Provider Demographics
NPI:1447286935
Name:BIGGS, SUZANNE OLIVIA (DO)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:OLIVIA
Last Name:BIGGS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7689 PINE RIDGE ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6397
Mailing Address - Country:US
Mailing Address - Phone:330-830-4132
Mailing Address - Fax:330-830-1129
Practice Address - Street 1:3821 WALES AVE NW
Practice Address - Street 2:SUITE A
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-1821
Practice Address - Country:US
Practice Address - Phone:330-830-4132
Practice Address - Fax:330-830-1129
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007052B207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000328558OtherUNICARE PROVIDER #
OH733257OtherBUCKEYE HEALTH PLAN
OH2159579Medicaid
OH000000328558OtherBCBS PROVIDER #
OH200830551027OtherCARESOURCE PROVIDER #
OH000000328558OtherUNICARE PROVIDER #
OH200830551027OtherCARESOURCE PROVIDER #