DR. SUSAN ELAINE HAROLD


Address: 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614
Phone: 3138613500

DR. SUSAN ELAINE HAROLD (NPI# 1093780611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093780611
Entity Type Individual
Full Name DR. SUSAN ELAINE HAROLD
Credential MD
Practice Address 6001 W Outer Dr
Suite 429
Detroit
MI 48235-2614
Practice Telephone 3138613500
Practice Fax Number 3138612697
Mailing Telephone 3138613500
Mailing Fax Number 3138612697
Enumeration Date 2006-02-17
Last Update Date 2014-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
SH032837 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2097527 05

Office Location

Street Address 6001 W OUTER DR
SUITE 429
City DETROIT
State MI
Zip Code 48235-2614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891396800 Ashley Sentell Nurse Practitioner 6001 W Outer Dr, Detroit, MI 48235-2614 2020-11-05
1841815974 Heba Ahmed Elmadhoun Pharmacist 6001 W Outer Dr, Detroit, MI 48235-2614 2020-06-15
1710495346 Katherine Memisevic Nurse Anesthetist, Certified Registered 6001 W Outer Dr, Detroit, MI 48235-2614 2018-01-17
1467985911 Omar Elmadhoun Student in an Organized Health Care Education/Training Program 6001 W Outer Dr, Detroit, MI 48235-2614 2017-04-11
1083161905 Julia Marie Burkhardt Physician Assistant 6001 W Outer Dr, Detroit, MI 48235-2614 2016-09-08
1902251879 Mi Midwife Advanced Practice Midwife 6001 W Outer Dr, Suite #320, Detroit, MI 48235-2614 2016-04-28
1255708343 Emily Bigas Dietitian, Registered 6001 W Outer Dr, Detroit, MI 48235-2614 2015-08-25
1407237548 Elise Wiersma Paulk Nurse Practitioner 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 2015-06-15
1457754533 Reina Brojan Pearson Nurse Practitioner 6001 W Outer Dr, Suite 114, Detroit, MI 48235-2614 2014-10-02
1609286384 Spectrum Surgical Specialist PC Surgery 6001 W Outer Dr, Suite 320, Detroit, MI 48235-2614 2014-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154306355 John W Finn Internal Medicine 400 Mack Ave, Detroit, MI 48201-2136 2005-12-09
1689671455 Lawrence G Lum Internal Medicine 4100 John R, Karmanos Cancer Center, Detroit, MI 48201-2013 2005-07-07
1881237485 Joseph Charles Ellul Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2019-10-26
1801273313 Jayadev Reddy Mettu Internal Medicine 4201 Saint Antoine St, Uhc-2e, Detroit, MI 48201-2153 2015-05-05
1306286356 Aparna Basu Internal Medicine 2799 W Grand Blvd, Cfp 5, Detroit, MI 48202-2608 2013-07-03
1003259045 Maria Diab Internal Medicine 4201 Saint Antoine St, 5c-uhc, Detroit, MI 48201-2153 2013-04-09
1881953925 Muhammad Usman Internal Medicine 4201 Saint Antoine St, Suite 2e, Detroit, MI 48201-2153 2012-05-10
1063707958 Misako Nagasaka Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2011-06-18
1851684393 Hadeel Assad Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2011-05-17
1154610236 Dania Khoulani Internal Medicine 2799 W Grand Blvd, Detroit, MI 48202-2608 2011-03-29
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Competitor

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City DETROIT
Zip Code 48235

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Dataset Information

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.

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