DR. SUSAN PACKER (NPI# 1497719249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497719249 |
| Entity Type | Individual |
| Full Name | DR. SUSAN PACKER |
| Credential | MD |
| Practice Address |
2603 Easton Road Willow Grove PA 19090-1009 |
| Practice Telephone | 2675373300 |
| Practice Fax Number | 2675372939 |
| Mailing Telephone | 2675373300 |
| Mailing Fax Number | 2675372939 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD 025180E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TPI GROUP MEDICAID ID | 1007278000 | 01 |
| PA | TPI GROUP MEDICARE ID | 597586 | 01 |
| PA | TPI RAILROAD MEDICARE GROUP | CD4829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922644533 | Susan Packer | Nurse Practitioner | 174 W Highway 287, Florence, AZ 85132 | 2019-11-19 |
| Street Address |
2603 EASTON ROAD |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477816528 | Margarita Elena Mcdonald | Family Medicine | 809 Easton Rd, Willow Grove, PA 19090-2004 | 2012-06-22 |
| 1487647061 | Erin Duffy | Family Medicine | Naval Health Clinic - Willow Grove, Nas/jrb Willow Grove, Willow Grove, PA 19090 | 2005-08-29 |
| 1750929907 | True North Medical Group, LLC | Family Medicine | 2510 Maryland Rd Ste 160, Willow Grove, PA 19090-1137 | 2019-12-18 |
| 1205474350 | True North Medical Group, LLC | Family Medicine | 2510 Maryland Rd Ste 160, Willow Grove, PA 19090-1137 | 2019-12-18 |
| 1174934046 | Nathan Lent | Family Medicine | 221 Davisville Rd, Willow Grove, PA 19090-3332 | 2014-05-14 |
| 1972880813 | Advanced Urgent Care of Willow Grove LLC | Family Medicine | 126 Easton Rd, Willow Grove, PA 19090-3203 | 2011-11-07 |
| 1649566050 | Herbert Zigerman | Family Medicine | 1003 Easton Rd, Apt. 406, Willow Grove, PA 19090-2027 | 2011-06-23 |
| 1861529331 | James Scott Foxhall | Family Medicine | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090-1041 | 2007-02-28 |
| 1730102450 | Matthew J Degirolamo | Family Medicine | 126 Easton Rd, Willow Grove, PA 19090-3203 | 2006-07-25 |
| 1154376739 | Abington Memorial Hospital | Family Medicine | 221 Davisville Rd, Willow Grove, PA 19090-3332 | 2006-05-23 |
| Find all providers in WILLOW GROVE | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
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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.