DR. SUSAN M PEARSON (NPI# 1245289511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245289511 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M PEARSON |
| Credential | M.D. |
| Practice Address |
8195 Highway 789 Lander WY 82520-2942 |
| Mailing Address |
Po Box 15445 Belfast ME 04915-4049 |
| Practice Telephone | 3073321551 |
| Practice Fax Number | 3073321553 |
| Mailing Telephone | 3073321551 |
| Mailing Fax Number | 3073321553 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4685A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 311702 | 01 |
| WY | 117956000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992041115 | Susan Dean Pearson | Nutritionist | 4629 Calvin Dr, Corpus Christi, TX 78411-2814 | 2012-12-15 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1295715464 | Susan Teggatz Pearson | Psychologist | 289 N Sycamore St, Newtown, PA 18940-1514 | 2006-01-22 |
| 1942799796 | Susan Brandenburg Pearson | Physical Therapist | 11010 David St Ste A, Gulfport, MS 39503-3481 | 2018-05-08 |
| 1871046862 | Susan Pearson | Psychologist | 600 W Santa Ana Blvd, Suite 510, Santa Ana, CA 92701-4558 | 2016-07-26 |
| 1053585695 | Susan Kay Pearson | Speech-Language Pathologist | 10610 Main St, Hayward, WI 54843-6595 | 2008-04-15 |
| 1154449585 | Susan Margaret Pearson | Dentist | 1131 University Blvd W, 103, Silver Spring, MD 20902-3357 | 2007-03-26 |
| 1700864287 | Susan E Pearson | Family Medicine | 1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665 | 2006-01-05 |
| 1821072703 | Susan E Pearson | Otolaryngology | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-12-03 |
| Street Address |
8195 HIGHWAY 789 |
| City | LANDER |
| State | WY |
| Zip Code | 82520-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992753602 | Lander Family Medicine, P.C. | Family Medicine | 8195 Highway 789, Lander, WY 82520-2942 | 2006-05-05 |
| 1366519563 | Tabitha Marie Shaw | Family Medicine | 8195 Highway 789, Lander, WY 82520-2942 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083777080 | John C Klinkenborg | Family Medicine | 634 S 3rd St, Lander, WY 82520-3708 | 2006-12-19 |
| 1366538076 | Phillip Roy Gilbertson | Family Medicine | 8204 Wyoming Hwy 789, Lander, WY 82520-2945 | 2006-10-04 |
| 1992753602 | Lander Family Medicine, P.C. | Family Medicine | 8195 Highway 789, Lander, WY 82520-2942 | 2006-05-05 |
| 1205833134 | Troy R Jones | Family Medicine | 125 Wyoming St, Lander, WY 82520-3919 | 2005-07-07 |
| 1073856225 | Broc Codi White | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-04-05 |
| 1053686758 | Lander Valley Family Practice PC | Family Medicine | 930 Buena Vista Dr, Lander, WY 82520-3447 | 2012-03-13 |
| 1043415987 | Demar D Hill | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2007-06-20 |
| 1285853622 | Kacie Mckenna Gallo | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2007-04-24 |
| 1366519563 | Tabitha Marie Shaw | Family Medicine | 8195 Highway 789, Lander, WY 82520-2942 | 2006-11-30 |
| 1508952276 | Douglas Rex Phipps | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-10-04 |
| Find all providers in LANDER | ||||
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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.