Individual
DR. JESSE G SUSI
Active
Individual
DR. JESSE G SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R7B02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900102
UNITED HEALTHCARE
MO
01
—
1092007002
CIGNA
MO
01
—
171747
HEALTHLINK
MO
01
—
200042300
RAILROAD MEDICARE
MO
05
—
203085907
—
MO
01
—
22344
BLUE CROSS BLUE SHIELD
MO
01
—
4420147
AETNA
MO
01
—
83374V3223
GROUP HEALTH PLAN
MO
Enumeration date
06/23/2006
Last updated
11/01/2021
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