MS. SUSAN BURKE BISHOP (NPI# 1114031531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114031531 |
| Entity Type | Individual |
| Full Name | MS. SUSAN BURKE BISHOP |
| Credential | ANP |
| Practice Address |
111 S Meramec Ave Clayton MO 63105-1711 |
| Practice Telephone | 3146158153 |
| Practice Fax Number | 3146158303 |
| Mailing Telephone | 3146158153 |
| Mailing Fax Number | 3146158303 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
050356 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568768364 | Susan Debbie Bishop | Adult Companion | 2031 Hawthorne St Ste C, Forest Grove, OR 97116-1700 | 2011-01-27 |
| 1376730077 | Susan Diane Bishop | Recreation Therapist | 2835 Bobwhite Trl, Edmond, OK 73025-2305 | 2007-09-27 |
| 1154419745 | Susan R. Bishop | Social Worker | 833 N Waco Ave, Suite 200, Wichita, KS 67203-3989 | 2006-10-10 |
| 1053585307 | Susan Sollars Bishop | Dentist | 6909 Burlington Pike, Suite A, Florence, KY 41042-1618 | 2008-04-17 |
| 1922147230 | Susan Maria Bishop | Social Worker | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2007-02-05 |
| 1588744353 | Susan Barth Bishop | Nurse Practitioner | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-10-16 |
| 1023055068 | Susan L Bishop | Pediatrics | 1101 E Glendale Blvd, Ste 101, Valparaiso, IN 46383 | 2006-05-31 |
| Street Address |
111 S MERAMEC AVE |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864797 | Margaret Robin Hinshaw | Social Worker | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2008-09-30 |
| 1366692063 | Doris Elaine King | Social Worker | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2008-09-30 |
| 1124164785 | Robert Marion Jarrett | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2007-01-30 |
| 1124113246 | Ernest W Jackson | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-10-04 |
| 1952496036 | Robert H Conner | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-10-04 |
| 1932215159 | Benjamin F Davis | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1184739609 | Bertha Y Carter-simmons | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1528173051 | Lee E Doss | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1972619401 | Jane A Fischer-messmer | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1629182043 | Brenda Lee Walker | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942681036 | Morgan Baltrus Fowler | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2015-06-15 |
| 1528173051 | Lee E Doss | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
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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.