DR. SUSAN THERESA HANEY (NPI# 1700912003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700912003 |
| Entity Type | Individual |
| Full Name | DR. SUSAN THERESA HANEY |
| Credential | MD |
| Practice Address |
1775 Thompson Rd Coos Bay OR 97420-2125 |
| Practice Telephone | 5412698027 |
| Practice Fax Number | 5412698110 |
| Mailing Telephone | 5412698027 |
| Mailing Fax Number | 5412698110 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 052948 | GA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | MD23325 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275193 | 05 | |
| OR | GROUP NPI # | 1225016561 | 01 |
| OR | GROUP MEDICARE # | 0000ZGBJD | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328636 | Susan Haney | Registered Nurse | 1201 Pleasant Ave, Wellsburg, WV 26070-1344 | 2013-12-04 |
| 1043431976 | Susan Haney | Nurse Practitioner | 2141 K St Nw, Suite 501, Washington, DC 20037-1810 | 2007-05-01 |
| 1831163229 | Susan Marie Haney | Obstetrics & Gynecology | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3957 | 2006-02-14 |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1952870230 | Cari Fraley | Clinic/Center | 1775 Thompson Rd, Rehabiliation Department, Coos Bay, OR 97420 | 2018-11-16 |
| 1225511322 | Kylie Webb Tresher Winquist | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-09-13 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1710480397 | Coos Radiosurgery Group LLC | Radiology | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-03-09 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1639626724 | Nicole Fennell | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2016-09-06 |
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1770996589 | Anushi Bulumulle | Student in an Organized Health Care Education/Training Program | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1962842823 | Leah Cely | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420 | 2013-06-25 |
| 1518093822 | Bradley Dean Veldstra | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-23 |
| 1851427165 | James Patrick Woods | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-23 |
| 1477689784 | Douglas Paul Orsel | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-23 |
| 1427184779 | William Paul Aurich | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-23 |
| 1760518062 | Rohit Nanda | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-23 |
| 1376653790 | Brett L Davis | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420 | 2006-08-30 |
| 1043326432 | Patrick Beauregard Vondippe | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741010 | Hannah D Wolsiefer-leak | Emergency Medicine | 2826 East Barnett Rd, Medford, OR 97504-8332 | 2017-03-22 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1285013375 | Joseph Severo Simon | Emergency Medicine | 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 | 2015-05-22 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
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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.