MRS. SUSAN K RADTKE (NPI# 1912943663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912943663 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN K RADTKE |
| Credential | F.N.P. |
| Practice Address |
218 N Michigan Ave Shelby MI 49455-1028 |
| Mailing Address |
1159 Holton Whitehall Rd Whitehall MI 49461-9143 |
| Practice Telephone | 2318612187 |
| Practice Fax Number | 2318946248 |
| Mailing Telephone | 2318949167 |
| Enumeration Date | 2006-06-21 |
| 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 | 4704153426 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174531040 | Susan A Radtke | Obstetrics & Gynecology | 21321 Harper, Suite A, St. Clair Shores, MI 48080 | 2006-08-04 |
| 1326067331 | Susan Marie Radtke | Psychologist | 11952 South Harlem Ave, Suite 200 B, Palos Heights, IL 60463-1167 | 2006-07-19 |
| Street Address |
218 N MICHIGAN AVE |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053302810 | Loren S Reed | Surgery | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| Find all providers in zip 49455 | ||||
| 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 |
|---|---|---|---|---|
| 1518523695 | Tabitha Dawn Hofer | Nurse Practitioner | 24 Morris Rd Ste 2, Shelby, OH 44875-1170 | 2019-05-14 |
| 1316416555 | Chakun Tiffany Mcdaniel | Nurse Practitioner | 1215 Charles Rd, Shelby, NC 28152-7029 | 2018-11-16 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1114184207 | Heike Hermine Arrowood | Nurse Practitioner | 307 Christopher Road, Shelby, NC 28152 | 2008-05-18 |
| 1598951915 | Duane A Kelley | Nurse Practitioner | 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201 | 2007-09-19 |
| 1972717049 | Cynthia H Ebert | Nurse Practitioner | 222 North Lafayette Street, Suite 23, Shelby, NC 28150 | 2007-05-09 |
| 1700483013 | Hayley Bowman | Nurse Practitioner | 200 S Post Rd, Shelby, NC 28152-6269 | 2020-10-08 |
| 1649898966 | Kimberly Jane Sinclair | Nurse Practitioner | 305 W College Ave, Shelby, NC 28152-8111 | 2020-07-13 |
| 1699309211 | Alexis C Hamilton | Nurse Practitioner | 808 Schenck St, Shelby, NC 28150-3934 | 2020-02-24 |
| 1053958918 | Brittany Dick | Nurse Practitioner | 201 E Grover St, Shelby, NC 28150-3917 | 2019-12-10 |
| Find all providers in SHELBY | ||||
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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.