SUSAN CARDONA (NPI# 1194775189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194775189 |
| Entity Type | Individual |
| Full Name | SUSAN CARDONA |
| Credential | MD |
| Practice Address |
2392 Glasco Tpke Woodstock NY 12498-1076 |
| Practice Telephone | 8456797839 |
| Mailing Telephone | 8456797839 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 232920 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02744443 | 05 |
| Street Address |
2392 GLASCO TPKE |
| City | WOODSTOCK |
| State | NY |
| Zip Code | 12498-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659822849 | Michael V. Motise-pacier | Nurse Practitioner | 272 Yerry Hill Rd, Woodstock, NY 12498 | 2016-10-22 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1033557640 | Andromeda Raindance | Licensed Practical Nurse | 105 Cottontail Lane, Woodstock, NY 12498 | 2013-06-06 |
| 1508135492 | Marcia Darrelee Panza | Registered Nurse | 8 West Hurley Rjoad, Woodstock, NY 12498 | 2011-12-21 |
| 1992934400 | Donn J. Wiedershine, M.d., P.C. | Family Medicine | 62 Ricks Road, Woodstock, NY 12498 | 2009-07-06 |
| 1689876104 | Nikki Goldbeck | Nutritionist | 2585 Route 212, Woodstock, NY 12498 | 2007-06-05 |
| 1538377122 | Michael Tischler | Dentist | 121 Route 375, Woodstock, NY 12498 | 2007-05-18 |
| 1669576054 | Catskill Mountain Physical Therapy P.C. | Physical Therapist | 319 Maverick Rd, Glenfdord, NY 12498 | 2006-09-07 |
| 1407889546 | Vivian Letizia | Dentist | 2 Maverick Rd, Woodstock, NY 12498 | 2006-07-09 |
| 1457305088 | Nancy Abrams | Psychologist | 15 Pinegrove Street, Woodstock, NY 12498 | 2006-05-19 |
| Find all providers in zip 12498 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578906830 | Adele Handy Goodloe | Pediatrics | 250 Parbrooke Place, Suite 200, Woodstock, GA 30189-6401 | 2013-04-16 |
| 1306191721 | Thanhtam Thi Le | Pediatrics | 2000 Professional Way Ste 200, Woodstock, GA 30188-4093 | 2012-07-23 |
| 1649409244 | Shalini Mala Shah | Pediatrics | 900 Towne Lake Pkwy Ste 306, Woodstock, GA 30189-1604 | 2009-07-06 |
| 1760678817 | David Allen Stumpf | Pediatrics | 1101 Alpine Ln, Woodstock, IL 60098-9726 | 2007-09-22 |
| 1346319308 | Timothy Christopher Lorenz | Pediatrics | 155 River Park Xing, Woodstock, GA 30188-7801 | 2006-11-06 |
| 1760575567 | Anthony Robert Neri | Pediatrics | 1065 S Main St, Woodstock, VA 22664-1041 | 2006-10-02 |
| 1114958824 | Harriet Eyvonne Cadle | Pediatrics | 3221 S Cherokee Ln Ste 1810, Woodstock, GA 30188-4797 | 2006-07-05 |
| 1992763791 | Laura M Larkner | Pediatrics | 3707 Doty Rd Ste H, Woodstock, IL 60098 | 2006-05-02 |
| 1447218334 | Adriana Rzeznik | Pediatrics | 2000 Professional Way, Bldg 200 Ste B, Woodstock, GA 30188 | 2006-05-02 |
| 1033108121 | Romualda S Klicius | Pediatrics | 2230 Towne Lake Pkwy, Building 300, Suite 100, Woodstock, GA 30189-5540 | 2005-10-20 |
| Find all providers in WOODSTOCK | ||||
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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.