Susan J Sansom (NPI# 1538611397, PAC ID# 8123300191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538611397 |
| PAC ID by PECOS | 8123300191 |
| Professional Enrollment ID | I20170126002639 |
| Full Name | Susan J Sansom |
| Organization Legal Name | ADVANCED FAMILY MEDICINE PLLC |
| Address |
943 N Linder Rd 103 Advanced Family Medicine Kuna ID 83634-3395 |
| Phone Number | 2089223355 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264494798 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 | 2089223355 | ADVANCED FAMILY MEDICINE PLLC |
| Organization Legal Name | ADVANCED FAMILY MEDICINE PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly B Armijo | Family Medicine | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Jordan E Finnegan | Physician Assistant | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Traci H Permenter | Physician Assistant | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Michael W Foutz | Family Medicine | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Street Address |
943 N LINDER RD 103 ADVANCED FAMILY MEDICINE |
| City | KUNA |
| State | ID |
| Zip | 83634-3395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly B Armijo | Family Medicine | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Jordan E Finnegan | Physician Assistant | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Traci H Permenter | Physician Assistant | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Michael W Foutz | Family Medicine | Advanced Family Medicine Pllc | 943 N Linder Rd, 103 Advanced Family Medicine, Kuna, ID 83634-3395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Kuznia | Physical Therapy | Rehabauthority LLC | 943 N Linder, Suite 104, Kuna, ID 83634-3395 |
| Paul Vinci | Physical Therapy | Rehabauthority LLC | 943 N Linder, Suite 104, Kuna, ID 83634-3395 |
| Andrea Earlyne Rowan | Physical Therapy | Rehabauthority LLC | 943 N Linder, Suite 104, Kuna, ID 83634-3395 |
| Molly Mccormick | Family Medicine | The Family Medicine Residency of Idaho Inc | 708 E Wythe Creek Ct, Suite 103, Kuna, ID 83634-5005 |
| Alanna E Lilly | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Dustin D Elliott | Chiropractic | Pioneer Sports and Pain Center LLC | 757 E Wythe Creek Ct, Suite 102, Kuna, ID 83634-5006 |
| Jie Yan | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Cara L Carpenter | Physical Therapy | Pioneer Sports and Pain Center LLC | 757 E Wythe Creek Ct, Suite 102, Kuna, ID 83634-5006 |
| Jeffrey V Ball | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Ryan D Heyborne | Emergency Medicine | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Find all physicians in zip 83634 | |||
| City | KUNA |
| Zip Code | 83634 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KUNA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan J Sansom.
| 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.