SUSAN BOCCAROSSA MD – NPI #1861496622
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SUSAN BOCCAROSSA is a physician located in BRISTOL, TN. NPPES has assigned the NPI number 1861496622 to SUSAN BOCCAROSSA on June 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Jan 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN BOCCAROSSA below.

NPI Profile for
SUSAN BOCCAROSSA

NPI Number
1861496622
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN BOCCAROSSA
Credentials
MD
Primary location
240 MEDICAL PARK BLVD
STE 3600
BRISTOL, TN 37620-7349
Phone: (423) 990-2414 Fax:
Mailing address
PO BOX 9
KINGSPORT, TN 37662-0009
Phone: (423) 857-2066 Fax: (423) 857-2070
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN BOCCAROSSA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA5830508
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
TN MD 29434

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.