SUSAN A NEILSEN (NPI# 1447336946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447336946 |
| Entity Type | Individual |
| Full Name | SUSAN A NEILSEN |
| Credential | MD |
| Practice Address |
7580 Northcliff Ave Building B Suite 700 Brooklyn OH 44144-3270 |
| Practice Telephone | 2163632044 |
| Practice Fax Number | 2167418525 |
| Mailing Telephone | 2163632044 |
| Mailing Fax Number | 2167418525 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35065003 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 196433 | 01 |
| OH | CARESOURCE | 341542312098 | 01 |
| OH | CARESOURCE | 340714684101 | 01 |
| OH | BCHP | 740117 | 01 |
| OH | CARERR | P00368534 | 01 |
| OH | WELLCARE | 378646 | 01 |
| OH | ANTHEM BC/BS | 000000370582 | 01 |
| OH | ANTHEM BC/BS | 000000380939 | 01 |
| OH | BCHP | 740121 | 01 |
| OH | 0969966 | 05 | |
| OH | RAILROAD CARE | P00448233 | 01 |
| Street Address |
7580 NORTHCLIFF AVE BUILDING B SUITE 700 |
| City | BROOKLYN |
| State | OH |
| Zip Code | 44144-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952323784 | James Harris | Internal Medicine | 7580 Northcliff Ave, Suite 1000, Brooklyn, OH 44144-3270 | 2006-07-24 |
| 1255871620 | Joseph Hatgas | Nurse Practitioner | 7580 Northcliff Ave, 700, Brooklyn, OH 44144-3270 | 2017-03-03 |
| 1679945984 | Mary Catherine Nowakowski | Nurse Practitioner | 7580 Northcliff Ave, Brooklyn, OH 44144-3270 | 2015-10-26 |
| 1295077485 | Aleppo LLC | Internal Medicine | 7580 Northcliff Ave, Suite 660, Brooklyn, OH 44144-3270 | 2013-03-26 |
| 1588981195 | Mohamed S Naem | Internal Medicine | 7580 Northcliff Ave, Suite 1000, Brooklyn, OH 44144-3270 | 2010-04-23 |
| 1720220379 | Ridge Park Urgent Care, LLC. | Internal Medicine | 7580 Northcliff Ave, Suite 700, Brooklyn, OH 44144-3270 | 2009-03-28 |
| 1992823769 | David Scotton | Physical Therapist | 7580 Northcliff Ave, Suite 600, Brooklyn, OH 44144-3270 | 2007-03-27 |
| 1194823070 | Stephanie E Voss | Physical Therapist | 7580 Northcliff Ave, Building B Suite 700, Brooklyn, OH 44144-3270 | 2006-09-21 |
| 1215036181 | Richard D Wallis Jr. | Physical Therapist | 7580 Northcliff Ave, Building B Suite 700, Brooklyn, OH 44144-3270 | 2006-09-21 |
| 1740388768 | Elaine Allen | Physical Therapist | 7580 Northcliff Ave, Building B Suite 700, Brooklyn, OH 44144-3270 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023531399 | Jacques Pollard | Home Health | 4228 West 58 Street, Cleveland, OH 44144 | 2017-07-19 |
| 1992248264 | Navjot Mahal | Pharmacist | 4728 Springwood Dr, Brooklyn, OH 44144 | 2016-11-18 |
| 1033503800 | Adam Grassi | Specialist/Technologist | 5605 Behrwald Avenue, Cleveland, OH 44144 | 2015-03-19 |
| 1033529342 | Chad Wilson | Psychologist | 9200 Biddulph Road, Brooklyn, OH 44144 | 2014-05-08 |
| 1508103631 | Hearty Hearts Home Health, LLC. | Home Health | 4161 Ridge Road, Cleveland, OH 44144 | 2013-01-09 |
| 1821206160 | Theresa Mcquinta Glynn | Licensed Practical Nurse | 4519 Wichita, Cleveland, OH 44144 | 2007-05-18 |
| 1821156696 | Anthony James Wyrwas | Chiropractor | 7575 Northcliff Avenue, Suite 405, Brooklyn, OH 44144 | 2006-12-05 |
| 1891271813 | Steven V Kozmary Md LLC | Clinic/Center | 7575 Northcliff Ave Ste 200, Brooklyn, OH 44144 | 2018-07-12 |
| 1881047306 | Christina Ferraro | Nurse Practitioner | 9500 Euclid Ave, R32, Cleveland, OH 44144 | 2016-07-20 |
| 1952397150 | Joan A Nunnery | Specialist | 7575 Northcliff Ave, Suite 400, Brooklyn, OH 44144 | 2005-09-22 |
| Find all providers in zip 44144 | ||||
| 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. |
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| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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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.