Provider Demographics
NPI:1720158355
Name:SUITS, GEORGE STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:STEVEN
Last Name:SUITS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 639917
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-9917
Mailing Address - Country:US
Mailing Address - Phone:804-627-5000
Mailing Address - Fax:
Practice Address - Street 1:13400 CLEMSON BLVD
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1455
Practice Address - Country:US
Practice Address - Phone:864-506-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC08895207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCA8394OtherMEDICARE RR GROUP #
SC576005963001OtherCOMMERICAL ID #
SC088951Medicaid
SCP00292077OtherMEDICARE RR ID#
SC088951Medicaid
B918263410Medicare PIN
SCB91826Medicare UPIN
420048Medicare Oscar/Certification
SCB918265742Medicare PIN