Dr. Katie Goonan Sussman
M.D. | Pediatrics | Female
Dr. Katie Goonan Sussman, M.D. is a Rochester, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Katie Goonan Sussman is
222 Alexander St, Suite 4100, Rochester, New York - 14607-4005. She can be contacted on phone at
585-922-8230 and fax number 585-922-8260.
Dr. Katie Goonan Sussman is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katie Goonan Sussman is
1316142672 which was assigned by NPPES on 18 Jun, 2007 and it was last updated on 25 Mar, 2015.
Dr. Katie Goonan Sussman license number is
269979 for Pediatrics (208000000X) in New York.
Dr. Katie Goonan Sussman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Katie Goonan Sussman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Katie Goonan Sussman |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Katie Goonan Sussman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 222 Alexander St, Suite 4100
Rochester, NY, 14607-4005
United States |
|---|
| Phone Number : | 585-922-8230 |
|---|
| Fax Number : | 585-922-8260 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316142672 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 18 Jun, 2007 |
|---|
| Last Updated On : | 25 Mar, 2015 |
|---|
Medicare Participation:
Dr. Katie Goonan Sussman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9739375700 |
|---|
| Medicare Enrollment ID : | I20130826000538 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Johns Hopkins University School Of Medicine |
|---|
| Graduation Year : | 2007 |
|---|
| Accepts Medicare? | Yes. Dr. Katie Goonan Sussman accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Katie Goonan Sussman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Katie Goonan Sussman is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Rochester General Hospital | 0244149474 | 862 | 1455 E Ridge Rd
Rochester, NY - 146212006 | Yes |
| Rochester General Hospital | 0244149474 | 862 | 1425 Portland Ave
Rochester, NY - 146213001 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katie Goonan Sussman are as mentioned. Primary taxonomy code for Dr. Katie Goonan Sussman, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 269979 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Katie Goonan Sussman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036992600 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 222 Alexander St, Suite 4100
Rochester, NY, 14607-4005
United States |
|---|
| Phone Number : | 585-922-8230 |
|---|
| Fax Number : | 585-922-8260 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Katie Goonan Sussman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.