SUSAN D WHITLEY (NPI# 1407916067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407916067 |
| Entity Type | Individual |
| Full Name | SUSAN D WHITLEY |
| Credential | MD |
| Practice Address |
Mmc - Dept. of Medicine 111 East 210th Street Bronx NY 10467 |
| Mailing Address |
474 48th Ave Apt. 18b Long Island City NY 11109-5600 |
| Practice Telephone | 7184098999 |
| Mailing Telephone | 7184330572 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 209636 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
209636 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00245643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346762614 | Susan Whitley | Counselor | 3720 Gazebo Park Dr, Murfreesboro, TN 37129-3149 | 2017-07-08 |
| 1215483060 | Susan Whitley | Speech-Language Pathologist | 5319 Lansdowne Ave, Saint Louis, MO 63109-2311 | 2016-08-31 |
| 1801970074 | Susan Moylan Whitley | Counselor | 1221 Abrams Rd, Suite 227, Richardson, TX 75081-5578 | 2006-10-24 |
| Street Address |
MMC - DEPT. OF MEDICINE 111 EAST 210TH STREET |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801985197 | Clement E Tagoe | Internal Medicine | Mmc - Dept. of Medicine, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-12 |
| 1750505574 | Maria Loverde | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-04-12 |
| 1205976180 | Sheri L Golden | Physician Assistant | Mmc - Dept. of Medicine, 1825 Eastchester Road, Bronx, NY 10461 | 2007-02-08 |
| 1134269012 | Sheron R Green | Physician Assistant | Mmc - Dept. of Medicine, 1825 Eastchester Road, Bronx, NY 10461 | 2007-02-08 |
| 1770623654 | Gan Huo | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| 1386784262 | Nasser Zolfaghari | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| 1730229618 | Odette E Davis | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| 1700926680 | Everyl A Mcmorris | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| 1619017597 | Hillary V Kunins | Internal Medicine | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| 1366582249 | Galina Gelbert | Physician Assistant | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| 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 |
|---|---|---|---|---|
| 1700439031 | Cargill Comprehensive Care Services | Family Medicine | 1054 E 231st St, Bronx, NY 10466-4806 | 2019-07-16 |
| 1346775640 | Elena Hill | Family Medicine | 1276 Fulton Ave Fl 1, Bronx, NY 10456-3402 | 2017-04-24 |
| 1700337508 | Mayte Montufar | Family Medicine | 2136 Muliner Ave Fl 1, Bronx, NY 10462-2003 | 2016-10-18 |
| 1306296561 | Stephen Asiedu Medical Practice, P.C. | Family Medicine | 1245b Edward L Grant Hwy, Bronx, NY 10452-3101 | 2016-06-20 |
| 1336595008 | Chantal Nathalie Ogle | Family Medicine | 1054 Simpson St, Bronx, NY 10459-2404 | 2016-05-11 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1235542549 | Welisane Bebe | Family Medicine | 1276 Fulton Ave, 4th Floor, Bronx Lebanon Hospital, Bronx, NY 10456 | 2014-06-04 |
| 1386081545 | Geoffrey Sheppard Dunn | Family Medicine | 68 E 161st St Fl 13, Bronx, NY 10451-2207 | 2013-05-29 |
| 1629413372 | Liliana Monica Taich | Family Medicine | 3050 Corlear Ave Ste 201, Bronx, NY 10463-5181 | 2013-05-08 |
| 1184968232 | Lwhmedical PC | Family Medicine | 1811 Hone Ave, Bronx, NY 10461-1406 | 2012-11-15 |
| Find all providers in BRONX | ||||
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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.