MRS. SUSAN MARIE MCMAHON (NPI# 1154650463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154650463 |
Entity Type | Individual |
Full Name | MRS. SUSAN MARIE MCMAHON |
Practice Address |
117 Nw 2nd St Corvallis OR 97330-4719 |
Practice Telephone | 5417529649 |
Practice Fax Number | 5417530559 |
Mailing Telephone | 5417529649 |
Mailing Fax Number | 5417530559 |
Enumeration Date | 2009-12-15 |
Last Update Date | 2011-12-20 |
NPI Deactivation Date | 01/05/2010 |
NPI Reactivation Date | 2011-12-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447589684 | Susan M Mcmahon | Massage Therapist | 4116 Alcot Trail, Frazier Park, CA 93225-6775 | 2009-12-17 |
1669455507 | Susan Mcmahon | Pediatrics | 1530 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
1255480851 | Susan M Mcmahon | Dentist | 2643 E Carson St, Pittsburgh, PA 15203-5109 | 2007-01-10 |
1740345867 | Susan F Mcmahon | Dietitian, Registered | 460 W 34th St, 11th Floor, New York, NY 10001-2320 | 2006-12-27 |
1558423707 | Susan Elizabeth Mcmahon | Physical Therapist | 1650 Response Rd, Sacramento, CA 95815-4807 | 2006-12-14 |
1184690224 | Susan R Mcmahon | Anesthesiology | 1 S Park St, Madison, WI 53715 | 2006-02-28 |
Street Address |
117 NW 2ND ST |
City | CORVALLIS |
State | OR |
Zip Code | 97330-4719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033448907 | Donna Bella LLC | Prosthetic/Orthotic Supplier | 117 Nw 2nd St, Corvallis, OR 97330-4719 | 2009-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
Find all providers in zip 97330 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
1114337730 | Martha Blanchet | Orthotic Fitter | 2905 Adams St, Eugene, OR 97405-2373 | 2014-05-05 |
1134417579 | Yakiv Hradynar | Orthotic Fitter | 2326 Nw Lovejoy St, Portland, OR 97210-3022 | 2011-07-19 |
1083802409 | Melanie Andrea Embree | Orthotic Fitter | 19134 Currier Dr, Bend, OR 97702 | 2007-10-10 |
1225198971 | Anna Morrow | Orthotic Fitter | 6534 Se 70th Ave, Portland, OR 97206-7348 | 2006-12-11 |
1407180185 | Gladys Charlotte Walgren | Orthotic Fitter | 14780 Sw Osprey Dr, Beaverton, OR 97007 | 2009-09-28 |
1619142171 | Roselyn Gail Ropel | Orthotic Fitter | 2620 E Barnett Rd, Suite G, Medford, OR 97504-8383 | 2008-04-25 |
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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.