Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Susan Zickefoose, MD

Individual provider Family Medicine Physician · NPI 1972647147

Dr. Mary Susan Zickefoose, MD is a Family Practice in Canon City, Colorado. Qualified in 1982, 44 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
44
Licensed in
CO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

571 Taylor Trl
Canon City, CO 81212-3600
Phone: (719) 275-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41337 (CO)

Record details

NPI number1972647147
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 19, 2007
Last updated in NPPESSeptember 5, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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