Individual
SUSAN J BACK
Active
Individual
SUSAN J BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD429646
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD429646
PA
2085B0100X
Body Imaging Physician
MT184561
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD429646
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2007
Last updated
05/30/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up