SUSAN DOCK (NPI# 1194296129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194296129 |
| Entity Type | Individual |
| Full Name | SUSAN DOCK |
| Practice Address |
412 W Market St Middleburg PA 17842-1076 |
| Mailing Address |
155 Redcort Ln Middleburg PA 17842-9101 |
| Practice Telephone | 5708376163 |
| Mailing Telephone | 5708092106 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | SP019668 | PA | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | SP019668 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP019668 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
412 W MARKET ST |
| City | MIDDLEBURG |
| State | PA |
| Zip Code | 17842-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548222433 | Beth Ann Jordan | Nurse Practitioner | 412 W Market St, Middleburg, PA 17842-1076 | 2006-04-05 |
| 1134498371 | Anna Marie Zimmerman | Nurse Practitioner | 412 W Market St, Middleburg, PA 17842-1076 | 2011-12-16 |
| 1215110531 | Evangelical Medical Services Organization | Clinical Medical Laboratory | 412 W Market St, Middleburg, PA 17842-1076 | 2007-12-10 |
| 1972522373 | Thomas Allen Krebs | Family Medicine | 412 W Market St, Middleburg, PA 17842-1076 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546165 | Almond Tree Senior Solutions, LLC | Non-emergency Medical Transport (VAN) | 207 North Wausau Road, Middleburg, PA 17842 | 2018-08-06 |
| 1285039255 | Tricia Ann Hollenbach | Dietitian, Registered | 2239 Erdley Church Road, Middleburg, PA 17842 | 2014-11-03 |
| 1801029269 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 848 Sale Barn Rd, Middleburg, PA 17842 | 2009-09-01 |
| 1144357559 | Mindy K Reed | Social Worker | 50 W Market St, Middleburg, PA 17842-1019 | 2007-02-27 |
| 1316147747 | Sabrina Lee Lyons | Social Worker | 50 W Market St, Middleburg, PA 17842-1019 | 2007-07-24 |
| 1356965610 | Devangi Paghdal | Dentist | 312 E Main St, Middleburg, PA 17842-1106 | 2020-06-02 |
| 1417517467 | Hiren Shantilal Pansuria | Dentist | 312 E Main St, Middleburg, PA 17842-1106 | 2019-06-20 |
| 1699234641 | Susquehanna Valley Dental Group PC | Dentist | 312 E Main St, Middleburg, PA 17842-1106 | 2019-03-19 |
| 1538286489 | Gregory Michael Swenson | Dentist | 312 E Main St, Middleburg, PA 17842-1106 | 2007-03-24 |
| 1962566828 | Jeffrey George Bell | Dentist | 312 E Main St, Middleburg, PA 17842-1106 | 2006-12-21 |
| Find all providers in zip 17842 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548222433 | Beth Ann Jordan | Nurse Practitioner | 412 W Market St, Middleburg, PA 17842-1076 | 2006-04-05 |
| 1487192373 | Brittney Rhianna Amador | Nurse Practitioner | 1658 St Vincents Way Ste 130, Middleburg, FL 32068-8459 | 2017-02-10 |
| 1558728071 | Stacy L Chubb | Nurse Practitioner | 1 Dock Hill Rd, Middleburg, PA 17842-8910 | 2016-01-28 |
| 1295123867 | Elizabeth Trisotto | Nurse Practitioner | 430 College Dr, Suite 100-102, Middleburg, FL 32068-8530 | 2015-01-05 |
| 1023388865 | Breana Marie Matzen | Nurse Practitioner | 1658 St Vincents Way, Suite 130, Middleburg, FL 32068-8446 | 2012-01-11 |
| 1134498371 | Anna Marie Zimmerman | Nurse Practitioner | 412 W Market St, Middleburg, PA 17842-1076 | 2011-12-16 |
| 1699891028 | Melodie Sherlaine Miller | Nurse Practitioner | 3292 County Road 220, Middleburg, FL 32068-4357 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 17842 |
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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.