SUSAN R. BUCKLEY (NPI# 1760458541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760458541 |
| Entity Type | Individual |
| Full Name | SUSAN R. BUCKLEY |
| Other Name | SUSAN DEMARCO |
| Credential | APRN |
| Practice Address |
246 Pleasant St Suite G2 Concord NH 03301-7539 |
| Practice Telephone | 6032243388 |
| Practice Fax Number | 6032253557 |
| Mailing Telephone | 6032243388 |
| Mailing Fax Number | 6032253557 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
039259-23-03 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30340222 | 05 | |
| NH | ANTHEM ACES # | 4006777Y0NH04 | 01 |
| NH | EPS HPHC PIN | S83646 | 01 |
| NH | ANTHEM REFERRING UPIN | S83646 | 01 |
| NH | CIGNA PIN | 3222724 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841744000 | Susan Buckley | Technician, Other | 4938 Indiana Ave Ne, Salem, OR 97305-2974 | 2016-08-05 |
| 1225383094 | Susan Ricardo Buckley | Dietitian, Registered | 1259 S Beach St Apt 1105, Daytona Beach, FL 32114 | 2012-07-18 |
| 1780758516 | Susan Lynne Buckley | Physical Therapist | 4414 Stanley Ave, Downers Grove, IL 60515-2905 | 2006-11-20 |
| 1326122912 | Susan Joan Buckley | Nurse Practitioner | 938 E Zero St, Suite B, Ainsworth, NE 69210-1555 | 2006-10-24 |
| 1457872434 | Susan Buckley | Physical Therapist | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2017-06-29 |
| 1437389970 | Susan Buckley | Student in an Organized Health Care Education/Training Program | 835 3rd Ave, Suite E, Chula Vista, CA 91911-1352 | 2009-07-17 |
| 1306016316 | Susan Ann Buckley | Occupational Therapist | 159 Indian Head Rd, Commack, NY 11725-2205 | 2008-03-05 |
| 1396925699 | Susan L Buckley | Audiologist | 1206 York Rd, Suite 201, Lutherville, MD 21093-6217 | 2007-11-05 |
| 1831213586 | Susan Douglas Buckley | Psychologist | 209 Cooper Ave, Montclair, NJ 07043-1883 | 2007-03-19 |
| 1942219951 | Susan Buckley | Dietitian, Registered | 1000 Southpark Drive, Littleton, CO 80120-5654 | 2006-08-07 |
| Street Address |
246 PLEASANT ST SUITE G2 |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-7539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107216 | Wayne K. Stadelmann | Surgery | 246 Pleasant St, Suite 210, Concord, NH 03301-2588 | 2005-07-12 |
| 1831540392 | Gentle Dental Associates, LLC | Clinic/Center | 246 Pleasant St, Concord, NH 03301-2548 | 2016-06-27 |
| 1023463411 | Pleiades Anesthesia LLC | Anesthesiology | 246 Pleasant St, Suite 105b, Concord, NH 03301-2548 | 2016-05-04 |
| 1730541517 | Cynthia L. Currier | Nurse Practitioner | 246 Pleasant St, Suite 205, Concord, NH 03301-2548 | 2016-03-22 |
| 1336511500 | Bridgette M. Elguero | Nurse Practitioner | 246 Pleasant St, Memorial Building, West, Floor 2, Concord, NH 03301-2548 | 2015-10-27 |
| 1790169993 | Steven Michael Isner | Physician Assistant | 246 Pleasant St, Suite 205, Concord, NH 03301-2548 | 2015-07-17 |
| 1366869158 | Colleen M Didas | Physician Assistant | 246 Pleasant St, Suite 205, Concord, NH 03301-2548 | 2014-03-18 |
| 1326485038 | Eric Michael Dyson | Surgery | 246 Pleasant St, Memorial Building, West, Ground Floor, Concord, NH 03301-2548 | 2013-06-04 |
| 1124367602 | Mary Susan Corliss | Nurse Practitioner | 246 Pleasant St, Concord, NH 03301-2548 | 2013-02-04 |
| 1124371299 | Adam Michael Boise | Nurse Practitioner | 246 Pleasant St, Suite 205, Concord, NH 03301-2548 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041927 | Kayla Norman | Nurse Practitioner | 827 Gaulding Rd, Concord, GA 30206-2258 | 2020-04-13 |
| 1982246534 | Josephine Akih Ojong Fongoh | Nurse Practitioner | 7395 Millstone Cir Sw, Concord, NC 28025-0005 | 2019-10-16 |
| 1356995187 | Lyndsey Michele Vallee | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-07-30 |
| 1215580923 | Zoe J. Owers | Nurse Practitioner | 248 Pleasant St Ste 2600, Concord, NH 03301-7529 | 2019-07-22 |
| 1659834984 | Alisha Hudson Eudy | Nurse Practitioner | 2934 Walter Dr Nw, Concord, NC 28027-5562 | 2019-04-12 |
| 1831674647 | Rebecca C Diamond | Nurse Practitioner | 24 Bridge St Ste 9, Concord, NH 03301-4922 | 2018-09-27 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1295272565 | Jasmin Moultrie | Nurse Practitioner | 2095 Diamond Blvd, Concord, CA 94520-5832 | 2017-01-25 |
| 1417406976 | Lena Lax | Nurse Practitioner | 185 Central St, Concord, MA 01742-2909 | 2016-09-26 |
| 1760834857 | Sheri N. Davis | Nurse Practitioner | 11005 Heber Springs Rd N, Concord, AR 72523-9561 | 2016-07-13 |
| Find all providers in CONCORD | ||||
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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.