MS. SUSAN KAYE O'MARA (NPI# 1043553720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043553720 |
| Entity Type | Individual |
| Full Name | MS. SUSAN KAYE O'MARA |
| Credential | APN |
| Practice Address |
1775 Dempster St Park Ridge IL 60068-1143 |
| Practice Telephone | 8477237939 |
| Practice Fax Number | 8477232272 |
| Mailing Telephone | 8477237939 |
| Mailing Fax Number | 8477232272 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
209.000384 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710033451 | Susan R O'mara | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-2976 | 2007-01-26 |
| Street Address |
1775 DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642452 | Asya S. Ali | Pathology | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2005-07-12 |
| 1245847656 | Susie Annette Gonzalez | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-09-29 |
| 1598370231 | Maria Staed Dwyer | Physical Therapist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-09-10 |
| 1851906598 | Izabela Koszczuk | Physical Therapist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-09-10 |
| 1760097406 | Mark Andrew Fasick | Physical Therapist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-09-10 |
| 1962014183 | Eric Swanson | Nurse Anesthetist, Certified Registered | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-08-19 |
| 1740804046 | Lauren Kay | Nurse Practitioner | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-06-02 |
| 1326660234 | Kellyn Bailey | Occupational Therapist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-05-13 |
| 1659992964 | Emma Hogaboom | Physical Therapist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-04-28 |
| 1003436403 | Sandra Kroschel | Nurse's Aide | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2020-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800603 | Marie Hagman | Clinical Nurse Specialist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2015-05-17 |
| 1013266352 | Deborah Jean Kantoris | Clinical Nurse Specialist | 1775 Dempster Street, Park Ridge, IL 60068 | 2012-08-31 |
| 1831490523 | Lynn E Klassman | Clinical Nurse Specialist | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891978672 | Sara L Mccavitt | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Ste G13, Peoria, IL 61637-0001 | 2007-12-14 |
| 1356352512 | Mary Digate | Clinical Nurse Specialist | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2006-08-11 |
| 1427690700 | Schuyler A Perez De Salmeron | Clinical Nurse Specialist | 333 Madison St, Joliet, IL 60435-8200 | 2019-10-08 |
| 1437707825 | Tracy Laluma Montesa | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-08-28 |
| 1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
| 1598284473 | Margaret Kearney | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2017-09-12 |
| 1699293936 | Anne Jenisch | Clinical Nurse Specialist | 2160 South First Avenue, Building 110, Room 6201, Maywood, IL 60523 | 2017-09-07 |
| 1700313202 | Carissa Waters | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2017-05-15 |
| 1548706708 | Veronica Matticks | Clinical Nurse Specialist | 1200 S York St, Suite Number 1132, Elmhurst, IL 60126-5626 | 2017-01-12 |
| 1366987406 | Jennifer Yokopenic | Clinical Nurse Specialist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2016-12-28 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.