SUZETTE BROSHEARS (NPI# 1205016995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205016995 |
Entity Type | Individual |
Full Name | SUZETTE BROSHEARS |
Credential | MD |
Practice Address |
316 Chandler Ave Evansville IN 47713-1147 |
Mailing Address |
315 Mulberry St Evansville IN 47713-1252 |
Practice Telephone | 8124364501 |
Practice Fax Number | 8124364510 |
Mailing Telephone | 8124217489 |
Mailing Fax Number | 8124360209 |
Enumeration Date | 2007-11-09 |
Last Update Date | 2016-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 01049478 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM BCBS | 000000785906 | 01 |
IN | MEDICAID GRP | 200079040D | 01 |
IN | 200200690 | 05 | |
MEDICARE | M400052567 | 01 |
Street Address |
316 CHANDLER AVE |
City | EVANSVILLE |
State | IN |
Zip Code | 47713-1147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
1265917397 | Lauren M Bathauer | Social Worker | 316 Chandler Ave, Evansville, IN 47713-1147 | 2018-09-25 |
1831583376 | Brittany R Ramsey | Nurse Practitioner | 316 Chandler Ave, Evansville, IN 47713-1147 | 2015-03-23 |
1447682398 | Valerie E Topper | Nurse Practitioner | 316 Chandler Ave, Evansville, IN 47713-1147 | 2013-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
1740632538 | Stephanie Gardner | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713 | 2016-07-06 |
Find all providers in zip 47713 |
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 |
---|---|---|---|---|
1740696335 | Erin Magdalene Harpenau | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725-1121 | 2014-07-03 |
1609130558 | Joshua Andrew Fife | Pediatrics | 3900 Washington Ave # 100, Evansville, IN 47714-0550 | 2012-06-26 |
1548570112 | Gary Eugene Underhill | Pediatrics | 508 Martins Ln, Evansville, IN 47715-3732 | 2010-10-18 |
1306166517 | James Wayne Hansen | Pediatrics | 5600 Spring Park Dr, Evansville, IN 47711-1838 | 2010-06-10 |
1043466329 | Deaconess Clinic, Inc | Pediatrics | 15814 Neeley St, Evansville, IN 47725-8420 | 2008-08-18 |
1194864017 | Jill Suzanne Smith | Pediatrics | 3900 Washington Ave Ste 200, Evansville, IN 47714-0550 | 2007-02-06 |
1821136854 | Taniza N Karim | Pediatrics | 3700 Bellemeade Av, Ste 117, Evansville, IN 47714-0106 | 2007-02-02 |
1609940998 | Robert Wade Ransdell | Pediatrics | 801 St. Mary's Dr., Suite 405east, Evansville, IN 47714 | 2006-11-20 |
1083651129 | William Selby | Pediatrics | 7220 E Virginia St, Evansville, IN 47715-4068 | 2006-05-31 |
1003883265 | Mohammad I Hussain | Pediatrics | 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 | 2006-03-07 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47713 |
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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.