SUSAN BOURDON (NPI# 1013946508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013946508 |
| Entity Type | Individual |
| Full Name | SUSAN BOURDON |
| Credential | RN, MSN, CS |
| Practice Address |
2345 Murray Ave Suite 200 Pittsburgh PA 15217-2352 |
| Practice Telephone | 4124216770 |
| Practice Fax Number | 4124216596 |
| Mailing Telephone | 4124216770 |
| Mailing Fax Number | 4124216596 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
RN321656L | PA | Behavioral Health & Social Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN321656L | PA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100730154 | 05 |
| Street Address |
2345 MURRAY AVE SUITE 200 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15217-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528020153 | Colleen Schomburg | Physical Therapist | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2006-04-06 |
| 1417408212 | Jacquelyn Latham | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2016-10-18 |
| 1790239747 | Emily Dunnette | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2016-08-08 |
| 1326479965 | Niedermeyer & Associates | Social Worker | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2013-12-09 |
| 1356606669 | Joni Marie Mothersbaugh | Physical Therapist | 2345 Murray Ave, Pittsburgh, PA 15217-2352 | 2012-07-12 |
| 1326291642 | Kirsti Stark | Counselor | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2008-10-30 |
| 1861528614 | Deborah Evers | Counselor | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2007-02-26 |
| 1396800801 | Sharon Leak | Psychologist | 2345 Murray Ave, Suite 230, Pittsburgh, PA 15217-2352 | 2006-12-26 |
| 1477611275 | Janice L Bryant | Physical Therapist | 2345 Murray Ave, Suite 200, Pittsburgh, PA 15217-2352 | 2006-12-05 |
| 1831107648 | Jack L Pechersky | Dentist | 2345 Murray Ave, Suite 220, Pittsburgh, PA 15217-2353 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279867 | Esther Moritz | Emergency Medical Technician, Basic | Tech and Frew Streets, Pittsburgh, PA 15217 | 2020-03-05 |
| 1588168645 | Melissa Noll-carter | Counselor | 5725 Forward Ave Ste 300, Pittsburgh, PA 15217 | 2018-03-22 |
| 1699281923 | Laura Leiden | Dietitian, Registered | 2008 Murray Ave Ste B, Pittsburgh, PA 15217 | 2017-12-22 |
| 1912424391 | Tina Marie Javorsky | Dental Hygienist | Squirrel Hill Health Center, 4516 Browns Hill Road --suite A, Pittsburgh, PA 15217 | 2017-08-25 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588044283 | Jonathan Yadlosky | Family Medicine | 5608 Wilkins Ave Ste 100, Pittsburgh, PA 15217 | 2015-06-08 |
| 1659795631 | Karolyn Carlson | Speech-Language Pathologist | 5636 Bartlett Street, Pittsburgh, PA 15217 | 2014-02-11 |
| 1841620663 | Tokunboh M. Obasi | Nutritionist | 5824 Forbes Ave., Suite 2a, Pittsburgh, PA 15217 | 2013-11-14 |
| 1063710705 | Jeffrey Michael Parker | Dentist | 6301 Forbes Ave., Suite 102, Pittsburgh, PA 15217 | 2011-03-04 |
| 1528381324 | Susan Shaiman Kimelman | Speech-Language Pathologist | 233 Anita Ave, Pittsburgh, PA 15217 | 2010-03-08 |
| Find all providers in zip 15217 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398058 | Carolyn Gayle Wachtel | Registered Nurse | 100 N. Bellefield Avenue, Pittsburgh, PA 15213 | 2018-09-05 |
| 1376721258 | Maria Lucia Smith | Registered Nurse | 3811 O' Hara Street, Pittsburgh, PA 15213-2593 | 2008-02-04 |
| 1184258238 | Portia Lashell Paige | Registered Nurse | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2020-02-27 |
| 1548891914 | Cynthia Ann Fetscher | Registered Nurse | 7165 Churchland St, Pittsburgh, PA 15206-1217 | 2020-02-04 |
| 1346881893 | Nicole Syd Swett | Registered Nurse | 100 N Bellefield Ave Ste 4, Pittsburgh, PA 15213-2600 | 2019-10-07 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1871051995 | Susan Freehling | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-07 |
| 1962984989 | Frank Presto | Registered Nurse | 100 N Bellefield Ave, Pittsburgh, PA 15213-2600 | 2018-09-06 |
| 1518470327 | Mary Alice Lane | Registered Nurse | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2017-11-15 |
| 1316348329 | Jessica Bickel | Registered Nurse | 712 South Ave, Pittsburgh, PA 15221-2940 | 2014-09-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15217 |
Please comment or provide details below to improve the information on SUSAN BOURDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.