MRS. SUSAN BENTON SULESKE (NPI# 1982928735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982928735 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN BENTON SULESKE |
| Other Name | SUSAN B JEFFERIES |
| Credential | PA-C |
| Practice Address |
2503 S Seminole Trl Madison VA 22727-2690 |
| Mailing Address |
Po Box 21975 Belfast ME 04915-4116 |
| Practice Telephone | 5409486871 |
| Practice Fax Number | 5409486601 |
| Mailing Telephone | 5403214281 |
| Mailing Fax Number | 5403214282 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-003217 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE | VVP063A | 01 |
| VA | 1982928735 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15237 Creativity Dr, Culpeper, VA 227012504 | 5403214281 | 5403214282 |
| 541 Sunset Ln Ste 301, Culpeper, VA 227013979 | 5408254557 | 5408254566 |
| Street Address |
2503 S SEMINOLE TRL |
| City | MADISON |
| State | VA |
| Zip Code | 22727-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164464178 | John Yates Sealander | Family Medicine | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2006-06-12 |
| 1700027067 | Anna T. Mccary | Nurse Practitioner | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243136 | Madison County Rescue Squad Inc | Ambulance | 1473 N Main Street, Madison, VA 22727 | 2012-03-29 |
| 1588995062 | Madison County Board of Supervisors | Ambulance | 1449 North Main Street, Madison, VA 22727 | 2010-01-22 |
| 1255668711 | Lorie N Davis | Counselor | 74 Legion Post Lane, Madison, VA 22727 | 2009-11-04 |
| 1720151582 | Madison County Dental Clinic | Public Health or Welfare | 410 North Main Street, Madison, VA 22727 | 2006-11-17 |
| 1255357455 | Madison County Public Schools | Local Education Agency (LEA) | 60 School Board Court, Madison, VA 22727 | 2006-07-14 |
| 1902423825 | Madison Free Clinic, Inc | Clinic/Center | 410 North Main Street, Madison, VA 22727 | 2020-06-26 |
| 1710334743 | Whitney Richards | Occupational Therapist | 1 Autumn Ct, Madison, VA 22727 | 2016-05-19 |
| 1215143813 | Jared Carter Kleine | Dentist | 1333 North Seminole Trail, Madison, VA 22727-0330 | 2007-05-14 |
| 1841708088 | Roma Marisa Shickel | Speech-Language Pathologist | 158 Primary School Dr, Madison, VA 22727-3008 | 2018-01-22 |
| 1417439894 | Kathy Suzanne Leake | Specialist/Technologist | 158 Primary School Dr, Madison, VA 22727-3008 | 2018-09-03 |
| Find all providers in zip 22727 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.