Provider Demographics
NPI:1255503322
Name:SUZANNE MARTEL PITTS, M.D., P.C.
Entity Type:Organization
Organization Name:SUZANNE MARTEL PITTS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MARTEL
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-347-4902
Mailing Address - Street 1:35 HORNER ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3433
Mailing Address - Country:US
Mailing Address - Phone:540-347-4902
Mailing Address - Fax:
Practice Address - Street 1:35 HORNER ST
Practice Address - Street 2:SUITE 110
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3433
Practice Address - Country:US
Practice Address - Phone:540-347-4902
Practice Address - Fax:540-347-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-29
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010 511452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10522Medicare PIN