Susan H Roderick (NPI# 1518022045, PAC ID# 3173569118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518022045 |
| PAC ID by PECOS | 3173569118 |
| Professional Enrollment ID | I20050630000151 |
| Full Name | Susan H Roderick |
| Organization Legal Name | OUTER CAPE HEALTH SERVICES INC |
| Address |
49 Harry Kemp Way Provincetown MA 02657-1618 |
| Phone Number | 5084879395 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1976 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385554971 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220012 | CAPE COD HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 5084879395 | OUTER CAPE HEALTH SERVICES INC |
| Organization Legal Name | OUTER CAPE HEALTH SERVICES INC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Anthony | Family Medicine | Outer Cape Health Services Inc | 710 Main St, Harwich Port, MA 02646-1931 |
| Matthew E Burdette | Internal Medicine | Outer Cape Health Services Inc | 3130 State Hwy Rte 6, Wellfleet, MA 02667-7402 |
| William E Shay | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Teresa R Corcoran | Internal Medicine | Outer Cape Health Services Inc | 710 Main St, Harwich Port, MA 02646-1931 |
| Andrew C Jorgensen | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Michael S Henderson | Optometry | Outer Cape Health Services Inc | 710 Main St, Harwich Port, MA 02646-1931 |
| Brian Koll | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Adria M Kennedy | Nurse Practitioner | Outer Cape Health Services Inc | 710 Main St, Harwich Port, MA 02646-1931 |
| Kalpna Thuraisamy | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Ann F Mcmahon | Clinical Social Worker | Outer Cape Health Services Inc | 710 Main St, Harwich Port, MA 02646-1931 |
| Street Address |
49 HARRY KEMP WAY |
| City | PROVINCETOWN |
| State | MA |
| Zip | 02657-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Shay | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Andrew C Jorgensen | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Brian Koll | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Kalpna Thuraisamy | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Marta B Hansen | Clinical Social Worker | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Alexandra Boyle | Nurse Practitioner | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Heather L Duncan | Physician Assistant | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Kimberly J Duir | Family Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Feneta Forbes-crowe | Nurse Practitioner | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Carl Gustaf Streed Jr. | Internal Medicine | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Omalley | Internal Medicine | Brian O'malley and Wilsa J. Ryder, Ptr | 30 Shank Painter Rd, Provincetown, MA 02657-1342 |
| Terence J O Loughlin | Diagnostic Radiology | Progressive Physician Associates Inc | 29 Conant St, Suite 3, Provincetown, MA 02657-1352 |
| Mary Ellen Dwyer | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
| Deborah L Shell | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
| Robert D Cohen | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
| Cynthia A Franco | Physical Therapy | 30 Conwell St, Unit 1, Provincetown, MA 02657-1548 | |
| Frank D Bellistri | Nurse Practitioner | 30 Conwell St, Unit 12, Provincetown, MA 02657-1548 | |
| Dale S Rheault | Clinical Social Worker | 30 Conwell St, Provincetown, MA 02657-1548 | |
| Barbara A Murphy | Clinical Nurse Specialist | 30 Conwell St, Provincetown, MA 02657-1548 | |
| Peter C Gherardi | Psychiatry | Outer Cape Health Services Inc | 49 Harry Kemp Way, Provincetown, MA 02657-1618 |
| Find all physicians in zip 02657 | |||
| City | PROVINCETOWN |
| Zip Code | 02657 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVINCETOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan H Roderick.
| 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.