Provider Demographics
NPI:1942398771
Name:COMPTON, SUSAN PARAMORE (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:PARAMORE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:ELIZABETH
Other - Last Name:PARAMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:504 N MACARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3636
Mailing Address - Country:US
Mailing Address - Phone:850-769-2158
Mailing Address - Fax:850-785-9220
Practice Address - Street 1:504 N MACARTHUR AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3636
Practice Address - Country:US
Practice Address - Phone:850-769-2158
Practice Address - Fax:850-785-9220
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98929207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00431491OtherRRB PTAN
FL278637100Medicaid
FL78327OtherBCBS OF FLORIDA
FL278637100Medicaid