MRS. MARIE MAUDE SUSSMAN (NPI# 1043470966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043470966 |
| Entity Type | Individual |
| Full Name | MRS. MARIE MAUDE SUSSMAN |
| Credential | NP |
| Practice Address |
1205 N Hwy 11 West Union SC 29696 |
| Mailing Address |
282 Jocassee Ridge Way Salem SC 29676 |
| Practice Telephone | 8646385402 |
| Practice Fax Number | 8646386126 |
| Mailing Telephone | 9143918853 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 18034 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | F420414-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 N HWY 11 |
| City | WEST UNION |
| State | SC |
| Zip Code | 29696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450075 | The Truth Outreach | Clinic/Center | 185 Cornerstone Drive, West Union, SC 29696 | 2015-10-27 |
| 1699955898 | Kimberly Hart Lauer | Physical Therapist | 148 Foothills Center Dr Ste 148&150, West Union, SC 29696 | 2007-11-06 |
| 1164583183 | C Fred Marcinak Dmd Pa | Dentist | 102 Lusk Drive, West Union, SC 29696 | 2006-12-13 |
| 1700814522 | Frederick Harold Alexander Jr. | Pharmacist | 180 Scenic Hwy, West Union, SC 29696 | 2006-06-29 |
| 1457535072 | Gregory Norwood Winburn | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2007-12-18 |
| 1588732572 | Jeffrey Wayne Pierce | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2006-11-30 |
| 1740295690 | Ingles Markets Inc | Pharmacy | 180 Scenic Hwy, West Union, SC 29696 | 2006-07-29 |
| 1366052490 | Casey Bishe | Physical Therapist | 148 Foothills Center Dr # 148, West Union, SC 29696-2518 | 2020-08-04 |
| 1528489671 | Thomas John Chestnut | Physical Therapist | 148 Foothills Center Dr Ste 148, West Union, SC 29696-2518 | 2013-12-16 |
| 1669575437 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 105 Foothills Center Dr, West Union, SC 29696-2518 | 2006-09-07 |
| Find all providers in zip 29696 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366814428 | Kayla Ross | Nurse Practitioner | 90 Cic Boulevard, West Union, OH 45693-8024 | 2015-10-28 |
| 1629535190 | Natosha Leigh Staggs | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2019-02-21 |
| 1871002030 | Andrew Edwin Shaheen | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2017-09-20 |
| 1326568528 | Sarica Lillie | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2017-06-20 |
| 1447611652 | Tara R. Applegate | Nurse Practitioner | 90 Cic Blvd, West Union, OH 45693-8024 | 2016-03-15 |
| 1780752709 | United Physicians Care Inc | Nurse Practitioner | 302 Columbia St, West Union, WV 26456-1108 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1508473232 | Terry Kaye Hanks Busby | Nurse Practitioner | 1103 Harpers Way, Anderson, SC 29621-3519 | 2020-09-27 |
| 1083229439 | Melissa Lynn Doering | Nurse Practitioner | 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3153 | 2020-09-12 |
| 1518572353 | Lucretia D Sanders | Nurse Practitioner | 4201 Grand St Apt L, Columbia, SC 29203-6668 | 2020-09-09 |
| 1871106955 | Ashley Buntura | Nurse Practitioner | 224 Haley Brooke Dr, Conway, SC 29526-6399 | 2020-08-28 |
| 1407467038 | Marcus Tedder | Nurse Practitioner | 1005 E Cheves St Ste 100, Florence, SC 29506-2707 | 2020-08-17 |
| 1255941571 | Megan Millhouse | Nurse Practitioner | 670 Medway Dr, Orangeburg, SC 29118-2823 | 2020-08-01 |
| 1790395101 | Natisha Denise Capers-howard | Nurse Practitioner | 4416 Rosabelle Rd, Johns Island, SC 29455-7301 | 2020-08-01 |
| 1760091482 | Melinda Kathryn Galford | Nurse Practitioner | 320 Falls St Apt 303, Greenville, SC 29601-2830 | 2020-07-28 |
| 1346862018 | Elevate Physical Medicine LLC | Nurse Practitioner | 700 Squires Pt Ste B, Duncan, SC 29334-8879 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 29696 |
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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.