MEDICARE: DR. SUSAN D DUMAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	35-067238	OH
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	35-067238	OH
3	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	35-067238	OH
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	35-067238	OH
5	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	35-067238	OH
6	207LP3000X	Pediatric Anesthesiology Physician	35-067238	OH
7	207L00000X	Anesthesiology Physician	MD55837	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	50056447	OTHER	OH	RAILROAD MEDICARE
9	P00438132	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0583328	OTHER	OH	BCMH
3	000000221294	OTHER	OH	UNISON
4	000000516030	OTHER	OH	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	5981530	OTHER	OH	AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073535340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN D DUMAS MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-1716
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/21/2022

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