SUSAN SABINA DYBOWSKI (NPI# 1740408152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740408152 |
| Entity Type | Individual |
| Full Name | SUSAN SABINA DYBOWSKI |
| Credential | NP |
| Practice Address |
1051 North Canton Center Rd Canton MI 48187 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347639650 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704206798 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1051 NORTH CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316915705 | Karen Lynn Foor | Physician Assistant | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2006-03-10 |
| 1265896682 | Mark Urbanski | Pediatrics | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2016-04-12 |
| 1851705883 | Alex Friedman Peahl | Obstetrics & Gynecology | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2014-06-18 |
| 1386821387 | Thomas Charles Shope | Pediatrics | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2008-01-22 |
| 1144437526 | Mark Nabeel Hakim | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-05-16 |
| 1679790752 | Nancy Lynn Ferry | Nurse Practitioner | 1051 North Canton Center Rd, Canton, MI 48187 | 2007-04-19 |
| 1639394083 | Heidi Leigh Mason | Nurse Practitioner | 1051 North Canton Center Rd, Canton, MI 48187 | 2007-04-13 |
| 1972727600 | Rebecca Michelle Northway | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-04-12 |
| 1417171513 | Amy Elizabeth Hepper | Internal Medicine | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-04-12 |
| 1114140605 | Seamus O'broin | Obstetrics & Gynecology | 1051 North Canton Center Rd, Canton, MI 48187-5097 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1891286928 | Joseph Vincent Bautista Doromal | Nurse Practitioner | 111 Mountain Brook Dr, Canton, GA 30115-9045 | 2018-05-24 |
| 1245748060 | Renita Roychelle Strickland | Nurse Practitioner | 498 Chattin Dr, Canton, GA 30115-8240 | 2018-01-15 |
| 1487176921 | Nguyet Tran Tyler | Nurse Practitioner | 1558 Riverstone Pkwy, Canton, GA 30114-2898 | 2017-07-15 |
| 1255865820 | Mercedita Ungab-canete | Nurse Practitioner | 4019 Sarah Ann Dr, Canton, MI 48188-2193 | 2017-04-20 |
| 1720447477 | Shafiq U Rehman | Nurse Practitioner | 41667 Quail Ct, Canton, MI 48188-5228 | 2016-02-22 |
| 1396119145 | Marie Posy | Nurse Practitioner | 506 Blue Mountain Rise, Canton, GA 30114-5713 | 2015-11-17 |
| 1407231202 | Advanced Wound and Ostomy Solutions | Nurse Practitioner | 203 River Green Ave, Canton, GA 30114-5846 | 2015-07-22 |
| 1427474527 | Stephen Collins | Nurse Practitioner | 1684 Fallen Timber St Ne, Canton, OH 44721-3858 | 2014-03-13 |
| 1992030712 | Cheryl Lynn Belopotosky | Nurse Practitioner | 733 Market Ave. Sw, Canton, OH 44702-1018 | 2009-10-13 |
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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.