SHAWN A SUSSER (NPI# 1164559142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164559142 |
| Entity Type | Individual |
| Full Name | SHAWN A SUSSER |
| Credential | PA |
| Practice Address |
10400 E Alameda Ave Denver CO 80247-5104 |
| Practice Telephone | 3033383800 |
| Mailing Telephone | 3033383800 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 993 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KAISER-COMMERCIAL NUMBER | 010396 | 01 | |
| CO | 79107010 | 05 |
| Street Address |
10400 E ALAMEDA AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80247-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537698 | David A Downs Jr. | Internal Medicine | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2005-06-13 |
| 1174158851 | Brett Quarto | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2020-03-03 |
| 1659910180 | Tyrel E Dixon | Social Worker | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2020-01-01 |
| 1114569662 | Christa Oliva | Pharmacist | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2019-10-16 |
| 1083114631 | Erica Kennedy | Social Worker | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2018-02-20 |
| 1528568516 | Nereida A Despain | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2018-02-15 |
| 1568976314 | Jessica Lynn Weidner | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-11-30 |
| 1619496650 | Sammie Jo Heckler | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-09-11 |
| 1326564691 | Laura Sue Brown | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-08-18 |
| 1144740630 | Abigail Michal Bushnell | Registered Nurse | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
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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.