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Contact Information

SUZANNE M PICA, MD
505 SHOPPERS DR
SUITE 2
WINCHESTER, KY40391
 Phone: 859-744-1358
 Fax: 859-744-3144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUZANNE M PICA · (Female)

NPI Number 1538233184
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 05/11/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 28114
  • KY Medicaid 64281140
  • KY Other 000000050542 ANTHEM BLUE CROSS
Hospital affiliation(s)
  • CLARK REGIONAL MEDICAL CENTER - (Acute Care)
    175 HOSPITAL DRIVE
    WINCHESTER, KY 40391
  • SAINT JOSEPH EAST - (Acute Care)
    150 NORTH EAGLE CREEK DRIVE
    LEXINGTON, KY 40509
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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