SUSAN MARIE AMUNDSEN (NPI# 1437108156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437108156 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE AMUNDSEN |
| Credential | P.A. |
| Practice Address |
200 Mercy Dr Ste 201 Dubuque IA 52001-7300 |
| Mailing Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635843500 |
| Practice Fax Number | 5635843520 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000972 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521629 | Susan Bailey Amundsen | Nurse Practitioner | 34 Gilman Rd, Bangor, ME 04401-3516 | 2009-07-15 |
| Street Address |
200 MERCY DR STE 201 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366067 | Jessica Ann Tartaglione | Psychologist | 200 Mercy Dr Ste 201, Dubuque, IA 52001-7300 | 2018-11-30 |
| 1265881791 | Alec Frederick Anderson | Psychologist | 200 Mercy Dr Ste 201, Dubuque, IA 52001-7300 | 2016-06-06 |
| 1508271867 | Lee Berman | Psychiatry & Neurology | 200 Mercy Dr Ste 201, Dubuque, IA 52001 | 2014-06-25 |
| 1689092454 | Michael Stephen Peroski | Psychiatry & Neurology | 200 Mercy Dr Ste 201, Dubuque, IA 52001 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342910 | Jeffrey L. Ashline | Physician Assistant | 4005 Westmark Dr Ste 200, Dubuque, IA 52002-2271 | 2006-09-29 |
| 1205837408 | Marc E Dicklin | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2005-08-10 |
| 1679105449 | Chelsea Leah Berry | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-02-10 |
| 1497229991 | Lucas Evett | Physician Assistant | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2019-01-17 |
| 1942740113 | Madeline Smith | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2017-03-07 |
| 1356880660 | Kyle T. Tevebaugh | Physician Assistant | 320 N Grandview Ave, Suite D, Dubuque, IA 52001-6328 | 2017-02-20 |
| 1134581184 | Jessica Manders | Physician Assistant | 1550 University Ave, Dubuque, IA 52001-4790 | 2016-03-28 |
| 1548637887 | Joy V Schwobe | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2015-08-21 |
| 1053642447 | Jason Robert Schulz | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2010-01-25 |
| 1013247733 | Jessica Ann Larsen | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2009-12-31 |
| Find all providers in DUBUQUE | ||||
Please comment or provide details below to improve the information on SUSAN MARIE AMUNDSEN.
| 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.