DR. SUSAN PARKER (NPI# 1174674733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174674733 |
| Entity Type | Individual |
| Full Name | DR. SUSAN PARKER |
| Other Name | DR. SUSAN WILBURN |
| Credential | MD |
| Practice Address |
201 Chestnut Hill Rd Johnson Memorial Hospital Stafford Springs CT 06076-4005 |
| Mailing Address |
Po Box 789 Ludlow MA 01056-0789 |
| Practice Telephone | 8606848261 |
| Mailing Telephone | 4135091000 |
| Mailing Fax Number | 4135091003 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
032384 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443918 | Susan Lupita Parker | Acupuncturist | 6510 208th St Sw Apt E7, Lynnwood, WA 98036-8537 | 2020-09-26 |
| 1326500992 | Susan Michelle Mason Parker | Nurse Practitioner | 11440 Parkside Dr Ste 205, Knoxville, TN 37934-2661 | 2019-04-03 |
| 1144611153 | Susan Blaes Parker | Registered Nurse | 611 N Iron Bridge Way, Spokane, WA 99202-4932 | 2015-02-12 |
| 1063648137 | Susan Lynn Parker | Social Worker | 12686 Memorial Way Apt 1014, Moreno Valley, CA 92553-7571 | 2009-06-03 |
| 1982738191 | Susan Rose Parker | Physical Therapist | 2104 Greenhill Rd, Lansdowne, PA 19050-1016 | 2007-03-16 |
| 1477682763 | Susan Parker | Massage Therapist | 1319 Lee Blvd, Richland, WA 99352-4141 | 2007-03-05 |
| 1003885195 | Susan Katherine Parker | Counselor | 2121 W Spring Creek Pkwy, Suite 114, Plano, TX 75023-4100 | 2006-03-14 |
| 1124095294 | Susan Audrey Parker | Physical Therapist | 51 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2006-03-07 |
| 1366930117 | Susan Jane Parker | Registered Nurse | 901 N Porter Ave, Norman, OK 73071-6404 | 2018-04-26 |
| 1316489685 | Susan Parker | Assistant Behavior Analyst | 1353 E Main St, Brownsburg, IN 46112-1433 | 2016-11-17 |
| Street Address |
201 CHESTNUT HILL RD JOHNSON MEMORIAL HOSPITAL |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925591 | Paul Harvey Cooke | Anesthesiology | 201 Chestnut Hill Rd, Department of Anesthesia, Stafford Springs, CT 06076-4005 | 2005-07-11 |
| 1093324295 | Stephanie Tullock | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2020-07-24 |
| 1407318637 | Domenick Bianchi | Nurse Practitioner | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2019-04-05 |
| 1023585684 | Lovelyn Natasha Bogle | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2018-10-31 |
| 1467976084 | Amanda Wilson | Physician Assistant | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2017-07-26 |
| 1629455654 | Olayemi Ajayi-lamanna | Surgery | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2015-04-28 |
| 1124367743 | Somers Anesthesiology Associates | Nurse Anesthetist, Certified Registered | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-9925 | 2013-02-01 |
| 1639482573 | Shawn Richard Brady | Physician Assistant | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2010-07-21 |
| 1720315047 | Laura Marie Kielb | Emergency Medical Technician, Basic | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-11-06 |
| 1720214034 | Johnson Medical Specialists, PC | Obstetrics & Gynecology | 201 Chestnut Hill Rd, Attn: Lori Ladue, Stafford Springs, CT 06076-4005 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588760805 | Srianee M Dias | Pathology | 201 Chestnut Hill Rd., Johnson Memorial Hospital, Stafford Springs, CT 06076 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730625856 | Karen Blomquist | Pathology | 43 Essex Ln, Woodbury, CT 06798-2631 | 2017-01-12 |
| 1508244070 | Pallavi Patil | Pathology | 20 York St # Ep2-612, New Haven, CT 06510-3220 | 2015-05-15 |
| 1477968261 | Chen Yang | Pathology | 310 Cedar St # Lh108, New Haven, CT 06510 | 2014-06-30 |
| 1023436029 | Physicians for Women's Health, LLC | Pathology | 22 Waterville Rd, Avon, CT 06001-2066 | 2014-04-07 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1841557949 | Lewis Morton Portnoy | Pathology | 10 Linda Ln, Westport, CT 06880-3945 | 2012-04-13 |
| 1730475963 | Patricia Marie Raciti | Pathology | Greenwich Hospital, 5 Perryridge Road, Greenwich, CT 06830 | 2011-06-27 |
| 1538452594 | Lois Wurzel | Pathology | 77 Bayberry Hill Rd, Avon, CT 06001-2800 | 2011-05-24 |
| 1134377344 | Andrew Stuart Radow | Pathology | 16 Lawton Dr, Simsbury, CT 06070-2725 | 2008-08-29 |
| 1699937748 | Heather Mary Carney | Pathology | 2800 Main, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
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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.