Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNA BRADLEY THACH, M.D.
DeactivatedSUSANNA BRADLEY THACH, M.D. is a Hematology healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1558604272 is deactivated in the NPPES registry. Verify at CMS.
Hematology · SOUTH BURLINGTON, VT
This NPI has been deactivated.
The record was deactivated on August 18, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1558604272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2013 (12.380821917808 yrs)
- Last Updated
- Sep 5, 2025
- Deactivated
- Aug 18, 2025
- Licenses
-
2016-02415 (NC)042.0013606 (VT)
Practice Information
- Address
-
43 TIMBER LNSOUTH BURLINGTON, VT, 054035201Browse VT providers · Browse ZIP 05403
- Phone
- 8024950940
- Fax
- 8024483765
- Primary Specialty
-
Hematology
207RH0002X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.