Individual provider · Type 1 NPI

Susie Martha Ivanov, PA-C

Physician Assistant · Cincinnati, OH

NPI number 1750769253 Active

Practice location

427 Oregon St Apt 7
Cincinnati, OH 45202-1634

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	50.004262 (OH)
Surgical Physician Assistant	363AS0400X	50.004262 (OH)
Medical Physician Assistant	363AM0700X	50.004262 (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750769253

Susie Martha Ivanov, PA-C's National Provider Identifier is 1750769253, issued on May 15, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cincinnati, OH. The record was last updated on May 16, 2015.