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).
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 |
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 |
Street Address |
3655 VISTA |
City | ST LOUIS |
State | MO |
Zip Code | 63104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
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 |
Find all providers in zip 63104 |
Taxonomy Code | 163WX0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Oncology |
Definition to come... |
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 |
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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.