Susan K Frady (NPI# 1083935001, PAC ID# 4486839107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083935001 |
| PAC ID by PECOS | 4486839107 |
| Professional Enrollment ID | I20110422000370 |
| Full Name | Susan K Frady |
| Organization Legal Name | METAMORPHOSIS LTD |
| Address |
113 Latigo Ln Suite D Canon City CO 81212-8115 |
| Phone Number | 7193710000 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456573427 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061344 |
| Address | Phone | Organization |
|---|---|---|
| 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 | 7193710000 | METAMORPHOSIS LTD |
| Organization Legal Name | METAMORPHOSIS LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gia Regine Forbes | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 2140 Hollow Brook Dr, Suite 110, Colorado Springs, CO 80918-1489 |
| Michael S Mohr | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Lisa G Pearson | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Robert J Howell | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael P Rucker | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Dante O Langston | Physician Assistant | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Jill K Erlenbusch | Nurse Practitioner | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Street Address |
113 LATIGO LN SUITE D |
| City | CANON CITY |
| State | CO |
| Zip | 81212-8115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Mohr | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Victoria V King | Otolaryngology | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 | |
| Robert J Howell | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael P Rucker | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Brown | General Surgery | 933 A Sell Ave, Canon City, CO 81212-1292 | |
| Michael V Christiansen | Chiropractic | 760 Piedra Dr, Canon City, CO 81212-2251 | |
| William L Elzi | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | |
| Christopher J Buchanan | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | |
| Dante O Langston | Physician Assistant | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Jill K Erlenbusch | Nurse Practitioner | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Frederick M Workman | Internal Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| Morgan Kizzar | Podiatry | 1338 Phay Ave, Canon City, CO 81212-2311 | |
| Daniel John Wandsneider | Family Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| George W Scudella | Clinical Social Worker | 615 N 15th St, Canon City, CO 81212-2313 | |
| Find all physicians in zip 81212 | |||
| City | CANON CITY |
| Zip Code | 81212 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan K Frady.
| 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.