SUSAN BOCCAROSSA MD
NPI 1861496622
Internal Medicine in Bristol, TN
- Individual
- Female
- Internal Medicine
About SUSAN BOCCAROSSA
This page provides the complete NPI Profile along with additional information for Susan Boccarossa, an internist established in Bristol, Tennessee with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1861496622 assigned on June 2005. The practitioner's primary taxonomy code is 207R00000X with license number MD 29434 (TN). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1861496622 Verify this NPI
- Provider Name
- SUSAN BOCCAROSSA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 240 MEDICAL PARK BLVD STE 3600 BRISTOL, TN 37620
- Location Phone
- (423) 990-2414
- Mailing Address
- PO BOX 9 KINGSPORT, TN 37662
- Mailing Phone
- (423) 857-2066
- Mailing Fax
- (423) 857-2070
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 01-03-2008
- Code Navigator
An internist like Susan Boccarossa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 29434
- License State
- TN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 |
|---|---|---|---|
| 0281780003 | MEDICARE PIN (08) | ||
| 5830508 | MEDICAID (05) | VA | |
| 3837340 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | |
| 0281780001 | MEDICARE PIN (08) | ||
| CC0450 | MEDICARE PIN (08) | VA | |
| F00909 | MEDICARE UPIN (02) | ||
| 3837341 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRISTOL, TN 37620
BRISTOL, TN 37620
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861496622, enumerated as an "individual" on June 09, 2005.
The provider is located at 240 MEDICAL PARK BLVD STE 3600 BRISTOL, TN 37620 and the phone number is (423) 990-2414.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
