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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
SH032837 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2097527 | 05 |
Street Address |
6001 W OUTER DR SUITE 429 |
City | DETROIT |
State | MI |
Zip Code | 48235-2614 |
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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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 |
Find all providers in zip 48235 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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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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.