SUSAN S PARK (NPI# 1962979989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962979989 |
| Entity Type | Individual |
| Full Name | SUSAN S PARK |
| Credential | CRNP |
| Practice Address |
420 S 5th Ave West Reading PA 19611-2143 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 4846284879 |
| Mailing Telephone | 4846280799 |
| Mailing Fax Number | 4843347026 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | SP019676 | PA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN651712 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598117012 | Susan S Park | Pharmacist | 15131 E Crestline Ave, Centennial, CO 80015-2517 | 2016-07-08 |
| 1104230838 | Susan Park | Dentist | 3607 Old Spanish Trl, Suite G, Houston, TX 77021 | 2014-06-20 |
| 1922253673 | Susan Clair Park | Physical Therapist | 7 Spur Rd, Lansdale, PA 19446-1435 | 2008-11-21 |
| 1467668772 | Susan Yooshin Park | Radiology | 8 Calais, Newport Coast, CA 92657-1055 | 2007-05-15 |
| 1497309413 | Susan S Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-07-29 |
| 1306309463 | Susan Hahn Park | Speech-Language Pathologist | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2019-04-07 |
| 1609376797 | Susan Young Park | Nurse Practitioner | 2242 Repsdorph Rd, Seabrook, TX 77586-1566 | 2018-02-15 |
| 1114253515 | Susan Jung Park | Family Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2009-10-20 |
| 1003070640 | Susan Jin-sun Park | Family Medicine | 661 Sierra Rose Dr, Reno, NV 89511 | 2008-07-14 |
| 1811159411 | Susan Kyung Park | Student in an Organized Health Care Education/Training Program | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-26 |
| Street Address |
420 S 5TH AVE |
| City | WEST READING |
| State | PA |
| Zip Code | 19611-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849815 | Anthony A. Donato | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2005-05-31 |
| 1528671617 | Alex Hartman | Nurse Anesthetist, Certified Registered | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-28 |
| 1861004913 | Amar Suwal | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-20 |
| 1770195828 | Biraj Shrestha | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-20 |
| 1043822190 | Swarup Sharma Rijal | Family Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-20 |
| 1598377640 | Krantikiran Baral | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-20 |
| 1225640378 | Arpan Pokhrel | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-20 |
| 1952912008 | Usama Nasir | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-12 |
| 1619588761 | Muhammad Asad Hanif | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-12 |
| 1356952493 | Christian Akem Dimala | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645247 | Donna Connor | Nurse Practitioner | S. 6th Ave, Reading, PA 19611 | 2017-05-08 |
| 1215397286 | Brian Punnoose | Pharmacist | 301 S. 6th Avenue, West Reading, PA 19611 | 2016-03-03 |
| 1700273323 | Sheila Kalathil | Internal Medicine | 420 S 5th Avenue, West Reading, PA 19611 | 2015-04-21 |
| 1497174502 | Marianne Sharon | Counselor | 20-22 North 6th Ave., West Reading, PA 19611 | 2014-04-16 |
| 1699191718 | Meghan Ward | Nurse Practitioner | Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-03-13 |
| 1821413378 | Elizabeth Rider-williams | Counselor | 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 | 2014-02-20 |
| 1295050193 | John Oliver Mclain Jr. | Psychiatry & Neurology | S. 6th Ave and Spruce Street, West Reading, PA 19611 | 2010-04-02 |
| 1215252515 | Sara L Lee | Physician Assistant | S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 | 2010-03-30 |
| 1508012683 | Kathryn Mraz Marr | Physical Therapist | 629 Court St, West Reading, PA 19611 | 2008-08-08 |
| 1316116809 | Genesis House Reading | Clinic/Center | 697 Reading Avenue, West Reading, PA 19611 | 2008-02-28 |
| Find all providers in zip 19611 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326162249 | Karen Sue Stork | Registered Nurse | 693 Reading Ave, West Reading, PA 19611-1009 | 2007-03-17 |
| 1194769869 | Rachel P. Lengle | Registered Nurse | 6 Spruce St, West Reading, PA 19611-1454 | 2006-06-15 |
| 1225675648 | Rosa Dominicis | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2019-12-04 |
| 1679047294 | Louise Byrnes | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2019-01-16 |
| 1629548102 | Shannon Marie Davidson | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-11-28 |
| 1316416894 | Krystal Velez | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-11-14 |
| 1578044392 | Ker Huang Kang | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-08-29 |
| 1780172163 | Laura M Koonce | Registered Nurse | 301 S 7th Ave Ste 2020, West Reading, PA 19611-1495 | 2018-05-01 |
| 1598266314 | Wendy L Lundregan | Registered Nurse | 301 S 7th Ave Ste 2020, West Reading, PA 19611-1495 | 2018-02-27 |
| 1477062628 | Brianna Woods | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2017-09-20 |
| Find all providers in WEST READING | ||||
| City | WEST READING |
| Zip Code | 19611 |
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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.