SUSAN ALLEN (NPI# 1134198203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134198203 |
| Entity Type | Individual |
| Full Name | SUSAN ALLEN |
| Practice Address |
1949 W 12 Mile Rd Ste 100 Beaumont Geriatric Services Berkley MI 48072-1868 |
| Mailing Address |
130 Town Center Dr Ste 203 Troy MI 48084-1744 |
| Practice Telephone | 2485511756 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301065763 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0F349850 | 01 |
| MI | 4266950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154882801 | Susan Allen | Social Worker | 3109 S Semoran Blvd Apt 93, Orlando, FL 32822-2672 | 2019-03-26 |
| 1134646979 | Susan Simmons Allen | Speech-Language Pathologist | 3689 Clifton Ave, Cincinnati, OH 45220-1795 | 2017-08-23 |
| 1689191546 | Susan M Allen | Pharmacist | 519 Dorseyville Rd, Pittsburgh, PA 15238-1651 | 2017-08-23 |
| 1497103428 | Susan Allen | Technician, Other | 16049 Peach Ridge Ave, Kent City, MI 49330-9758 | 2016-05-31 |
| 1124415948 | Susan Allen | Massage Therapist | 378 Pheasant Ln, Carlisle, PA 17015-7113 | 2015-04-20 |
| 1437436326 | Susan Cynamon Allen | Physical Therapist | 111 Goldie Ave, North Bellmore, NY 11710-2712 | 2011-11-07 |
| 1427203520 | Susan L Allen | Speech-Language Pathologist | 3011 E 1st St, Mountain Home, AR 72653-3700 | 2008-11-18 |
| 1962603415 | Susan Allen | Physical Therapist | 2263 Route 2, Hermon, ME 04401-0605 | 2007-05-31 |
| 1124146659 | Susan Marie Allen | Optometrist | 6252 S Central St, Aurora, CO 80016-5325 | 2007-03-26 |
| 1639230014 | Susan Stevenson Allen | Naturopath | 2601 Ne Glisan Street, Portland, OR 97232 | 2006-12-12 |
| Street Address |
1949 W 12 MILE RD STE 100 BEAUMONT GERIATRIC SERVICES |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104345016 | Carol Ann Muscat | Social Worker | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2017-09-12 |
| 1720407737 | John Hosford Cooke | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-04-08 |
| 1023370822 | Amy Klein | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2012-06-08 |
| 1225069099 | Amita Pai | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2006-07-06 |
| 1801856430 | Martha Pollock | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2006-03-27 |
| 1780643601 | Amapuri Deguia | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1487199006 | Abhishek Deepakkumar Dave | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2017-01-05 |
| 1225069099 | Amita Pai | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2006-07-06 |
| 1780643601 | Amapuri Deguia | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072-1868 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
| 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.