SUSAN L KOTAR (NPI# 1487288734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487288734 |
Entity Type | Individual |
Full Name | SUSAN L KOTAR |
Credential | CCT, CRAT |
Practice Address |
327 Quails Hill Ct Ellisville MO 63011-2037 |
Practice Telephone | 3149608106 |
Mailing Telephone | 3149608106 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
327 QUAILS HILL CT |
City | ELLISVILLE |
State | MO |
Zip Code | 63011-2037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
Find all providers in zip 63011 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271704 | Rebecca Sue Hafner | Technician/Technologist | 10719 Buckeye Rd # 20, Festus, MO 63028-2960 | 2020-10-01 |
1558971499 | Brittney Dawn Barrett | Technician/Technologist | 1631 Polk St, Chillicothe, MO 64601-1837 | 2020-08-05 |
1992269104 | Shawn Donnika Sotofalcon | Technician/Technologist | 11921 Cato Dr, Florissant, MO 63033-6903 | 2019-01-22 |
1073111399 | Valerie A Hill | Technician/Technologist | 7211 Nw 83rd St Ste 130, Kansas City, MO 64152-6036 | 2020-10-09 |
1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
1891334694 | Gena L Magee | Technician/Technologist | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-12-27 |
1104465061 | Roseann T Biason | Technician/Technologist | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2019-12-24 |
1295394443 | Talina Dearing | Technician/Technologist | 227 Main St, Festus, MO 63028-1952 | 2019-06-11 |
1174080345 | Hannah Callahan | Technician/Technologist | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-02-25 |
1023581485 | Kayla Collins | Technician/Technologist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-01-09 |
Find all providers with the same taxonomy |
City | ELLISVILLE |
Zip Code | 63011 |
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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.