SUSAN M KNOERR (NPI# 1275936445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275936445 |
| Entity Type | Individual |
| Full Name | SUSAN M KNOERR |
| Other Name | SUSAN M CORBIN |
| Credential | DNP,FNP |
| Practice Address |
439 S Ross St Beaverton MI 48612-9101 |
| Mailing Address |
9249 W Lake City Rd Houghton Lake MI 48629-9602 |
| Practice Telephone | 9892463500 |
| Mailing Telephone | 9894225122 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704263834 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
439 S ROSS ST |
| City | BEAVERTON |
| State | MI |
| Zip Code | 48612-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484271 | Danny D Greig II | Emergency Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-06-12 |
| 1972073807 | Jenna M Mccummings | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2018-12-04 |
| 1982139382 | Cara Lee Crawford-bartle | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2017-04-24 |
| 1194174623 | Brooke Illig | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2016-06-06 |
| 1306186812 | Amanda Lynn Cisse | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-02-20 |
| 1740528900 | Community Mental Health for Central Michigan | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-01-23 |
| 1114278140 | Midmichigan Health Services | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2012-10-01 |
| 1407169832 | Ann Marie Roehrs | Nurse Practitioner | 439 S Ross St, Midmichigan Medical Offices-beaverton, Beaverton, MI 48612-9101 | 2010-07-14 |
| 1346552718 | Vinosha Balakrishnan | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2010-07-13 |
| 1356400923 | Steven Woodward Picard | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872525 | Candy Rene Simpson | Behavioral Analyst | 385 W Brown St, Beaverton, MI 48612 | 2017-06-29 |
| 1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
| 1477738961 | Dr. Dale J Moser Od | Eyewear Supplier (Equipment, not the service) | 334 N Ross, Beaverton, MI 48612 | 2008-01-03 |
| 1285186486 | Cheryl Ann Biddinger | Counselor | 201 S Ross St, Beaverton, MI 48612 | 2016-11-04 |
| 1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1497844047 | The Beaverton Pharmacy Inc | Pharmacy | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-10-12 |
| 1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
| 1285182899 | Family Health & Wellness P.C. | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-13 |
| 1952858987 | Family Health & Wellness PC | Clinic/Center | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-07 |
| Find all providers in zip 48612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821504598 | Charles D. Rubley Dba Beaverton Medical Clinic | Nurse Practitioner | 12815 Us Hwy 278, Beaverton, AL 35544 | 2017-12-18 |
| 1619083870 | Elyn M Lewis | Nurse Practitioner | 12270 Sw 1st St, Suite 200, Beaverton, OR 97005-2848 | 2006-08-21 |
| 1902835275 | Emilia Christina Bazan-grow | Nurse Practitioner | 13235 Sw Glenhaven St, Beaverton, OR 97005-0958 | 2006-06-30 |
| 1982682035 | Karen Ann Riesinger | Nurse Practitioner | 17175 Sw Tualatin Valley Hwy Ste A, Beaverton, OR 97003-4584 | 2006-01-07 |
| 1235136615 | Deborah A. Loewer | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2005-06-30 |
| 1508316878 | Karletia Lewis | Nurse Practitioner | 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007-9713 | 2016-10-10 |
| 1104271600 | Kathryn Marie Lund | Nurse Practitioner | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-05-03 |
| 1831517507 | Trisha Haskins | Nurse Practitioner | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2014-03-31 |
| 1538583471 | Joana Silva | Nurse Practitioner | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| 1225314792 | Lydia C Warner | Nurse Practitioner | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2011-10-28 |
| Find all providers in BEAVERTON | ||||
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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.