SUSAN FOWLER GUELICH (NPI# 1912054719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912054719 |
Entity Type | Individual |
Full Name | SUSAN FOWLER GUELICH |
Other Name | SUSAN M FOWLER |
Credential | MD |
Practice Address |
2602 Franklin Rd Sw Roanoke VA 24014-1010 |
Practice Telephone | 5403441400 |
Practice Fax Number | 5403447133 |
Mailing Telephone | 5403441400 |
Mailing Fax Number | 5403447133 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2016-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 2009-01001 | NC | Allopathic & Osteopathic Physicians |
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
0101249088 | VA | Allopathic & Osteopathic Physicians |
Street Address |
2602 FRANKLIN RD SW |
City | ROANOKE |
State | VA |
Zip Code | 24014-1010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760485635 | Stephen Laurence Hill | Surgery | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-05-24 |
1083237432 | Walter Curtis Hodges Jr. | Registered Nurse | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2020-05-20 |
1821647330 | Jearls Nutrition, LLC | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-09-06 |
1033779814 | Kristie Jearls | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-06-14 |
1881148732 | Jessica M Saunders | Nurse Practitioner | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2016-08-09 |
1871988386 | Dennis Hu | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2015-04-01 |
1750526075 | Rebecca D Hughes | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-12-16 |
1073762829 | Robin Hurt Wright | Family Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-09-17 |
1518151620 | Abdelaziz Ali Elsanjak | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2007-08-31 |
1053436923 | Rebin Thomas Titus | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014 | 2007-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
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Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881016541 | Michael John Solhaug | Pediatrics | 5203 Holly Rd, Virginia Beach, VA 23451-2330 | 2014-01-15 |
1386764025 | Roberto Ariel Gomez | Pediatrics | 2nd Lee St, Charlottesville, VA 22908-0001 | 2007-03-29 |
1235226663 | Randala R Lakkis | Pediatrics | 3023 Hamaker Ct Ste 600, Fairfax, VA 22031-2241 | 2006-10-06 |
1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
1639483373 | Davoud Mohtat | Pediatrics | 3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207 | 2010-08-05 |
1942520341 | Cristin Duongba Wendel Kaspar | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2010-06-08 |
1396979019 | Sarah E Hoffmann | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2009-05-08 |
1558485524 | Jennifer R. Charlton | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-16 |
1497816045 | Agnieszka Swiatecka-urban | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-12-13 |
1376612903 | Victoria F. Norwood | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-11-07 |
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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.