SUSAN P ROSE (NPI# 1376593715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376593715 |
| Entity Type | Individual |
| Full Name | SUSAN P ROSE |
| Credential | MD |
| Practice Address |
6820 Parkdale Pl Suite 100 Indianapolis IN 46254-6601 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3172977773 |
| Practice Fax Number | 3172973619 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01037465A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100131110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900981 | Susan Marie Rose | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-02 |
| 1609162718 | Susan Rose | Speech-Language Pathologist | 511 Valley Stream Dr., Geneva, FL 32732 | 2011-06-27 |
| 1518088087 | Susan M Rose | Obstetrics & Gynecology | 370 E 9th Ave, Suite 205, Salt Lake City, UT 84103-2877 | 2007-04-03 |
| 1235279605 | Susan Botts Rose | Speech-Language Pathologist | 1473 Sw 4th Ct, Boca Raton, FL 33432-7138 | 2007-02-07 |
| 1750318788 | Susan S. Rose | Nurse Practitioner | Legacy Salmon Creek Providers, 2211 Ne 139th Street, Vancouver, WA 98686-2742 | 2006-06-26 |
| 1669004917 | Susan M. Rose | Occupational Therapist | 5323 Montgomery Blvd Ne, Albuquerque, NM 87109-1302 | 2020-02-05 |
| 1356770978 | Susan R Rose | Physical Therapist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2013-11-04 |
| 1679856421 | Susan Marie Rose | Neuromusculoskeletal Medicine & OMM | 2345 S Huron Pkwy, Ann Arbor, MI 48104-5124 | 2011-09-27 |
| 1750687604 | Susan A. Rose | Speech-Language Pathologist | 45 North Main Street, Kilmarnock, VA 22482 | 2011-02-09 |
| 1083867626 | Susan Rose | Physical Therapy Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2008-10-28 |
| Street Address |
6820 PARKDALE PL SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603886 | Stephen F Eberwine | Internal Medicine | 6820 Parkdale Pl, Suite 200, Indianapolis, IN 46254-6601 | 2006-03-16 |
| 1114375052 | Fatema Sabri Alqudaihi | Dentist | 6820 Parkdale Pl, Indianapolis, IN 46254-6601 | 2016-06-01 |
| 1053561928 | Eagle Creek Dermatology | Dermatology | 6820 Parkdale Pl, Suite 211, Indianapolis, IN 46254-6600 | 2008-09-26 |
| 1164692968 | Wilshire Medical P.C. | Obstetrics & Gynecology | 6820 Parkdale Pl, Ste 212, Indianapolis, IN 46254-6601 | 2008-03-07 |
| 1245408111 | Kelley G Rogers | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1417125386 | Sandra K Vanwye | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1790964914 | Indiana Mothers' Milk Bank, Inc | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 109, Indianapolis, IN 46254-6601 | 2007-10-25 |
| 1184844698 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-04-26 |
| 1376668780 | American Health Network of Indiana, LLC | Psychiatry & Neurology | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-03-21 |
| 1992842363 | Samia R Shaikh- Milharcic | Dentist | 6820 Parkdale Pl, Suite 117, Indianapolis, IN 46254-6601 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| 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 |
|---|---|---|---|---|
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1477915791 | Sarah Patton Supples | Pediatrics | 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 | 2016-03-25 |
| 1801283205 | Korre Leigh Fairman | Pediatrics | 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 | 2015-04-23 |
| 1912393240 | Dana Nezon | Pediatrics | Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 | 2015-04-14 |
| 1922412162 | Jodie Meara | Pediatrics | Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 | 2014-06-16 |
| 1265877690 | Kristen Mary Schroeder | Pediatrics | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2013-04-29 |
| 1396189056 | Jessica Lucille Horan | Pediatrics | 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 | 2013-04-24 |
| 1841581311 | Meaghan Elisabeth Keller | Pediatrics | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2011-05-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.