MEDICARE: DR. SUSAN M TIONA M.D.

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	207Q00000X	Family Medicine Physician	58432	TN
2	207Q00000X	Family Medicine Physician	38802	OK
3	207Q00000X	Family Medicine Physician	142057	MT
4	207Q00000X	Family Medicine Physician	54643	AZ
5	207Q00000X	Family Medicine Physician	36388	CO

General Provider Information

NPI Number	:	1730342585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN M TIONA M.D.

Provider Business Mailing Address
First Line	:	2119 PAYTON CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1330
Country	:	US
Telephone Number	:	970-412-3413
Fax Number	:	719-434-9630

Provider Business Practice Location Address
First Line	:	2119 PAYTON CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1330
Country	:	US
Telephone Number	:	970-412-3413
Fax Number	:	719-434-9630

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	06/29/2025

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