SUSAN J CARSON (NPI# 1679533970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679533970 |
| Entity Type | Individual |
| Full Name | SUSAN J CARSON |
| Credential | MD |
| Practice Address |
100 N Nine Mounds Road Verona WI 53593 |
| Mailing Address |
8007 Excelsior Drive Madison WI 53717 |
| Practice Telephone | 9088459531 |
| Mailing Telephone | 6088295247 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28496 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31510100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386810810 | Susan Carson | Pediatrics | 4650 W Sunset Blvd, Ms #54, Los Angeles, CA 90027-6062 | 2008-05-05 |
| 1710074810 | Susan M. Carson | Social Worker | 97 S Liberty St, Powell, OH 43065-9301 | 2006-10-09 |
| Street Address |
100 N NINE MOUNDS ROAD |
| City | VERONA |
| State | WI |
| Zip Code | 53593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245290543 | Douglas L Smith | Family Medicine | 100 N Nine Mounds Road, Verona, WI 53593 | 2006-03-23 |
| 1508826645 | Jill L Davis | Social Worker | 100 N Nine Mounds Road, Verona, WI 53593 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| 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 |
|---|---|---|---|---|
| 1033622485 | Allegheny Clinic | Family Medicine | 6149 Saltsburg Rd Ste 202, Verona, PA 15147-3542 | 2017-11-08 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1609206440 | Nancy A Carpenter | Family Medicine | 222 Arch Street, Suite A, Verona, PA 15147 | 2013-11-14 |
| 1235470311 | William Pete Hamilton | Family Medicine | 21841 Lawrence 1160, Verona, MO 65769 | 2013-03-14 |
| 1861713422 | Michele Moscato | Family Medicine | 271 Grove Ave Ste A, Verona, NJ 07044-1731 | 2010-06-17 |
| 1295922664 | Verona Family Practice | Family Medicine | 5648 E Main St, Verona, NY 13478-3533 | 2007-10-01 |
| 1659593549 | Lisa A Alleyne | Family Medicine | 1371 Lee Highway, Verona, VA 24482-0000 | 2007-05-02 |
| 1790850428 | John Dean George IIi | Family Medicine | 5648 East Main St, Verona, NY 13478-0169 | 2006-11-21 |
| 1003993841 | West Essex Medical Group Pa | Family Medicine | 825 Bloomfield Avenue, Suite Ll1, Verona, NJ 07044 | 2006-11-01 |
| 1598851032 | Mickey Merringer | Family Medicine | 6310 Quincy Dr, Verona, PA 15147-2529 | 2006-10-04 |
| Find all providers in VERONA | ||||
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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.