MS. MARTINE SUSKO OTT (NPI# 1205183589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205183589 |
| Entity Type | Individual |
| Full Name | MS. MARTINE SUSKO OTT |
| Credential | CRNP |
| Practice Address |
807 Lawn Ave Sellersville PA 18960-1549 |
| Practice Telephone | 2152576551 |
| Practice Fax Number | 2152579347 |
| Mailing Telephone | 2152576551 |
| Mailing Fax Number | 2152579347 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP012228 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 983 Old Eagle School Rd Ste 611, Wayne, PA 190871711 | 2675638180 |
| Street Address |
807 LAWN AVE |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028608 | Yvette Estelle Hoagland | Nurse Practitioner | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2005-10-26 |
| 1790315109 | Angela Clymer | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-24 |
| 1558991059 | Jason Willis | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1851921407 | Amy Connelly | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1104464189 | Lynn Mills | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2019-12-20 |
| 1396388773 | Julie Painter | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2019-10-18 |
| 1679116099 | Penn Foundation, Inc. | Clinic/Center | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-10-18 |
| 1750932356 | Chad Wislmer | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-09-25 |
| 1750943916 | Allison D Keogh | Social Worker | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-07-08 |
| 1659834380 | Anthony Allsop | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028608 | Yvette Estelle Hoagland | Nurse Practitioner | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
Please comment or provide details below to improve the information on MS. MARTINE SUSKO OTT.
| 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.