Susan St. Clair Roper (NPI# 1114039732, PAC ID# 0143393306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1114039732 |
| PAC ID by PECOS | 0143393306 |
| Professional Enrollment ID | I20100726000250 |
| Full Name | Susan St. Clair Roper |
| Organization Legal Name | COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC |
| Address |
2467 Enterprise Rd Suite A Clearwater FL 33763-1724 |
| Phone Number | 7277911411 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4789789835 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 | 7277911411 | COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC |
| Organization Legal Name | COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart A Walek | Dermatology | Countryside Dermatology and Laser Center Inc | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 |
| Kate A Schwed | Nurse Practitioner | Countryside Dermatology and Laser Center Inc | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 |
| Street Address |
2467 ENTERPRISE RD SUITE A |
| City | CLEARWATER |
| State | FL |
| Zip | 33763-1724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan G Keller | Chiropractic | 2467 Enterprise Rd, Clearwater, FL 33763-1724 | |
| Stuart A Walek | Dermatology | Countryside Dermatology and Laser Center Inc | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 |
| Kate A Schwed | Nurse Practitioner | Countryside Dermatology and Laser Center Inc | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Kay | Family Medicine | 2724 Park Dr, Clearwater, FL 33763-1020 | |
| John Savidakis | Podiatry | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | |
| Nazanin Roboubi | Podiatry | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | |
| Joseph A Laguna | Internal Medicine | 2701 Park Dr, Suite 2, Clearwater, FL 33763-1021 | |
| Vidya Sagar | Nephrology | Vidya Sagar Md Pa | 2725 Park Dr, Suite 5, Clearwater, FL 33763-1023 |
| Linda L. Misa | Clinical Social Worker | 2725 Park Dr, Suite 5, Clearwater, FL 33763-1023 | |
| Lisa A Rose | Nurse Practitioner | Stuart B Strikowsky Do Pa | 2724 Park Dr, Clearwater, FL 33763-1094 |
| Stuart B Strikowsky | Family Practice | Stuart B Strikowsky Do Pa | 2724 Park Dr, Clearwater, FL 33763-1094 |
| Frank V Sessa | Chiropractic | 2555 Enterprise Rd, Suite 5, Clearwater, FL 33763-1104 | |
| Tricia T Shelden | Clinical Social Worker | 2555 Enterprise Rd, Suite 2, Clearwater, FL 33763-1104 | |
| Find all physicians in zip 33763 | |||
| City | CLEARWATER |
| Zip Code | 33763 |
| Specialty | DERMATOLOGY |
| City + Specialty | CLEARWATER + DERMATOLOGY |
Please comment or provide details below to improve the information on Susan St. Clair Roper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.