MRS. SUE ANN MATHIEU (NPI# 1518023407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518023407 |
| Entity Type | Individual |
| Full Name | MRS. SUE ANN MATHIEU |
| Credential | WHNP CRNP |
| Practice Address |
2663 Cleveland Ave Nw Canton OH 44709 |
| Mailing Address |
1700 Cadbury Ave Nw Massillon OH 44646 |
| Practice Telephone | 3304565329 |
| Practice Fax Number | 3304569679 |
| Mailing Telephone | 3308375319 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP-01639 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2663 CLEVELAND AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025059 | Emily G Wilford | Nurse Practitioner | 2663 Cleveland Ave Nw, Canton, OH 44709-3393 | 2007-03-01 |
| 1700933736 | Ruth Ann Moeller | Nurse Practitioner | 2663 Cleveland Ave Nw, Canton, OH 44709 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275662157 | Theresa Bankert | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-03-05 |
| 1255320701 | Deborah Kay Darnell | Nurse Practitioner | 2663 Cleveland Avenue Nw, Canton, OH 44709-3393 | 2005-10-18 |
| 1104106160 | Mary Beth Marburger | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2011-08-23 |
| 1679761860 | Jennifer S Hostetler | Nurse Practitioner | 2600 7th St Sw, Canton, OH 44710-1709 | 2007-10-12 |
| 1508054115 | Kimberly S Myford | Nurse Practitioner | 1455 Harrison Ave Nw, 200, Canton, OH 44708-2621 | 2007-10-09 |
| 1578766218 | Judith Ann Simmons Juraco | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-06-08 |
| 1326163445 | Nina Elizabeth Pringle | Nurse Practitioner | 5000 Higbee Ave Nw, Canton, OH 44718-2522 | 2007-03-20 |
| 1811025059 | Emily G Wilford | Nurse Practitioner | 2663 Cleveland Ave Nw, Canton, OH 44709-3393 | 2007-03-01 |
| 1508904038 | Barbara B. Allen | Nurse Practitioner | 1219 Univeter Rd, Canton, GA 30115-8261 | 2007-02-05 |
| 1063569481 | Richele Lynn Thompson | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2007-01-05 |
| Find all providers in CANTON | ||||
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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.