SUSAN J MATURLO (NPI# 1023076460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023076460 |
| Entity Type | Individual |
| Full Name | SUSAN J MATURLO |
| Credential | MD |
| Practice Address |
2874 N Carson St Suite 120 Carson City NV 89706-0251 |
| Practice Telephone | 7754457170 |
| Practice Fax Number | 7756878457 |
| Mailing Telephone | 7754457170 |
| Mailing Fax Number | 7756878457 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
3562891205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | ALTIUS | QM0000000062 | 01 |
| UT | EMIA | 870281028MA1 | 01 |
| UT | IHC HEALTHPLANS | 107008206101 | 01 |
| UT | 870281028000 | 05 | |
| UT | PEHP | 49453 | 01 |
| UT | PALMETTO GBA | 990014449 | 01 |
| UT | DMBA | 344542 | 01 |
| Street Address |
2874 N CARSON ST SUITE 120 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89706-0251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048018 | Sandra Jill Althaus | Radiology | 2874 N Carson St, Suite 300, Carson City, NV 89706-0251 | 2005-07-26 |
| 1649743154 | Joseph Barnes | Nurse Practitioner | 2874 N Carson St, Carson City, NV 89706-0251 | 2019-01-08 |
| 1285154260 | Penny Lontz | Physical Medicine & Rehabilitation | 2874 N Carson St, Carson City, NV 89706-0251 | 2017-06-21 |
| 1134589922 | Deborah Le Balch | Nurse Practitioner | 2874 N Carson St, Suite 200, Carson City, NV 89706-0251 | 2016-03-07 |
| 1922481951 | Leighanne Shirey | Nurse Practitioner | 2874 N Carson St, Suite 200, Carson City, NV 89706-0251 | 2015-07-08 |
| 1619388683 | Sierra Nevada Surgical Associates | Surgery | 2874 N Carson St, Carson City, NV 89706-0251 | 2014-05-13 |
| 1720338585 | Tahoe Fracture and Orthopedic Medical Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 2874 N Carson St, Suite 105, Carson City, NV 89706-0251 | 2012-09-19 |
| 1487909941 | Erin Elizabeth Warrell | Counselor | 2874 N Carson St, Suite 215, Carson City, NV 89706-0251 | 2012-07-19 |
| 1235494915 | Lori Steyn | Optometrist | 2874 N Carson St, Suite 210, Carson City, NV 89706-0251 | 2012-07-09 |
| 1225398688 | Jean T. Gebhard | Nurse Practitioner | 2874 N Carson St, Suite200, Carson City, NV 89706-0251 | 2012-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795741 | Vera Whole Health, Wa PC | Clinic/Center | 190 E. Winnie Lane, Carson City, NV 89706 | 2018-10-10 |
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1649583691 | Tamara June Nance | Marriage & Family Therapist | 1047 Mark Way, Carson City, NV 89706 | 2010-07-20 |
| 1992926646 | Jack Richard Araza | Psychologist | 309 East John St. Ste #1, Carson City, NV 89706 | 2007-05-01 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1528132065 | Raymond B Graber II | Dentist | 2600 E College Parkway H23, Carson City, NV 89706 | 2006-11-17 |
| 1619511268 | Lindsey Michele Benedict | Pharmacist | 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 | 2019-11-06 |
| 1598279648 | Michelle Rae Tye | Behavior Technician | 3416 Goni Rd Ste D132, Carson City, NV 89706 | 2017-11-28 |
| 1952720203 | Nalini Channapatna Prasanna | Social Worker | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 | 2014-04-15 |
| 1851646657 | Farres Nitam Uddin Ahmed | Radiology | 2874 N Carson St Ste 300, Carson City, NV 89706 | 2012-07-17 |
| Find all providers in zip 89706 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1801812631 | John R Sutton | Internal Medicine | 1177 N Division St, #3, Carson City, NV 89703-3805 | 2006-07-14 |
| 1407291412 | Carson Tahoe Endocrinology LLC | Internal Medicine | 1177 N Division St, Suite 3, Carson City, NV 89703-3874 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759955 | David Horwitz | Internal Medicine | 9101 Alta Dr Unit 702, Las Vegas, NV 89145-8536 | 2014-07-27 |
| 1811245400 | Molok Rahnema Md Valley Endocrinology Pllc | Internal Medicine | 653 N. Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 | 2012-08-29 |
| 1659669190 | Daniel R Caruso Md PC | Internal Medicine | 5065 E. Riggins Court, Suite 206, Reno, NV 89502 | 2011-07-19 |
| 1922231745 | Nana Esi Nkuma Kittah | Internal Medicine | 2285 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5114 | 2009-08-27 |
| 1669635785 | Michael Raymund C Gonzales | Internal Medicine | 10085 Double R Blvd Ste 310, Reno, NV 89521-4832 | 2008-07-09 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1861672735 | Farrukh Iqbal Md, Ltd. | Internal Medicine | 100 N Green Valley Pkwy Ste 332, Henderson, NV 89074-7705 | 2007-11-08 |
| 1679648463 | Lubna Ahmad | Internal Medicine | 7010 Smoke Ranch Road, Suite 100, Las Vegas, NV 89128-0481 | 2006-11-21 |
| 1689686677 | Claude Lardinois | Internal Medicine | 1700 Aquila Ave, Reno, NV 89509-3101 | 2006-08-12 |
| 1609883701 | Lisa G Abbott | Internal Medicine | 665 Sierra Rose Dr, Reno, NV 89511-2060 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89706 |
Please comment or provide details below to improve the information on SUSAN J MATURLO.
| 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.