DR. SUSAN TYLER (NPI# 1356900328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900328 |
| Entity Type | Individual |
| Full Name | DR. SUSAN TYLER |
| Credential | MD, MSC, FRCPC |
| Practice Address |
Grant 6 489 State St Bangor ME 04401-6616 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079736604 |
| Mailing Telephone | 2079736604 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD23119 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194050831 | Susan Chandler Tyler | Nutritionist | 268 New Bridge Rd, Glide, OR 97443-9609 | 2009-10-14 |
| 1437388204 | Susan Carol Tyler | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2009-07-14 |
| 1124187661 | Susan Carol Tyler | Nurse Practitioner | 400 Harborside Dr, Galveston, TX 77555-0001 | 2006-12-08 |
| Street Address |
GRANT 6 489 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477561207 | Jeffrey A. Young | Radiology | 111 Greely Rd, Cumberland, ME 04021-3800 | 2006-08-04 |
| 1144238726 | Stuart G. Gilbert | Radiology | 1 Spruce Ln, Falmouth, ME 04105-1196 | 2006-08-03 |
| 1053360891 | Peter M Lambert | Radiology | 33 Whiting Hill Rd Ste 1, Brewer, ME 04412-1004 | 2006-05-09 |
| 1477538304 | Kurt Matthew Snyder | Radiology | 33 Whiting Hill Rd, Suite 1, Brewer, ME 04412-1021 | 2005-12-14 |
| 1073908505 | Whitney Beeler | Radiology | 22 Bramhall St, Portland, ME 04102-3134 | 2015-04-01 |
| 1235536319 | Northeast Radiation Oncology Pa | Radiology | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-12-04 |
| 1063708097 | Janeen Daniels | Radiology | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2011-06-28 |
| 1215228614 | Julian A Johnson | Radiology | 22 Bramhall St, Portland, ME 04102-3134 | 2011-04-20 |
| 1326363714 | Matthew David Cheney | Radiology | 22 Bramhall St, Portland, ME 04102-3134 | 2010-03-29 |
| 1770768095 | Courtney Ann Jensen | Radiology | 300 Main St, Lewiston, ME 04240-7027 | 2008-01-05 |
| Find all providers with the same taxonomy | ||||
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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.