Provider Demographics
NPI:1194860163
Name:SUSAN FLOYD, MD, PC
Entity Type:Organization
Organization Name:SUSAN FLOYD, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-5220
Mailing Address - Street 1:2 ALLEGHENY CTR
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5402
Mailing Address - Country:US
Mailing Address - Phone:412-330-5220
Mailing Address - Fax:412-330-5522
Practice Address - Street 1:11676 PERRY HWY STE 3306
Practice Address - Street 2:WEXFORD PROFESSIONAL BLDG III
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7205
Practice Address - Country:US
Practice Address - Phone:724-940-1990
Practice Address - Fax:724-940-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036303E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017267250002Medicaid
PA0017267250002Medicaid
PA024052Medicare ID - Type Unspecified