Susan L Conn (NPI# 1760923221, PAC ID# 0648549204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760923221 |
| PAC ID by PECOS | 0648549204 |
| Professional Enrollment ID | I20170713001018 |
| Full Name | Susan L Conn |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Address |
17321 State Rd Suite 23 South Bend IN 46635-1531 |
| Phone Number | 5743358400 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325950843 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 17321 State Rd, Suite 23, South Bend, IN 46635-1531 | 5743358400 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weston S Carter | Family Medicine | Saint Joseph Regional Medical Center Inc | 1025 Widener Ln, Saint Joseph Family Medicine At Miami Rd, South Bend, IN 46614-3242 |
| Lensa G Girsha | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 60101 Bodnar Blvd, Suite 100b, Mishawaka, IN 46544-9340 |
| Nathaniel Stewart | Internal Medicine | Saint Joseph Regional Medical Center Inc | 1122 S Ironwood Dr, River Park Family Medicine, South Bend, IN 46615-1618 |
| Laura E Blackford | Family Medicine | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Bethany Rose Cohen | Family Medicine | Saint Joseph Regional Medical Center Inc | 12563 State Rd, Suite 23, Granger, IN 46530-9226 |
| Janice L Peterson | Family Medicine | Saint Joseph Regional Medical Center Inc | 232 S Main St A, Sjpn Lake Shore Clinic, Culver, IN 46511-1648 |
| Kimberley K Mendez | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Shamiram B Badal | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Barbara J Kunnen | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 114 N Washington St, Bourbon Family Medicine, Bourbon, IN 46504-1623 |
| Jennifer Friberg | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 |
| Street Address |
17321 STATE RD SUITE 23 |
| City | SOUTH BEND |
| State | IN |
| Zip | 46635-1531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas D Doctor | Family Medicine | Saint Joseph Regional Medical Center Inc | 17321 State Rd, Suite 23, South Bend, IN 46635-1531 |
| Charles O Higgs Coulthard | Family Medicine | Saint Joseph Regional Medical Center Inc | 17321 State Rd, Suite 23, South Bend, IN 46635-1531 |
| Richard Zentz | Family Medicine | Saint Joseph Regional Medical Center Inc | 17321 State Rd, Suite 23, South Bend, IN 46635-1531 |
| Robert M Hays | Family Practice | Saint Joseph Regional Medical Center Inc | 17321 State Rd, Suite 23, South Bend, IN 46635-1531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael James Oconnell | Family Medicine | 17960 Cleveland Rd, South Bend, IN 46635-1349 | |
| Auna L Preston | Psychologist, Clinical | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
| Keith Munneke | Clinical Social Worker | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
| Karen M Zusman | Occupational Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 430, South Bend, IN 46635-1416 |
| Sheryl A Vanheesbeke | Physical Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, South Bend, IN 46635-1416 |
| Thomas James Mango | Orthopedic Surgery | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 100, South Bend, IN 46635-1416 |
| Peter Damien Miller | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Matthew Richard Gillott | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Ester Petronella J Van Der Wal | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Lyndsay Alexandra Oancea | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Find all physicians in zip 46635 | |||
| City | SOUTH BEND |
| Zip Code | 46635 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTH BEND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan L Conn.
| 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.