Mrs. Susan E. Desjardins

MD | Pediatric Cardiology | Female

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Complete Profile:

Mrs. Susan E. Desjardins basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Mrs. Susan E. Desjardins
Credential :	MD
Gender :	Female

Business Address:

Mrs. Susan E. Desjardins 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 :	1222 S Orange Ave Orlando, FL, 32806-1215 United States
Phone Number :	407-649-6907
Fax Number :	407-481-2035

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 :	1124092473
NPI Entity Type :	Individual
First Enrolment Date :	14 Feb, 2006
Last Updated On :	11 Nov, 2016

Medicare Participation:

Mrs. Susan E. Desjardins participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5991757841
Medicare Enrollment ID :	I20050218000410
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1991
Accepts Medicare?	Yes. Mrs. Susan E. Desjardins accepts medicare insurance.

Group Practice Association:

Mrs. Susan E. Desjardins 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 Mrs. Susan E. Desjardins 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
Orlando Health Medical Group Inc	9537059084	1287	1222 S Orange Ave Orlando, FL - 328061215 Ph: 4076501300	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 Mrs. Susan E. Desjardins are as mentioned. Primary taxonomy code for Mrs. Susan E. Desjardins, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	ME88230	FL

Legacy Identifiers:

Other legacy medical identifiers of Mrs. Susan E. Desjardins such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
267945100	MEDICAID	FL
ME88230	Other	FL	MEDICAL LICENSE

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 :	1222 S Orange Ave Orlando, FL, 32806-1215 United States
Phone Number :	407-649-6907
Fax Number :	407-481-2035

Business Location:

Patients can refer following map for directions to Mrs. Susan E. Desjardins practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.