SUSAN R. STEIN (NPI# 1629007703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629007703 |
| Entity Type | Individual |
| Full Name | SUSAN R. STEIN |
| Credential | MD |
| Practice Address |
1864 E Florence Blvd Casa Grande AZ 85122 |
| Mailing Address |
1864 E Florence Blvd Casa Grande AZ 85122-5457 |
| Practice Telephone | 5203810380 |
| Practice Fax Number | 5208361826 |
| Mailing Telephone | 5203810380 |
| Mailing Fax Number | 5208361826 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34974 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 031815 | 01 | |
| AZ | 119363 | 05 | |
| MEDICARE | Z92977 | 01 | |
| MEDICARE | ZFQ31815 | 01 | |
| MEDICARE | 031881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386914786 | Susan Stein | Pharmacist | 222 Se 8th Ave Ste 451, Hillsboro, OR 97123-4218 | 2012-01-03 |
| 1700914272 | Susan Jo Stein | Internal Medicine | 4266 Woodleigh Ln, La Canada, CA 91011-3537 | 2007-02-28 |
| 1164533584 | Susan Deborah Stein | Colon & Rectal Surgery | 2150 Pennsylvania Ave Nw Fl 9, Washington, DC 20037-3201 | 2006-08-31 |
| 1942319835 | Susan Stein | Nurse Practitioner | 170 South Second Street, Marengo, IN 47140 | 2006-08-30 |
| 1962463588 | Susan A. Stein | Social Worker | 5001 Hwy. 190, Suite D-4, Fairway Centre Office Park, Covington, LA 70433 | 2006-03-31 |
| 1447251566 | Susan Stein | Nurse Practitioner | 101 Jordan Rd Ste 104, Troy, NY 12180-8323 | 2005-08-10 |
| 1043835275 | Susan Louise Stein | Registered Nurse | 1640 Powers Ferry Rd Se Ste 300, Marietta, GA 30067-5491 | 2020-06-12 |
| 1073026050 | Susan Stein | Hearing Instrument Specialist | 300 Andover St, Peabody, MA 01960-1526 | 2017-11-13 |
| 1154741676 | Susan Stein | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2014-04-23 |
| 1265676126 | Susan A. Stein | Dietitian, Registered | 4240 Dempster St, Skokie, IL 60076-2070 | 2009-04-22 |
| Street Address |
1864 E FLORENCE BLVD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248776 | Joseph Terminel Edwards | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2006-01-06 |
| 1992166359 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Suite1, Casa Grande, AZ 85122-5457 | 2016-03-14 |
| 1669839924 | Maryam Mahmood | Dentist | 1864 E Florence Blvd, Suite 1, Casa Grande, AZ 85122-5457 | 2016-01-18 |
| 1548690332 | Sun Life Family Health Center, Inc. | Clinic/Center | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2013-11-15 |
| 1164708350 | Molar Magic, LLC | Dentist | 1864 E Florence Blvd, Suite 1, Casa Grande, AZ 85122-5457 | 2011-11-01 |
| 1053626705 | Ismail Olusayo Oshogwemoh | Obstetrics & Gynecology | 1864 E Florence Blvd, Suite 2, Casa Grande, AZ 85122-5457 | 2010-08-18 |
| 1891010658 | Jonathan Randall Willms | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2010-04-05 |
| 1477888642 | Rightway Healthcare LLC | Family Medicine | 1864 E Florence Blvd, Suite 2, Casa Grande, AZ 85122 | 2009-10-06 |
| 1992935894 | Virginia A Savala | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122 | 2009-07-26 |
| 1386782472 | Eddie Estrada | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164544730 | Jaime R, Testa | Obstetrics & Gynecology | 1187 E Cottonwood Ln Ste B, Casa Grande, AZ 85122-2957 | 2007-04-04 |
| 1881641751 | Southwest Women's Health, LLC | Obstetrics & Gynecology | 1829 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 | 2006-05-27 |
| 1487618658 | Carl Bronitsky | Obstetrics & Gynecology | 1780 E Florence Blvd Ste 108, Casa Grande, AZ 85122-4782 | 2006-04-14 |
| 1548248776 | Joseph Terminel Edwards | Obstetrics & Gynecology | 1864 E Florence Blvd, Casa Grande, AZ 85122-5457 | 2006-01-06 |
| 1326025792 | Gerald Edward Pass | Obstetrics & Gynecology | 1187 E Cottonwood Ln, Suite B, Casa Grande, AZ 85222-2957 | 2005-12-28 |
| 1275538456 | Francis Charles Salisbury | Obstetrics & Gynecology | 1828 E Florence Blvd, Building C, Ste 142, Casa Grande, AZ 85222-4783 | 2005-06-15 |
| 1750760187 | Logan Craig Walter | Obstetrics & Gynecology | 1864 E Florence Blvd Ste 2, Casa Grande, AZ 85122-5504 | 2015-05-18 |
| 1174942593 | Timothy Schmidt | Obstetrics & Gynecology | 1864 E Florence Blvd Ste 2, Casa Grande, AZ 85122 | 2014-04-14 |
| 1649563412 | Lashonda Ann Carlton | Obstetrics & Gynecology | 1828 E Florence Blvd, Ste 110, Casa Grande, AZ 85122-4783 | 2011-05-26 |
| 1053626705 | Ismail Olusayo Oshogwemoh | Obstetrics & Gynecology | 1864 E Florence Blvd, Suite 2, Casa Grande, AZ 85122-5457 | 2010-08-18 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.