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Deactivated NPI 1154421618 Deactivated / Inactive NPI Male Practitioner

Dr. Jacques Georges Susset , MD

Urology • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacques Susset has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date June 19, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jacques Susset, MD was a registered Urology practicing in Providence, RI. Throughout an active medical career spanning 12 years, Dr. Susset provided care at the practice location at 151 WATERMAN ST until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

151 Waterman St

Providence, RI 029062118

Telephone 4012471078
Associated Practice Facility / Clinic
🏢 David T. Barrall Md, Inc Facility NPI 1609058460

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Providence, RI (71 Statewide)

Telehealth Adoption Rate
43.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License RI 5585

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1114386422

Doctor of Dental Medicine

Dr. Peter Payne , DMD

Dentist - Periodontics

NPI 1699828640

Doctor of Dental Medicine

Dr. Steven Sack , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1760580807

Doctor of Dental Medicine

Dr. David Barrall , MD

Plastic Surgery

NPI 1871581389

Doctor of Medicine (M.D.)

Dr. Lena Karkalas , DDS

Dentist - General Practice

NPI 1982613733

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 151 WATERMAN ST, PROVIDENCE, RI 029062118 (Tel: 4012471078)

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Updated Business Mailing Address July 08, 2007

Registered at 152 MIDDLE HWY, BARRINGTON, RI 028062303 (Tel: 4012471078)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUES SUSSET, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #5585 in RI)

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Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154421618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

152 Middle Hwy

Barrington, RI 028062303

Phone: 4012471078

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.