SUSAN POWERS MD (NPI# 1639394265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639394265 |
| Entity Type | Organization |
| Organization Name | SUSAN POWERS MD |
| Practice Address |
10125 W North Ave Wauwatosa WI 53226-2426 |
| Practice Telephone | 4147711639 |
| Practice Fax Number | 4145368605 |
| Mailing Telephone | 4147711639 |
| Mailing Fax Number | 4145368605 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN POWERS (PRESIDENT) |
| Authorized Official Telephone | 4147711639 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | VALUEOPTIONS PROVIDER | 180610 | 01 |
| Street Address |
10125 W NORTH AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460649 | Jerad Steinfeld | Non-emergency Medical Transport (VAN) | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2020-02-25 |
| 1306208475 | Sheela Chockalingam | Podiatrist | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2016-03-28 |
| 1043655822 | Jeffrey Scott Weber | Podiatrist | 10125 W North Ave, Wauwatosa, WI 53226 | 2013-05-07 |
| 1376883835 | Wisconsin Orthopedic Physical Therapy LLC | Clinic/Center | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2013-02-21 |
| 1144575796 | Megan Elizabeth Patti | Technician, Other | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2012-07-19 |
| 1063767770 | Karen Ruth Teschner | Technician, Other | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2012-07-18 |
| 1508111238 | Lynda Marie Foeckler | Technician, Other | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2012-07-18 |
| 1932454667 | Michelle Lynn Drew | Technician, Other | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2012-07-18 |
| 1851466940 | Mayfair Foot Care Clinic S.c. | Podiatrist | 10125 W North Ave, Wauwatosa, WI 53226 | 2006-11-22 |
| 1376626267 | Dr. Steven M Waldman S.c. | Podiatrist | 10125 W North Ave, Wauwatosa, WI 53226-2426 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689942393 | Tms Center of Wisconsin LLC | Clinic/Center | 2600 N Mayfair Rd Ste 385, Wauwatosa, WI 53226-1372 | 2011-12-08 |
| 1235647504 | Adam N. Moriwaki, Psy.d., LLC | Clinic/Center | 10425 W North Ave Ste 239, Wauwatosa, WI 53226-2416 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748724 | Molly Lubin Md LLC | Clinic/Center | 16 N Carroll St Ste 450-c, Madison, WI 53703-2716 | 2019-06-12 |
| 1346702826 | Kris Huenink Counseling Services LLC | Clinic/Center | 501 N 8th St Ste 110, Sheboygan, WI 53081-4461 | 2019-04-03 |
| 1720550981 | Purple Lotus Counseling LLC | Clinic/Center | 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 | 2018-12-27 |
| 1831677079 | Creative Calm Counseling LLC | Clinic/Center | 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440 | 2018-07-31 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
| 1891149928 | Tcg Holdings 14, LLC | Clinic/Center | 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 | 2016-04-14 |
| 1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
| 1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
| 1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
| Find all providers with the same taxonomy | ||||
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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.