SUSAN K MAISEL (NPI# 1508836669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508836669 |
| Entity Type | Individual |
| Full Name | SUSAN K MAISEL |
| Credential | MD |
| Practice Address |
8402 Harcourt Rd Ste 402 Indianapolis IN 46260-2053 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 3173389450 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01039425A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
01039425A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100218110 | 05 |
| Street Address |
8402 HARCOURT RD STE 402 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899456 | Alicia Riley | Physician Assistant | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2019-03-06 |
| 1679056329 | Melissa J Yanckello | Nurse Practitioner | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2018-09-10 |
| 1568850261 | Sebastian Zavoian | Pediatrics | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260 | 2015-01-03 |
| 1265864623 | Kirsten T Cook | Nurse Practitioner | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2074 | 2013-08-07 |
| 1588941108 | Cara Diane Summitt | Nurse Practitioner | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2011-11-10 |
| 1649569419 | Rachel Kochert Dunn | Pediatrics | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2011-04-01 |
| 1124277165 | Margaret G Parker | Nurse Practitioner | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2008-09-15 |
| 1659527786 | Eric E Tibesar | Pediatrics | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2008-08-08 |
| 1043405178 | Kelly Marie Batthauer | Nurse Practitioner | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2007-09-11 |
| 1528187192 | Sheela Deivanayagam | Pediatrics | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457797060 | Brandon Arnold Sparks | Pediatrics | 705 Riley Hospital Dri, Indianapolis, IN 46202-5109 | 2013-05-22 |
| 1316205495 | St. Vincent Hospital and Health Care Center, Inc. | Pediatrics | 8402 Harcourt Rd, Suite 402, Indianapolis, IN 46260-2074 | 2012-04-26 |
| 1669738241 | Sara Kristen Naramore | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202 | 2012-04-08 |
| 1487934204 | Kanika Puri | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2011-08-24 |
| 1679749360 | Emily C Hon | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2008-05-02 |
| 1851566210 | William E. Bennett Jr. | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2008-04-28 |
| 1801086269 | Molly Anne Bozic | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2007-07-31 |
| 1598960775 | Brian Arthur Mcferron | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2007-06-18 |
| 1174652382 | Elizabeth Ann Schaefer | Pediatrics | 8402 Harcourt Rd Ste 402, Indianapolis, IN 46260-2053 | 2007-03-05 |
| 1033266820 | Charles Phillip Blair Vanderpool | Pediatrics | 705 Riley Hospital Dr, Roc 4210, Indianapolis, IN 46202-5109 | 2007-01-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.