Provider Demographics
NPI:1538369756
Name:HELMING, SUZANNE CHRISTINE (DO)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CHRISTINE
Last Name:HELMING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:C
Other - Last Name:KIRCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1330 COSHOCTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-1440
Mailing Address - Country:US
Mailing Address - Phone:740-397-0700
Mailing Address - Fax:740-392-4620
Practice Address - Street 1:1451 YAUGER RD
Practice Address - Street 2:STE 1B
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8097
Practice Address - Country:US
Practice Address - Phone:740-397-0700
Practice Address - Fax:740-392-4620
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010562207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH102870Medicare PIN