SUSAN LEA WIENAND (NPI# 1043713944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043713944 |
| Entity Type | Individual |
| Full Name | SUSAN LEA WIENAND |
| Credential | CDA, RDH |
| Practice Address |
100 Crozerville Rd Aston PA 19014-1444 |
| Mailing Address |
496 Gates St Philadelphia PA 19128-2507 |
| Practice Telephone | 1610459305 |
| Mailing Telephone | 2152196672 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | PHDH000989 | PA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH-010901-L | PA | Dental Providers |
| Street Address |
100 CROZERVILLE RD |
| City | ASTON |
| State | PA |
| Zip Code | 19014-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674351 | Prospect Ccmc, LLC | Clinic/Center | 100 Crozerville Rd, Aston, PA 19014-1444 | 2016-04-12 |
| 1326647090 | Alexandra Lee | Student in an Organized Health Care Education/Training Program | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-10-22 |
| 1639783186 | Claire Helligso | Social Worker | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-09-02 |
| 1972125599 | Paige Benjamin | Counselor | 100 Crozerville Rd, Aston, PA 19014-1444 | 2020-05-18 |
| 1386287829 | Shanta Austin | Counselor | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-10-28 |
| 1154964088 | Dana Shafer | Student in an Organized Health Care Education/Training Program | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-10-23 |
| 1811540370 | Tamika Dama Purvines | Social Worker | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-07-23 |
| 1639639065 | Nancy E Brown | Behavioral Analyst | 100 Crozerville Rd, Aston, PA 19014-1444 | 2019-03-21 |
| 1336617992 | Arisa Chan | Art Therapist | 100 Crozerville Rd, Aston, PA 19014-1444 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374135 | Lauren Walker | Physical Therapist | 482-484 Conchester Highway, Suite 7 & 8, Aston, PA 19014 | 2018-11-06 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1972925675 | Lylelaine Bacalla | Registered Nurse | 50 Andrews Court, Upper Chichester, PA 19014 | 2014-01-15 |
| 1598020539 | Tarlan Arshian | Dentist | 488 Conchester Hwy, Upper Chichester, PA 19014 | 2012-07-05 |
| 1104194703 | Carla Laury | Counselor | 302 Belvue Terrace, Aston, PA 19014 | 2011-12-09 |
| 1548542426 | Me Lee Ghassemi | Pharmacist | 3620 Concord Road, Walgreens Pharmacy, Aston, PA 19014 | 2011-09-15 |
| 1649504986 | Chester Pain Management | General Practice | 4610 Pennell Road, Aston, PA 19014 | 2009-09-18 |
| 1053555474 | Sleepcare Center Inc. | Specialist | 4513 Pennell Road, Aston, PA 19014 | 2009-04-29 |
| 1366619033 | Jonathan Nobuhiro Hayashi | Dentist | 2901 Dutton Mill Road, Aston, PA 19014 | 2008-05-13 |
| 1215055355 | Karen Ann Maher | Physical Therapist | 2507 Chestnut Street, Chester, PA 19014 | 2007-03-27 |
| Find all providers in zip 19014 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724794 | Ana Garcia Velazco | Dental Hygienist | 450 Gibner Rd Ste 2, Carlisle, PA 17013-5095 | 2020-09-10 |
| 1992320055 | Jennifer Hoch | Dental Hygienist | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-06-14 |
| 1003456401 | Cheryl Ann Ross | Dental Hygienist | 1901 Dartmouth St, Camp Hill, PA 17011-3832 | 2020-01-14 |
| 1477191047 | Kathy Pursel | Dental Hygienist | 1510 Chester Pike Ste 200, Eddystone, PA 19022-1377 | 2019-12-14 |
| 1548807472 | Dawn Dudley | Dental Hygienist | 424 S 1st St, Duquesne, PA 15110-1115 | 2019-12-10 |
| 1700421823 | Alaina Stango | Dental Hygienist | 3815 Saltsburg Rd, Clarksburg, PA 15725-7801 | 2019-11-13 |
| 1124662515 | Allison Bruno | Dental Hygienist | 2360 Harrison City Rd, Export, PA 15632-8912 | 2019-10-29 |
| 1184267841 | Eugene W Moisey | Dental Hygienist | 107 S. Market St, Suite #2, Berwick, PA 18603 | 2019-10-24 |
| 1588207906 | Teresa Mcbreen | Dental Hygienist | 744 E Lincoln Hwy Ste 110, Coatesville, PA 19320-3590 | 2019-10-18 |
| 1437706926 | Jean Elizabeth Rath | Dental Hygienist | 160 E Erie Ave # N1-08, Philadelphia, PA 19134-1011 | 2019-08-20 |
| 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.