SUSAN H HART (NPI# 1023043056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023043056 |
| Entity Type | Individual |
| Full Name | SUSAN H HART |
| Credential | M.D. |
| Practice Address |
1052 Park Ave Cranston RI 02910-3225 |
| Mailing Address |
9 Dorset Rd Pawtucket RI 02860-5123 |
| Practice Telephone | 4012755039 |
| Mailing Telephone | (401) 462-2275 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD10734 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD10734 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972089274 | Susan Corey Hart | Counselor | 2536 S Old Highway 94 Ste 234, Saint Charles, MO 63303-5612 | 2018-07-19 |
| 1295224269 | Susan Hart | Massage Therapist | 1706 Meadowview Ln, Mont Clare, PA 19453-5247 | 2018-05-06 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1215353214 | Susan Hart | Occupational Therapist | 1250 W Sam Houston Pkwy S, Suite 180, Houston, TX 77042-1941 | 2014-03-14 |
| 1376863613 | Susan Hart | Nurse Practitioner | 62168 Ob Riley Rd E2-16, Bend, OR 97701 | 2010-06-09 |
| 1164637971 | Susan Ladonna Hart | Counselor | 2905 Coatbridge Ln, Birmingham, AL 35242-4110 | 2007-05-14 |
| 1881644953 | Susan Elizabeth Hart | Occupational Therapist | 4867 Red Bay Dr, Orlando, FL 32829-8711 | 2006-05-11 |
| 1780226258 | Susan Hart | Social Worker | 107 Commercial St, Mashpee, MA 02649-6507 | 2019-10-16 |
| 1083140701 | Susan Hart | Social Worker | 39 Duncan St, Warsaw, NY 14569-1017 | 2017-05-02 |
| 1407261548 | Susan Hart | Counselor | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2014-06-27 |
| Street Address |
1052 PARK AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731321 | Codac Inc | Clinic/Center | 1052 Park Ave, Codac Cranston, Cranston, RI 02910 | 2005-06-23 |
| 1467988683 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2017-05-08 |
| 1497144752 | Ileana Santiago | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2015-01-09 |
| 1780082743 | Codac Behavioral Healthcare | Community/Behavioral Health | 1052 Park Ave, Cranston, RI 02910-3225 | 2014-12-08 |
| 1427454453 | Jessica Elliott | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2014-11-19 |
| 1316196900 | Margarida A Renzi | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2008-09-18 |
| 1629249156 | Tammy Brown | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2008-03-12 |
| 1851513394 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2007-05-03 |
| 1710109848 | Jane F Dilorenzo | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108857 | Andrew C Stone | Internal Medicine | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626174 | Denis E Moonan Jr. | Internal Medicine | 1515 Smith St, Suite N, North Providence, RI 02911-2947 | 2005-11-16 |
| 1821656034 | Prospect Chartercare Sjhsri, LLC | Internal Medicine | 200 High Service Ave, N Providence, RI 02904-5113 | 2019-06-03 |
| 1760977136 | Prospect Chartercare Rwmc, LLC | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2018-06-27 |
| 1508049305 | Medical Assisted Recovery, Inc. | Internal Medicine | 875 Centerville Rd, Warwick, RI 02886-4381 | 2007-12-14 |
Please comment or provide details below to improve the information on SUSAN H HART.
| 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.