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

Dr. Susannah E. Nicholson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679758718

Dr. Susannah E. Nicholson, MD is a General Surgery in San Antonio, Texas. Graduated from University of Texas Medical School at San Antonio in 2005, 21 years ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2008
Specialties on file
2
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

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence P6688 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679758718
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2008
Last updated in NPPESNovember 26, 2013

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2005 (21 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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