MRS. SUSAN M SJOBERG (NPI# 1174554828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174554828 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M SJOBERG |
| Credential | PT |
| Practice Address |
96 Houlton Road Presque Isle ME 04769 |
| Mailing Address |
Po Box 4063 Presque Isle ME 04769-4063 |
| Practice Telephone | 2077646242 |
| Practice Fax Number | 2077646242 |
| Mailing Telephone | 2077646242 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 720 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BLUE CROSS | 039498 | 01 |
| Street Address |
96 HOULTON ROAD |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240155 | Mark C Picurro Cpo | Specialist | 40 North St Ste 6, Presque Isle, ME 04769-2269 | 2008-03-25 |
| 1013949098 | Laurence A Watterson | Specialist | 49 2nd St, Presque Isle, ME 04769-2637 | 2006-07-07 |
| 1144222431 | Jose Rivera Tungol | Specialist | 181 Academy St, Ste 5, Presque Isle, ME 04769 | 2005-06-01 |
| 1285913095 | Dale M Conlin | Specialist | 40 North St Ste 6, Presque Isle, ME 04769-2269 | 2011-08-10 |
| 1184707564 | Paul Barry Krivitsky | Specialist | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-10-23 |
| 1548341704 | Donna L Gallant | Specialist | 40 North St, Suite 6, Presque Isle, ME 04769-2269 | 2006-10-17 |
| 1912931031 | Joseph A Mack | Specialist | 49 2nd St, Presque Isle, ME 04769-2637 | 2006-07-11 |
| 1386677169 | Northern Radiological Associates | Specialist | 49 2nd St, Presque Isle, ME 04769-2637 | 2006-07-08 |
| 1396778122 | Madjid Yaghmai | Specialist | 49 2nd St, Presque Isle, ME 04769-2637 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1649715905 | Rose S Mellino | Specialist | 234 Northeast Rd, Standish, ME 04084-6495 | 2016-12-22 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1215488416 | Jason Phelps | Specialist | 4 Independence Ave, Hampden, ME 04444-1300 | 2016-10-23 |
| 1104371772 | Tatsiana Fields | Specialist | 158 Old County Rd, Etna, ME 04434-3814 | 2016-08-23 |
| 1659730810 | Suzanne Greenlee | Specialist | 15 Jeannette Ave, Old Orchard Beach, ME 04064-1407 | 2016-02-16 |
| 1558746032 | Seth Trahan | Specialist | 12 Vine St, Bangor, ME 04401-6029 | 2015-07-24 |
| 1366824823 | Kimberly Dorval | Specialist | 16 Chadwick Street, Winslow, ME 04901 | 2015-06-22 |
| 1861890402 | Monica Thompson | Specialist | 110 Granite St Apt 20, Biddeford, ME 04005-3668 | 2014-12-14 |
| 1679971758 | Employment Happens | Specialist | 9 Pamela Dr, Winthrop, ME 04364 | 2014-12-05 |
| Find all providers with the same taxonomy | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on MRS. SUSAN M SJOBERG.
| 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.