SUZANNE M SANDOVAL (NPI# 1437115078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437115078 |
| Entity Type | Individual |
| Full Name | SUZANNE M SANDOVAL |
| Other Name | SUZANNE HUESMAN |
| Credential | CNP |
| Practice Address |
14519 Detroit Ave Lakewood OH 44107-4316 |
| Mailing Address |
Po Box 951101 Cleveland OH 44193-0005 |
| Practice Telephone | 2165214200 |
| Mailing Telephone | 4408790081 |
| Mailing Fax Number | 4408790084 |
| Enumeration Date | 2006-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP-02678 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2338885 | 05 |
| Street Address |
14519 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895493 | Umarani Ramachandran | Pediatrics | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2005-10-18 |
| 1831584804 | Michelle Palcsik | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-04-06 |
| 1114318029 | Jessica Schreiner | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-02-13 |
| 1932516424 | Beth Tibbitts | Social Worker | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-07-16 |
| 1811309461 | Jessica Bennett | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-29 |
| 1104238237 | Michelle Kellicker | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-23 |
| 1386056687 | Andrew Morgan Cluts | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-21 |
| 1558772103 | Tamara Hunt | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-16 |
| 1114338001 | Kristen Louise Gallo | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-13 |
| 1902216773 | Timothy Hirzel | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1003045204 | Amy Michelle Medalie | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228-1833 | 2009-07-08 |
| 1669544813 | Grace E Slate | Nurse Practitioner | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2006-11-14 |
| 1447367198 | Brenda Digiulio | Nurse Practitioner | 14701 Detroit Ave Ste 522, Lakewood, OH 44107-4109 | 2006-08-25 |
| 1275520405 | Michelle Marie Hayes | Nurse Practitioner | 9101 Bridgeport Way Sw, Suite A, Lakewood, WA 98499 | 2005-10-03 |
| 1053959544 | Ahuva Hollander | Nurse Practitioner | 400 Madison Ave, Lakewood, NJ 08701-3225 | 2019-12-15 |
| 1952786824 | Leanne Beth Wellbrock | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228 | 2015-07-21 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1770908071 | Christine Logue | Nurse Practitioner | 645 Parfet St, Lakewood, CO 80215-5574 | 2014-02-23 |
| Find all providers in LAKEWOOD | ||||
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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.