Individual
DR. CASSANDRA A SUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916
(865) 541-8000
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56588
TN
208000000X
Pediatrics Physician
Primary
24740
NE
208M00000X
Hospitalist Physician
56588
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-02002
SHARE ADVANTAGE
NE
05
—
47037975441
—
NE
Enumeration date
04/20/2007
Last updated
01/21/2020
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