MRS. SUSAN THERESA EGAN (NPI# 1124300702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124300702 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN THERESA EGAN |
| Credential | ANP |
| Practice Address |
19 Steven P Wentworth Rd North Falmouth MA 02556-2139 |
| Practice Telephone | 5085632606 |
| Mailing Telephone | 5085632606 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN192251 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612807 | Susan Mary Egan Jr. | Social Worker | 301 Race St Apt 303, Philadelphia, PA 19106-1845 | 2020-02-27 |
| 1922060334 | Susan Mary Egan | Registered Nurse | 100 E Hanover Ave, Cedar Knolls, NJ 07927-2020 | 2006-04-03 |
| 1902103401 | Susan Coleman Egan | Social Worker | 10401 Old Georgetown Rd, #105, Bethesda, MD 20814-1911 | 2011-02-17 |
| 1093898645 | Susan Marie Egan | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2006-10-24 |
| Street Address |
19 STEVEN P WENTWORTH RD |
| City | NORTH FALMOUTH |
| State | MA |
| Zip Code | 02556-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1750413647 | Susan W Baur | Psychologist | 82 County Road, North Falmouth, MA 02556 | 2007-03-09 |
| 1952465866 | Maria T Batilo | Internal Medicine | 37 Edgerton Dr. Unit #3, North Falmouth, MA 02556 | 2006-12-22 |
| 1194815597 | Karen Smith Rohrberg | Nurse Practitioner | 107 County Rd, N Falmouth, MA 02556 | 2006-10-14 |
| 1942306766 | William Work Jr. | Optometrist | 634 Route 28a, No Falmouth, MA 02556 | 2006-09-16 |
| 1538191846 | Mark A Liska | Dermatology | 37 Edgerton Drive, Ste 1, North Falmouth, MA 02556 | 2006-07-07 |
| 1407806888 | Nancy K Barnett | Dermatology | 37 Edgerton Dr, Ste 1, North Falmouth, MA 02556 | 2006-05-10 |
| 1275599805 | Robert R Moore | Internal Medicine | 4 Edgerton Dr, North Falmouth, MA 02556 | 2006-04-22 |
| 1568857118 | Revert LLC | Clinic/Center | 634 N Falmouth Hwy Unit 10, North Falmouth, MA 02556 | 2015-03-31 |
| 1043474018 | James Boyd Vereen | Family Medicine | 33 Edgerton Dr, North Falmouth, MA 02556 | 2008-07-17 |
| Find all providers in zip 02556 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FALMOUTH |
| Zip Code | 02556 |
Please comment or provide details below to improve the information on MRS. SUSAN THERESA EGAN.
| 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.