SUZANNE MARIA MAHON


Address: 3655 Vista, St Louis, MO 63104
Phone: 3145776056

SUZANNE MARIA MAHON (NPI# 1184692931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184692931
Entity Type Individual
Full Name SUZANNE MARIA MAHON
Other Name MISS SUZANNE MARIA DUBUQUE
Credential RN DNSC AOCN APNG
Practice Address 3655 Vista
St Louis
MO 63104
Mailing Address 3691 Rutger Ave
Provider Enrollment
St Louis
MO 63110
Practice Telephone 3145776056
Practice Fax Number 3142685108
Mailing Telephone 3149776828
Mailing Fax Number 3149776777
Enumeration Date 2006-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163WX0200X Registered Nurse
Specialization: Oncology
MO93348 MO Nursing Service Providers
X 364SX0200X Clinical Nurse Specialist
Specialization: Oncology
MO93348 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3655 VISTA
City ST LOUIS
State MO
Zip Code 63104

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1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 163WX0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Oncology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356709349 Infuzion Home Health LLC Registered Nurse 1010 W 45th St, Kansas City, MO 64111-3504 2016-02-04
1518501220 Mary Artina Hutton Registered Nurse 3800 S National Ave, Springfield, MO 65807-5209 2019-11-05
1316505670 Melissa Jean Gustafson Registered Nurse 8700 N Green Hills Rd, Kansas City, MO 64154-1910 2019-06-03
1124492491 Torishia Greving Registered Nurse 6500 Hospital Dr, Hannibal, MO 63401-6890 2015-11-23
1447500277 Doris L Conn Registered Nurse 615 S New Ballas Rd, Oncology, Saint Louis, MO 63141-8221 2012-09-19
1780846097 Peggy Eldredge Registered Nurse 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-06-27
1982866299 Kay Suppes Registered Nurse 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 2008-06-27
1457550824 Dawn Renee Mulhall Registered Nurse 4801 E Linwood Blvd, Kansas City, MO 64128-2226 2007-07-16
1861690687 Judith A Frank Registered Nurse 3015 N Ballas Rd, Saint Louis, MO 63131-2329 2007-07-03

Competitor

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City ST LOUIS
Zip Code 63104

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Dataset Information

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.

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