SUSAN GAYLE WIERS (NPI# 1497715130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497715130 |
| Entity Type | Individual |
| Full Name | SUSAN GAYLE WIERS |
| Credential | NP |
| Practice Address |
35050 23 Mile Rd Suite B New Baltimore MI 48047-3606 |
| Mailing Address |
43750 Garfield Rd Suite 104 Clinton Twp MI 48038-1135 |
| Practice Telephone | 5867250477 |
| Practice Fax Number | 5867258835 |
| Mailing Telephone | 5862266865 |
| Mailing Fax Number | 5862266880 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704135893 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704135893 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4378385 | 05 | |
| MI | BCBS PIN NUMBER | 50-0-86-6532-0 | 01 |
| Street Address |
35050 23 MILE RD SUITE B |
| City | NEW BALTIMORE |
| State | MI |
| Zip Code | 48047-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687283 | Jeffrey Collier Knorr | Dentist | 35050 23 Mile Rd, Suite C, New Baltimore, MI 48047-3606 | 2005-08-31 |
| 1386052991 | Anchor Bay Oral Surgery, P.C. | Dentist | 35050 23 Mile Rd, Suite C, New Baltimore, MI 48047-3606 | 2014-07-27 |
| 1457529893 | Scott Garrant | Dentist | 35050 23 Mile Rd, Suite A, New Baltimore, MI 48047-3606 | 2008-02-19 |
| 1619181732 | Joseph J Powers | Dentist | 35050 23 Mile Rd, New Baltimore, MI 48047-3606 | 2007-05-09 |
| 1972717890 | Raymond Mccracken | Dentist | 35050 23 Mile Rd, Suite A, New Baltimore, MI 48047-3606 | 2007-05-09 |
| 1558574483 | Dana Kang Freeman | Dentist | 35050 23 Mile Rd, Suite A, New Baltimore, MI 48047-3606 | 2007-05-07 |
| 1417019910 | Christopher M Brieden | Dentist | 35050 23 Mile Rd, New Baltimore, MI 48047-3606 | 2006-12-14 |
| 1316007602 | Anchor Bay Family Dental, Pllc | Dentist | 35050 23 Mile Rd, Suite A, New Baltimore, MI 48047-3606 | 2006-12-09 |
| 1164483434 | Jeffrey R Hayes | Family Medicine | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625179 | Scott Michael Slater | Nurse Practitioner | 51946 Base St, New Baltimore, MI 48047-1538 | 2020-03-26 |
| 1609407253 | Shannon Zwiesler | Nurse Practitioner | 35781 Windridge Dr, New Baltimore, MI 48047-5852 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | NEW BALTIMORE |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on SUSAN GAYLE WIERS.
| 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.