SUSAN A MALINE (NPI# 1366490435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366490435 |
| Entity Type | Individual |
| Full Name | SUSAN A MALINE |
| Credential | MD |
| Practice Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Mailing Address |
111 W Rio Salado Pkwy Tempe AZ 85281-2880 |
| Practice Telephone | 6027474577 |
| Mailing Telephone | 4806938466 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 18548 | AZ | Allopathic & Osteopathic Physicians |
| X | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
18548 | AZ | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 18548 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1441 N 12TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181654 | Wendy Carol Hershey | Physician Assistant | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-04-03 |
| 1942818232 | Bailey Nicole Bylow | Nurse Practitioner | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-07-22 |
| 1386264596 | Lelan Dao Mccann | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-17 |
| 1386264646 | Zia William Kanani | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-16 |
| 1528688868 | Mahala Ashcherkin | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-16 |
| 1134748551 | Rachel Weigel | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1871112268 | Bryan Grover | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1063031300 | Kathleen Langford Curley | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1619596988 | Nancy Lopez | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| 1437778701 | Lucy Cheng | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1114576162 | Caring Doctor LLC | Internal Medicine | 27412 N 58th Ln, Phoenix, AZ 85083-7394 | 2019-09-11 |
| 1417500034 | Contrast Medical Pllc | Internal Medicine | 813 E Fairmount Ave, Phoenix, AZ 85014-4708 | 2019-07-23 |
| 1386106045 | Key Medical Solutions LLC | Internal Medicine | 1120 E Waltann Ln, Phoenix, AZ 85022-3531 | 2019-04-02 |
| 1700350261 | Nierenberg Associates,pa | Internal Medicine | 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 | 2019-01-17 |
| 1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1053803676 | Ahwatukee Health Care, LLC | Internal Medicine | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2018-05-30 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| Find all providers in PHOENIX | ||||
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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.