SUSONNE ANNETTE URSIN M.D.
NPI 1700803608
Medical Genetics - Clinical Genetics (M.D.) in Shreveport, LA
NPI Status: Active since July 16, 2006
Contact Information
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-6076
Fax: (318) 675-6059
- Individual
- Female
- Medical Genetics
- Clinical Genetics (M.D.)
- PECOS Enrolled
About SUSONNE URSIN
This page provides the complete NPI Profile along with additional information for Susonne Ursin, a provider established in Shreveport, Louisiana with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1700803608 assigned on July 2006. The practitioner's primary taxonomy code is 207SG0201X with license number 013853 (LA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1700803608
- Provider Name
- SUSONNE ANNETTE URSIN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 KINGS HWY DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS SHREVEPORT, LA 71103
- Location Phone
- (318) 675-6076
- Location Fax
- (318) 675-6059
- Mailing Address
- 1501 KINGS HWY DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS SHREVEPORT, LA 71103
- Mailing Phone
- (318) 675-6076
- Mailing Fax
- (318) 675-6059
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-16-2006
- Last Update Date
- 07-31-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 013853
- License State
- LA
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B61461 | MEDICARE UPIN (02) | LA | |
| 1194484 | MEDICAID (05) | LA | |
| 5L740F600 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA |
Medicare Participation & PECOS Enrollment Status
Susonne Ursin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 0 | 3 | 6 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 0 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 0 + 6 + 6 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1700803608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KIMBERLY E MEYER PA-C
Physician Assistant
1501 KINGS HWY
DEPT. OF NEUROSURGERY
SHREVEPORT, LA
ZIP 71103
MARY T KIM M.D.
Surgery
(Plastic and Reconstructive Surgery)
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
DR. EZEKIEL J WETZEL M.D.
Anesthesiology
1501 KINGS HWY
DEPARTMENT OF ANESTHESIA
SHREVEPORT, LA
ZIP 71103
MR. AARON DEAN CHAUVIN PAC
Physician Assistant
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Surgery
1501 KINGS HWY
LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA
ZIP 71103
PHILIP DONALD ISHERWOOD M.D.
Family Medicine
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
DR. WENDALL A WILSON M.D.
Internal Medicine
1501 KINGS HWY
DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION
SHREVEPORT, LA
ZIP 71103
MS. NANCY K BUSHNELL-HARPER MA, LPC
Counselor
1501 KINGS HWY
LSUHSC-S DEPARMTENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
MICHAEL LORING MADDEN M.D.
Family Medicine
1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103
LARRY JOHATHAN EMBREE JR. M.D.
Psychiatry & Neurology
(Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
ALIREZA MINAGAR M.D.
Psychiatry & Neurology
(Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
ROSARIO MARIA RIEL-ROMERO M.D.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
1501 KINGS HWY
DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA
ZIP 71103
DR. LAUREN MOONAN YOREK M.D.
Emergency Medicine
1501 KINGS HWY
DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA
ZIP 71103
FREDERICK DEAN HEARD M.D.
Family Medicine
1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA
ZIP 71103
EDWARD HOPKINS LEATHERMAN M.D.
Psychiatry & Neurology
(Psychiatry)
1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
GRACE C TENORIO M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
DEEPTI SHUKLA MBBS
Pathology
(Anatomic Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
PATRICK A ADEGBOYEGA M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1501 KINGS HWY
DEPARTMENT OF PATHOLOGY
SHREVEPORT, LA
ZIP 71103
RONALD GILBERT NIERMAN LPC
Counselor
(Professional)
1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT, LA
ZIP 71103
DR. OLUGBENGA A AKINGBOLA M.D.
Pediatrics
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS
SHREVEPORT, LA
ZIP 71103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700803608, enumerated as an "individual" on July 16, 2006.
The provider is located at 1501 KINGS HWY DEPARTMENT OF PEDIATRICS, SECTION OF GENETICS SHREVEPORT, LA 71103 and the phone number is (318) 675-6076.
Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
