
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD11619 | HI |
National Provider Identifier
| NPI | 1003828815 |
|---|---|
| Provider Name | Stephen Sussman |
| First Address | Wailuku, HI 96793-1666 |
| Second Address | Wailuku, HI 96793-1666 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 09/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 238378 | HMSA, HMSA QUEST, 65CP (01) | HI |
| 515743 | UHA (01) | HI |
| 99017685996793B094 | TRICARE CHAMPUS (01) | HI |
| F45138 | (02) | HI |
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.