Susan C Mullooly (NPI# 1740627363, PAC ID# 8426366691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740627363 |
| PAC ID by PECOS | 8426366691 |
| Professional Enrollment ID | I20151117001240 |
| Full Name | Susan C Mullooly |
| Organization Legal Name | APOGEE MEDICAL GROUP OF PENNSYLVANIA PC |
| Address |
250 S 21st St Easton PA 18042-3851 |
| Phone Number | 6102504540 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668437104 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510012 | PLEASANT VALLEY HOSPITAL |
| 390009 | SAINT VINCENT HOSPITAL |
| 391308 | CORRY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 250 S 21st St, Easton, PA 18042-3851 | 6102504540 | APOGEE MEDICAL GROUP OF PENNSYLVANIA PC |
| Organization Legal Name | APOGEE MEDICAL GROUP OF PENNSYLVANIA PC |
| Physicians | 126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Wentz | Hospitalist | Apogee Medical Group of Pennsylvania PC | 290 Haida Ave, Hastings, PA 16646-5610 |
| Ki Won Seo | Hospitalist | Apogee Medical Group of Pennsylvania PC | 232 W 25th St, Erie, PA 16544-0002 |
| Jyothi Kudakandira | Undefined Physician Type (specify) | Apogee Medical Group of Pennsylvania PC | 250 S 21st St, Easton, PA 18042-3851 |
| Zeke Feyock | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 100 Hospital Ave, Du Bois, PA 15801-1440 |
| Shripad B Pande | Internal Medicine | Apogee Medical Group of Pennsylvania PC | 232 W 25th St, Erie, PA 16544-0002 |
| Mia C Izzo | Physician Assistant | Apogee Medical Group of Pennsylvania PC | 232 W 25th St, Erie, PA 16544-0002 |
| Darlene G Venezia-skaggs | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Abdelsalam M Ahmed | Hospitalist | Apogee Medical Group of Pennsylvania PC | 100 Hospital Ave, Du Bois, PA 15801-1440 |
| Radha Krishna Kothapalli | Hospitalist | Apogee Medical Group of Pennsylvania PC | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 |
| Anustup Datta | Hospitalist | Apogee Medical Group of Pennsylvania PC | 232 W 25th St, Erie, PA 16544-0002 |
| Street Address |
250 S 21ST ST |
| City | EASTON |
| State | PA |
| Zip | 18042-3851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyothi Kudakandira | Undefined Physician Type (specify) | Apogee Medical Group of Pennsylvania PC | 250 S 21st St, Easton, PA 18042-3851 |
| Theresa K Kelly | Certified Registered Nurse Anesthetist (crna) | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Dusan Damjanovic | Anesthesiology | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Paul B Langevin | Anesthesiology | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Donna E Ward | Certified Registered Nurse Anesthetist (crna) | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Otar Datiashvili | Emergency Medicine | Liberty Emergency Physicians LLC | 250 S 21st St, Easton, PA 18042-3851 |
| Irina S Dash | Certified Registered Nurse Anesthetist (crna) | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Danielle A Mcknight | Certified Registered Nurse Anesthetist (crna) | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Alfred W Imbody | Certified Registered Nurse Anesthetist (crna) | Capital Anesthesia Solutions of Pennsylvania LLC | 250 S 21st St, Easton Hospital, Easton, PA 18042-3851 |
| Michael J Wechsler | Physician Assistant | Steward Medical Group Inc | 250 S 21st St, Steward Medical Group, Easton, PA 18042-3851 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Horgash | Nurse Practitioner | St Lukes Physician Group Inc | 100 N 3rd St, Fl 2, Easton, PA 18042-1869 |
| Gregory Carolan | Orthopedic Surgery | St Lukes Physician Group Inc | 100 N 3rd St, Fl 2, Easton, PA 18042-1869 |
| Trisha Gill | Nurse Practitioner | Nj Certified Dermatology PC | 1536 Northampton St, Easton, PA 18042-3130 |
| Christine Sosnowski | Nurse Practitioner | Nj Certified Dermatology PC | 1536 Northampton St, Easton, PA 18042-3130 |
| Erika L Lutkins | Nurse Practitioner | Nj Certified Dermatology PC | 1536 Northampton St, Easton, PA 18042-3130 |
| Amy J Depalma | Nurse Practitioner | Nj Certified Dermatology PC | 1536 Northampton St, Easton, PA 18042-3130 |
| Michael E Seldow | Chiropractic | 1631 Northampton St, Easton, PA 18042-3131 | |
| Jarid S Bleiman | Chiropractic | 1631 Northampton St, Easton, PA 18042-3131 | |
| Aparna U Tamaskar | Family Medicine | Steward Medical Group Inc | 1723 Northampton St, Easton Internal Medical Associates, Easton, PA 18042-3133 |
| Suzette V. Barreto | Internal Medicine | Steward Medical Group Inc | 1723 Northampton St, Easton Internal Medical Associates, Easton, PA 18042-3133 |
| Find all physicians in zip 18042 | |||
| City | EASTON |
| Zip Code | 18042 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EASTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Susan C Mullooly.
| 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.