SUSAN M STORCK (NPI# 1962700252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962700252 |
| Entity Type | Individual |
| Full Name | SUSAN M STORCK |
| Credential | APRN |
| Practice Address |
95 Armory Rd Stratford CT 06614-1753 |
| Mailing Address |
226 Mill Hill Ave 3rd Fl Bridgeport CT 06610-2826 |
| Practice Telephone | 2033843399 |
| Practice Fax Number | 2033844034 |
| Mailing Telephone | 2033843399 |
| Mailing Fax Number | 2033844034 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004505 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083766976 | Susan B Storck | Obstetrics & Gynecology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-18 |
| Street Address |
95 ARMORY RD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464061 | Gary J Rader Dc PC | Acupuncturist | 95 Armory Rd, Stratford, CT 06614-1702 | 2005-08-22 |
| 1952855942 | Marissa Lavin | Nurse Practitioner | 95 Armory Rd, Stratford, CT 06614-1753 | 2016-08-08 |
| 1902283062 | Stratford Acupuncture & Wellness Center | Acupuncturist | 95 Armory Rd, Stratford, CT 06614-1753 | 2015-04-28 |
| 1346595337 | Chinyere Uzoamaka | Internal Medicine | 95 Armory Rd, Stratford, CT 06614-1753 | 2012-07-17 |
| 1932407442 | Joseph C Downer Jr. | Acupuncturist | 95 Armory Rd, Stratford, CT 06614-1753 | 2011-03-08 |
| 1619298056 | Matthew Chere | Chiropractor | 95 Armory Rd, Stratford, CT 06614-1753 | 2010-06-21 |
| 1447291497 | Marina Blagodatny | Internal Medicine | 95 Armory Rd, Stratford, CT 06614-1753 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705181 | Jessi Runyan | Nurse Practitioner | 50365 E County Road 1580, Stratford, OK 74872-6769 | 2019-11-19 |
| 1710544861 | Shaday Nakai Davis | Nurse Practitioner | 490 Sherwood Pl Apt B20, Stratford, CT 06615-6543 | 2019-05-23 |
| 1396301206 | Christina Victoria Carman | Nurse Practitioner | 11 Sunnybrook Rd Unit A, Stratford, NJ 08084-1635 | 2019-05-15 |
| 1649743550 | Alma Micheala Joseph | Nurse Practitioner | 81 Peck St, Stratford, CT 06614-4443 | 2019-01-03 |
| 1700357233 | Holistic Psychiatric Services LLC | Nurse Practitioner | 2875 Main St Ste 2a, Stratford, CT 06614-4979 | 2018-12-10 |
| 1063987808 | Liza Halper | Nurse Practitioner | 1450 James Farm Rd, Stratford, CT 06614-1090 | 2018-10-08 |
| 1477000370 | Heather Previs | Nurse Practitioner | 3426 Main St, Stratford, CT 06614-4118 | 2016-09-08 |
| 1093185308 | Colleen Mcdougall | Nurse Practitioner | 205 Quenby Pl, Stratford, CT 06614-1863 | 2015-09-29 |
| 1114309317 | Destiny Ruosa Mitchell | Nurse Practitioner | 217 W Smith Street, Stratford, OK 74872 | 2015-06-24 |
| 1295860971 | Krista Brown | Nurse Practitioner | 1220 Purnell St, Stratford, TX 79084-1107 | 2007-02-22 |
| Find all providers in STRATFORD | ||||
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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.