DR. SUSAN L. ALBERT (NPI# 1578597670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578597670 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L. ALBERT |
| Credential | M.D. |
| Practice Address |
204 Old Brickyard Road North Wilkesboro NC 28659 |
| Mailing Address |
Po Box 470 Millers Creek NC 28651-0470 |
| Practice Telephone | 3366672020 |
| Mailing Telephone | 3366518948 |
| Mailing Fax Number | 3366518948 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9700838 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TAX I.D. # | 202012836 | 01 |
| NC | 891058R | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659464600 | Susan Albert | Anesthesiology | 12 Newburyport Rd, Langhorne, PA 19047 | 2006-10-02 |
| 1629114962 | Susan K Albert | Social Worker | 964 N Market St, Lisbon, OH 44432-0464 | 2007-01-30 |
| 1528167111 | Susan Albert | Psychologist | 92 Broadway, Suite 202, Denville, NJ 07834-2761 | 2006-09-21 |
| Street Address |
204 OLD BRICKYARD ROAD |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| 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 |
|---|---|---|---|---|
| 1770628208 | Wake Forest University Baptist Medical Center | Family Medicine | 1534 West D St, North Wilkesboro, NC 28659-3528 | 2007-02-21 |
| 1528091758 | Ashton Vishnu Molai | Family Medicine | 200 W Park Cir, Suite B, North Wilkesboro, NC 28659-3582 | 2006-07-09 |
| 1861465056 | Hope Watts | Family Medicine | 111 Riddle Rd, North Wilkesboro, NC 28659-8890 | 2006-02-09 |
| 1316927395 | Jeffrey Derick | Family Medicine | 1919 W Park Dr, North Wilkesboro, NC 28659-3564 | 2006-01-18 |
| 1033543483 | Family Medicine, Pllc | Family Medicine | 200 W Park Cir, Suite B, North Wilkesboro, NC 28659-3582 | 2013-08-21 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| 1598029704 | John Paul Velasco | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2012-07-02 |
| 1063705663 | Ramses C Masis | Family Medicine | 1370 W D St, North Wilkesboro, NC 28659 | 2011-05-16 |
| 1427362235 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Urgent Care of Wilkes, North Wilkesboro, NC 28659-3563 | 2010-08-04 |
| 1407177199 | Wilkes Physician Network, Inc. | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2010-06-16 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.