1073594164 NPI number — MS. SUSAN TOMLINSON STIEGLER PA

Table of content: MS. SUSAN TOMLINSON STIEGLER PA (NPI 1073594164)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073594164 NPI number — MS. SUSAN TOMLINSON STIEGLER PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STIEGLER
Provider First Name:
SUSAN
Provider Middle Name:
TOMLINSON
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TOMLINSON
Provider Other First Name:
SUSAN
Provider Other Middle Name:
SHERRILL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1073594164
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
FORT BELVOIR COMMUNITY HOSPITAL
Provider Second Line Business Mailing Address:
9300 DEWITT LOOP
Provider Business Mailing Address City Name:
FORT BELVOIR
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22060-5901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-231-0720
Provider Business Mailing Address Fax Number:
571-231-6607

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2480 LLEWELLYN AVE
Provider Second Line Business Practice Location Address:
FT. GEORGE G. MEADE
Provider Business Practice Location Address City Name:
FT MEADE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20755-5800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-677-8800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  C0001556 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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