SUSAN R FAIR (NPI# 1174523328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523328 |
| Entity Type | Individual |
| Full Name | SUSAN R FAIR |
| Credential | CRNP |
| Practice Address |
6998 Crider Rd Ste 120 Mars PA 16046-2390 |
| Practice Telephone | 7247423820 |
| Practice Fax Number | 7247423838 |
| Mailing Telephone | 7247423820 |
| Mailing Fax Number | 7247423838 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
TP004402Y | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102380028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351223 | Susan Carole Fair | Family Medicine | 595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4851 | 2005-07-22 |
| 1366701294 | Susan Fair | Physical Therapy Assistant | 6020 Indiana Ave, New Port Richey, FL 34653-3214 | 2012-05-13 |
| 1235272576 | Susan Lowery Fair | Physical Therapist | 3300 Poinsett Hwy, Furman University Sports Medicine Center, Greenville, SC 29613-0002 | 2007-02-15 |
| 1396760708 | Susan M. Fair | Psychologist | 445 Bellevue Ave, Suite 203, Oakland, CA 94610-4923 | 2006-07-13 |
| 1104868256 | Susan Fair | Physician Assistant | 175 Sherman Ave, Fifth Floor, New Haven, CT 06511-4301 | 2006-06-12 |
| Street Address |
6998 CRIDER RD STE 120 |
| City | MARS |
| State | PA |
| Zip Code | 16046-2390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821385287 | Jessica R Hoyson | Obstetrics & Gynecology | 6998 Crider Rd Ste 120, Mars, PA 16046-2390 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881152304 | Compass Psychological Associates | Psychologist | 504 Pittsburgh Street # 100, Mars, PA 16046 | 2019-03-04 |
| 1821593849 | Nicole Ann Lollo | Emergency Medicine | 365 Spring Ave, Mars, PA 16046 | 2018-03-30 |
| 1639476070 | Katherine Holzworth | Social Worker | 100 Northpointe Cir Ste 306, Seven Fields, PA 16046 | 2011-02-22 |
| 1578886438 | Denise Elizabeth Bettermann | Chiropractor | 321 Clay Avenue, Mars, PA 16046 | 2010-03-08 |
| 1447486576 | Mars Dental Specialists | Dentist | 160 Brickyard Raod, Suite 500, Mars, PA 16046 | 2009-06-03 |
| 1164656336 | Upmc Community Medicine Inc | Internal Medicine | 504 Pittsburgh St, Mars, PA 16046 | 2009-05-04 |
| 1972750545 | Adams Ridge Chiropractic LLC | Chiropractor | 510 Adams Shoppes, Mars, PA 16046 | 2008-08-26 |
| 1265688394 | Diagnostic Sleep Med Center, LLC | Clinical Medical Laboratory | 121 Grand Ave, Mars, PA 16046 | 2008-08-08 |
| 1649434689 | Susan Beggan Paganie | Counselor | 508 Pittsburgh St Ste 105, Mars, PA 16046 | 2008-07-17 |
| 1205001419 | Brian Seth Rosenzweig | Dentist | 7031 Crider Road, Suite 200, Mars, PA 16046 | 2008-04-29 |
| Find all providers in zip 16046 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770803 | Mwasnoh L Jebboe | Nurse Practitioner | 7740 Lucretia Mott Way Apt A, Elkins Park, PA 19027-1041 | 2020-11-04 |
| 1588284517 | Crystal Lee Lash | Nurse Practitioner | 9002 Knoll St, Allison Park, PA 15101-2725 | 2020-04-20 |
| 1770110264 | Kirsten Marie Bickert | Nurse Practitioner | 828 Creek Rd, Walnutport, PA 18088-9712 | 2020-03-24 |
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1629531645 | Kathryn Jo Duray | Nurse Practitioner | 1450 Scalp Ave Ste 3b, Johnstown, PA 15904-3321 | 2019-04-08 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1073003760 | Enjoli Rogers | Nurse Practitioner | 495 Thomas Jones Way Ste 210, Exton, PA 19341-2553 | 2018-05-17 |
| 1992215693 | Luz Anuri Drummond | Nurse Practitioner | 834 Eaton Ave, Bethlehem, PA 18018-1832 | 2017-10-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN R FAIR.
| 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.