SUSIE WYSE (NPI# 1588658538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588658538 |
Entity Type | Individual |
Full Name | SUSIE WYSE |
Credential | MD |
Practice Address |
1101 Decatur St Sandusky OH 44870-3335 |
Mailing Address |
2203 Eagles Nest Cir Sandusky OH 44870-7024 |
Practice Telephone | 4196267400 |
Mailing Telephone | 4196251343 |
Enumeration Date | 2005-09-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
35052248W | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0674800 | 05 |
Street Address |
1101 DECATUR ST |
City | SANDUSKY |
State | OH |
Zip Code | 44870-3335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790783132 | Young K Hong | Radiology | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-07-11 |
1285827121 | Choice Diagnostics | Clinical Medical Laboratory | 1101 Decatur St, 1st Floor Laboratory, Sandusky, OH 44870-3335 | 2007-08-23 |
1699967042 | Elizabeth Frances Speer | Dietitian, Registered | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-08-09 |
1770787152 | Community Hospitalist, LLC | Internal Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-06-12 |
1447465414 | James Lewis | Physical Therapist | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-05-13 |
1912057738 | James J Posendek | Pharmacist | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-01-12 |
1245380088 | James Warren Spicer II | Pharmacist | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-01-12 |
1528125549 | Katherine Nestor Spaar | Dietitian, Registered | 1101 Decatur St, Sandusky, OH 44870-3335 | 2007-01-02 |
1407922248 | Julie Lynne Smith | Dietitian, Registered | 1101 Decatur St, Sandusky, OH 44870-3335 | 2006-11-24 |
1124127196 | Megan R Kolb | Physical Therapist | 1101 Decatur St, Sandusky, OH 44870-3335 | 2006-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
Find all providers in zip 44870 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427042191 | Michael Babiuch | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-08 |
1639163314 | Scott Campbell | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-08 |
1720072416 | Thomas Nesgoda | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-08 |
1972597664 | Stephen Reineck | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-08 |
1033103734 | John Smith | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-08 |
1972597912 | Timothy D Amidon | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-06 |
1508850553 | Edward Radatz Jr. | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-06 |
1306830351 | Mark Schmiedl | Emergency Medicine | 1101 Decatur St, Sandusky, OH 44870-3335 | 2005-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676897 | Donald Ray Woodyard Jr. | Emergency Medicine | 6283 Eberstark Dr, Columbus, OH 43235-5087 | 2019-06-05 |
1538675129 | Village of Sardinia | Emergency Medicine | 169 Winchester St, Sardinia, OH 45171-9326 | 2017-12-19 |
1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
1568778140 | David Carl Ernst | Emergency Medicine | 12817 W Lake Rd, Vermilion, OH 44089-3051 | 2010-08-20 |
1205070869 | Candace L Leigh | Emergency Medicine | 3050 Taylor Ave, Cincinnati, OH 45220-2508 | 2009-04-27 |
1861551269 | Paul Michael Matus | Emergency Medicine | 90 Fairway Dr, Oberlin, OH 44074-1420 | 2006-12-08 |
1669569547 | Daniel R. Colopy | Emergency Medicine | 14 Health Dr, Chillicothe, OH 45601-8604 | 2006-10-10 |
1073623500 | Bes of Ohio, LLC, Dba Medgroup | Emergency Medicine | 6420 York Rd, Parma Heights, OH 44130-3032 | 2006-08-30 |
1487689337 | Frederick Richard Haussman | Emergency Medicine | 915 W. Michigan St., Sidney, OH 45365 | 2006-07-11 |
1740214113 | Majid A Qureshi | Emergency Medicine | 7345 Kings Gate Way, West Chester, OH 45069 | 2006-07-10 |
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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.