SUSAN ANNE EDNA EVANS (NPI# 1003131061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003131061 |
| Entity Type | Individual |
| Full Name | SUSAN ANNE EDNA EVANS |
| Credential | DPM |
| Practice Address |
1411 N Taylor Dr Sheboygan WI 53081-3043 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1034-25 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143446 | Susan Elizabeth Evans | Nurse Practitioner | 2540 Elko Rd, Elko, GA 31025-2202 | 2020-10-28 |
| 1841842085 | Susan Marie Evans | Home Health | 1319 Lyon St Apt B, Columbia, SC 29204-1993 | 2019-07-09 |
| 1174099352 | Susan Beth Evans | Occupational Therapist | 320 Town Center Blvd Ste C-101, White Lake, MI 48386-2183 | 2018-10-16 |
| 1760957773 | Susan Evans | Occupational Therapist | 443 Fairmont Ter, Port Charlotte, FL 33954-3462 | 2018-10-05 |
| 1932682630 | Susan Esther Evans | Occupational Therapist | 201 S Lloyd St Ste W210, Aberdeen, SD 57401-4521 | 2018-09-10 |
| 1659815850 | Susan Jane Evans | Counselor | 3836 Sacramento St, San Francisco, CA 94118-1626 | 2016-12-07 |
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| 1316296130 | Susan Evans | Physician Assistant | 1523 New York Ave, Brooklyn, NY 11210-2738 | 2012-09-07 |
| 1801198924 | Susan Gail Evans | Massage Therapist | 210 West Evergreen Elite Muscular Therapy, Suite 500, Vancouver, WA 98660 | 2010-11-22 |
| 1972753341 | Susan Evans | Social Worker | 4009 Pinecrest Dr, Champaign, IL 61822-9214 | 2008-09-23 |
| Street Address |
1411 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483543 | Karen Lu Colvin | Nurse Anesthetist, Certified Registered | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-01-31 |
| 1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
| 1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
| 1821582016 | Lauren Sheafer | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-20 |
| 1033603774 | Marlee Anne Hall | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-16 |
| 1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
| 1417300518 | Prevea | Clinic/Center | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2016-07-13 |
| 1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
| 1346668936 | St Nicholas Hospital-sisters of The Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2014-04-01 |
| 1093145773 | Marylou Mercado | Registered Nurse | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
| 1326008277 | Terry L Clark | Podiatrist | 728 Pennsylvania Ave, Sheboygan, WI 53081-4669 | 2006-03-24 |
| 1437689171 | Morgan G O'connell | Podiatrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2017-06-15 |
| 1134171416 | Dawn M Tesky | Podiatrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-05-16 |
| 1477502219 | William P Hodous | Podiatrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1588282453 | Family Foot and Ankle Clinic LLC | Podiatrist | 1021 Western Ave Ste C, Mosinee, WI 54455-1511 | 2020-07-08 |
| 1376161240 | Family Foot and Ankle Clinic LLC | Podiatrist | 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 | 2020-07-08 |
| 1922637107 | Torhorst Foot and Ankle Clinic, Sc | Podiatrist | 2823 Post Rd, Stevens Point, WI 54481-6416 | 2020-04-08 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1912310152 | Wyatt Isaac Wiedenfeld | Podiatrist | 853 S Main St, Oconto Falls, WI 54154-1203 | 2014-06-05 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1972856169 | Midwest Foot and Wound Care Center LLC | Podiatrist | W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 | 2012-10-25 |
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 1366724478 | Visiting Md Ltd | Podiatrist | 2426 N Grandview Blvd Ste D, Waukesha, WI 53188-6905 | 2011-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.