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

Susan Yanik

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700206307

Susan Yanik is an Otolaryngology in Concord, North Carolina. Graduated from Southern Illinois University School of Medicine in 2014, 12 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Trained at
Southern Illinois University School of Medicine
Licensed in
NC
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

645 Amalia St NE
Concord, NC 28025-2434
Phone: (704) 295-3255
Fax: (704) 295-7791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-4678

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2020-02127 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700206307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address645 Amalia St Ne, Concord, NC 28025-2434

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Concord