Look up the most recent NPI and PECOS records

Susan Salahshor

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Salahshor is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043224611
Provider Type
Individual
Full Name
Salahshor, Susan
Credential
PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/28/2006
Last Updated
4/5/2019

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA3727 Florida

Susan Salahshor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Spinner, Shayla Berry

Mccrary, Melissa

Sommese, Melina Volner

Propst, Joshua

Frein, Kristen Ann

Feigel, Deborah Graves

Robinson, Eric

Randolph-Moss, Leslie Angelette

Czepizak, Christine A.

Brown, Robert Anthony