Susan M Whittaker (NPI# 1699803692, PAC ID# 6103099841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699803692 |
| PAC ID by PECOS | 6103099841 |
| Professional Enrollment ID | I20111025000785 |
| Full Name | Susan M Whittaker |
| Organization Legal Name | NORTH EAST OHIO HEALTH SERVICES |
| Address |
24200 Chagrin Blvd Beachwood OH 44122-5550 |
| Phone Number | 2168316466 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820079858 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| 360125 | ASHTABULA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2168316466 | NORTH EAST OHIO HEALTH SERVICES |
| Organization Legal Name | NORTH EAST OHIO HEALTH SERVICES |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Wolen | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Tiffany S Jones | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Frank D Sajen | Physician Assistant | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Sheridan L Vecchio | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Sylvester I Smarty | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Jaymie Anne Shanker | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Joseph M Steiner | Clinical Psychologist | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Ann B Sylvester | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Kong Y Kwon | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Rachelle M Spitz | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Street Address |
24200 CHAGRIN BLVD |
| City | BEACHWOOD |
| State | OH |
| Zip | 44122-5550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Wolen | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Tiffany S Jones | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Frank D Sajen | Physician Assistant | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Sheridan L Vecchio | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Sylvester I Smarty | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Jaymie Anne Shanker | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Joseph M Steiner | Clinical Psychologist | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Ann B Sylvester | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Kong Y Kwon | Psychiatry | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Rachelle M Spitz | Clinical Social Worker | North East Ohio Health Services | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | BEACHWOOD |
| Zip Code | 44122 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEACHWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan M Whittaker.
| 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.