SUSAN E FOGEL (NPI# 1194751529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194751529 |
| Entity Type | Individual |
| Full Name | SUSAN E FOGEL |
| Credential | CNP |
| Practice Address |
18200 Lorain Ave Cleveland OH 44111-5605 |
| Practice Telephone | 2164767606 |
| Practice Fax Number | 2164766967 |
| Mailing Telephone | 2164767606 |
| Mailing Fax Number | 2164766967 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP07514 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2475781 | 05 | |
| OH | ANTHEM BC/BS | 000000554551 | 01 |
| Street Address |
18200 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1477931319 | Vanessa Jean Stagliano | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2015-05-12 |
| 1336564509 | Regina Pestak | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-25 |
| 1285059576 | Vincent Biagio Boytim | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-24 |
| 1205277795 | Bridget Lynn Griffin | Registered Nurse | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2013-07-11 |
| 1831533082 | Deana Mamari | Anesthesiologist Assistant | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-18 |
| 1144563685 | Natalie Anne Thomas | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-03 |
| 1255673828 | Ashley Marie Phipps | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-03-21 |
| 1447500111 | Fairview Cleveland Clinic Hospital | General Acute Care Hospital | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2012-09-11 |
| 1871865477 | Jean Marie Ellsworth-wolk | Clinical Nurse Specialist | 18200 Lorain Ave, Lower Level, Cleveland, OH 44111-5605 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
| 1124671904 | Ginger Lynn Anastasia | Nurse Practitioner | Cchs Anesthesia Institute 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-20 |
| 1427535541 | Shelia Annette Green | Nurse Practitioner | 4818 Camellia Ave Nw, Cleveland, TN 37312-1405 | 2018-07-21 |
| 1861991820 | Seenamma Mathew | Nurse Practitioner | 9500 Euclid Ave # P78-009, Cleveland, OH 44195 | 2018-02-06 |
| 1316496706 | Nicholas Hatcher | Nurse Practitioner | 5330 Mouse Creek Rd Nw, Cleveland, TN 37312-6241 | 2016-09-26 |
| 1922552603 | Adam Botson | Nurse Practitioner | 15843 Norway Ave, Cleveland, OH 44111-1968 | 2016-08-10 |
| 1568738011 | Emily Rae Porter | Nurse Practitioner | 9500 Euclid Ave # J34, Cleveland, OH 44195-0001 | 2012-03-29 |
| 1285915702 | Jacquelyn M Gill | Nurse Practitioner | 9500 Euclid Ave # E1-001, Cleveland, OH 44195-2433 | 2011-08-30 |
| 1376842435 | Kevin Andrew Andrysek | Nurse Practitioner | 9500 Euclid Ave # 11, Cleveland, OH 44195-0001 | 2011-03-15 |
| 1063712362 | Sonja E Pitrof | Nurse Practitioner | 9500 Euclid Avenue, E 11, Cleveland, OH 44195 | 2010-11-02 |
| Find all providers in CLEVELAND | ||||
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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.