SUSAN L KOTAR


Address: 327 Quails Hill Ct, Ellisville, MO 63011-2037
Phone: 3149608106

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156F00000X Technician/Technologist Eye and Vision Services Providers

Office Location

Street Address 327 QUAILS HILL CT
City ELLISVILLE
State MO
Zip Code 63011-2037

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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
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Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Providers in the same taxonomy and state

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
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Competitor

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City ELLISVILLE
Zip Code 63011

Improve Information

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Dataset Information

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.

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