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MRS. SUSIE MARTHA IVANOV PA-C
NPI 1750769253
Physician Assistant in Cincinnati, OH

Active since May 15, 2015
427 OREGON ST APT 7, CINCINNATI, OH 45202(513) 807-5707 Get Directions Write a Review

NPPES record last updated: May 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susie Martha Ivanov Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSIE MARTHA IVANOV PA-C (NPI 1750769253) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.004262) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1750769253
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SUSIE MARTHA IVANOVCredential: PA-C
Location Address427 OREGON ST APT 7Cincinnati, OH 45202-1634
Mailing Address427 Oregon St Apt 7Cincinnati, OH 45202-1634 · (513) 807-5707
Phone(513) 807-5707
Sole ProprietorYes
Enumeration DateMay 15, 2015
Last NPPES UpdateMay 16, 2015
✔ NPI 1750769253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.004262
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 50.004262 (OH)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50.004262 (OH)
427 OREGON ST APT 7, Cincinnati, OH 45202
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Ivanov's NPI number?

The NPI number for Susie Ivanov is 1750769253. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Susie Ivanov located?

Susie Ivanov practices at 427 Oregon St Apt 7, Cincinnati, OH 45202. The listed phone number is (513) 807-5707.

What is Susie Ivanov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susie Ivanov was last updated on May 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.