SUSAN ELIZABETH STEPHENS DIERAUF (NPI# 1205945151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205945151 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH STEPHENS DIERAUF |
| Other Name | SUSAN ELIZABETH STEPHENS |
| Credential | MD |
| Practice Address |
901 Nevin Ave Kaiser Richmond Campus Richmond CA 94801 |
| Mailing Address |
Po Box 892 Ross CA 94957-0892 |
| Practice Telephone | 5103071500 |
| Mailing Telephone | 4154593094 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G 080393 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD 21292 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
901 NEVIN AVE KAISER RICHMOND CAMPUS |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093972 | Sally A Burtle | Dermatology | 901 Nevin Ave, Richmond, CA 94801-3143 | 2005-06-16 |
| 1104446988 | Jeremy Robert Kreiss | Registered Nurse | 901 Nevin Ave, Richmond, CA 94801-3143 | 2020-04-21 |
| 1043865595 | Lydia Lee | Physical Therapist | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-08-01 |
| 1558925966 | Christina Dang | Dietitian, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-05-01 |
| 1811454697 | Sandra Willingham | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-27 |
| 1982161071 | Somchay Bob Xayasounthone | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-25 |
| 1568929859 | Karen Bautista | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-23 |
| 1164988739 | Demetrius Lee Hopkins | Respiratory Therapist, Certified | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-19 |
| 1710443429 | Bernard Figueroa | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-18 |
| 1083170237 | Christie Kundysek | Respiratory Therapist, Registered | 901 Nevin Ave, Richmond, CA 94801-3143 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1386127900 | Surehope Healthcare LLC | Pediatrics | 6102 Allendale Ridge Trl, Richmond, TX 77407-1037 | 2018-09-10 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1265968788 | Chari Diana Stump | Pediatrics | 2600 E Cary St Apt 1101, Richmond, VA 23223-7887 | 2017-05-03 |
| 1700311388 | Ying Chen Moyer | Pediatrics | 3121 Divine Dr, Richmond, VA 23222-4159 | 2017-04-20 |
| 1811384647 | Katherine Davila Willson Donowitz | Pediatrics | Vcuhs Dept of Pediatric Hospital Medicine, 980506, 1000 E. Broad Street, Richmond, VA 23298 | 2015-04-20 |
| 1184019861 | Jennifer An | Pediatrics | 150 Harbour Way N, Richmond, CA 94804-2426 | 2015-03-31 |
| 1326481540 | Sam Chatterton-kirchmeier | Pediatrics | 150 Harbour Way S, Richmond, CA 94804-2426 | 2013-04-08 |
| 1821338526 | Ross Mccain Brown | Pediatrics | 1500 Roberts Hill Dr, Richmond, KY 40475-7905 | 2013-02-18 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on SUSAN ELIZABETH STEPHENS DIERAUF.
| 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.