Susan E Duthie, MD | |
3626 Ruffin Rd, San Diego, CA 92123-1810 | |
(858) 565-9666 | |
(858) 565-9441 |
Full Name | Susan E Duthie |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 3626 Ruffin Rd, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831129808 | NPI | - | NPPES |
00G612470 | Other | CA | BLUE SHIELD OF CA |
00G612470 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | G61247 (California) | Primary |
208000000X | Pediatrics | G61247 (California) | Secondary |
Entity Name | Anesthesia Service Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450 |
Mailing Address | Practice Location Address |
---|---|
Susan E Duthie, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 | Susan E Duthie, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 |
Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |