DR. NICOLE SUSSER (NPI# 1023309226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023309226 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SUSSER |
| Credential | DO |
| Practice Address |
298 S Old Woodward Ave Birmingham MI 48009-6163 |
| Mailing Address |
298 W. Old Woodward Ave Birmingham MI 48009-0000 |
| Practice Telephone | 2487925200 |
| Mailing Telephone | 2487925200 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101013675 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
298 S OLD WOODWARD AVE |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134261 | Stacey Morgan Goldfine | Family Medicine | 298 S Old Woodward Ave, Birmingham, MI 48009-6163 | 2005-09-16 |
| 1932599073 | Jennifer Gamble | Nurse Practitioner | 298 S Old Woodward Ave, Birmingham, MI 48009-6163 | 2015-01-28 |
| 1659618452 | Drs Services Inc | Clinical Medical Laboratory | 298 S Old Woodward Ave, Birmingham, MI 48009-6163 | 2013-01-14 |
| 1699881805 | Drs Services Inc | Internal Medicine | 298 S Old Woodward Ave, Birmingham, MI 48009-6163 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245768316 | Ashton Elisabeth Kilgore | Emergency Medicine | 618 20th St South Suite 251, Birmingham, AL 35249-4756 | 2017-06-01 |
| 1568998169 | Hannah Obayangban | Emergency Medicine | 801 Princeton Ave Sw Ste 101, Birmingham, AL 35211-1306 | 2017-05-03 |
| 1831518943 | Rene Thomas Schexnaildre Jr. | Emergency Medicine | 7191 Cahaba Valley Rd Ste 108, Birmingham, AL 35242-6461 | 2014-04-16 |
| 1205197951 | Northwest Emergency Physician Group | Emergency Medicine | 624 28th St N, Birmingham, AL 35203 | 2012-05-30 |
| 1952690950 | Christina Helen Cooley | Emergency Medicine | 619 19th St N, Birmingham, AL 35249-0001 | 2011-03-31 |
| 1013236975 | Elizabeth Holcombe Adams | Emergency Medicine | 218 Devon Dr, Birmingham, AL 35209 | 2010-05-18 |
| 1982838181 | William F Rushton | Emergency Medicine | 619 19th St S # 251, Birmingham, AL 35249-7013 | 2009-05-04 |
| 1295977346 | Timothy Scott Turner | Emergency Medicine | 810 St Vincents Birmingham Dr, Birmingham, AL 35205 | 2009-04-02 |
| 1174779003 | Nicole Eleana Jones | Emergency Medicine | 1600 7th Ave S Ste 110, Birmingham, AL 35233-1711 | 2008-08-12 |
| 1124228911 | Jenna Lynn Johnson | Emergency Medicine | 1041 Ashmore Ln, Birmingham, AL 35242-2464 | 2007-07-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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| 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.