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MR. FRED M SUSICK
NPI 1760787816
Specialist in Fredericktown, PA

Active since January 21, 2011
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333(724) 632-6801(724) 632-6312 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Fred M Susick NPPES

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

MR. FRED M SUSICK (NPI 1760787816) is an individual specialist in Fredericktown, Pennsylvania and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1760787816
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. FRED M SUSICK
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 632-6801
Fax(724) 632-6312
Sole ProprietorNo
Enumeration DateJanuary 21, 2011
✔ NPI 1760787816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333
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Other Identifiers 2

Other328834A336347PA · Value Behavioral Health
Medicaid107288440051PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA MARIE BAKOS CRNP
Nurse Practitioner
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. YONG DAE CHO M.D.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. LUCARRIA POPIELARCHECK L.P.N A.C.M.
Specialist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
CENTERVILLE CLINICS, INC PEER SUPPORT
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MISS VICKI L MURRAY
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
SHELBY DUKE
Counselor
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. CECILIA L KNUTSEN
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
JAMES WHISNER
Social Worker (Clinical)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801

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 Fred Susick's NPI number?

The NPI number for Fred Susick is 1760787816. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Where is Fred Susick located?

Fred Susick practices at 1070 Old National Pike, Fredericktown, PA 15333. The listed phone number is (724) 632-6801.

What is Fred Susick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fred Susick was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.