SUSAN DISSER (NPI# 1225402233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225402233 |
Entity Type | Individual |
Full Name | SUSAN DISSER |
Practice Address |
1731 Ringer Ln Williamsport IN 47993-8900 |
Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
Practice Telephone | 7657624170 |
Enumeration Date | 2015-11-16 |
Last Update Date | 2017-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005869A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1731 RINGER LN |
City | WILLIAMSPORT |
State | IN |
Zip Code | 47993-8900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174694467 | Linda Berrisford | Nurse Practitioner | 1731 Ringer Ln, Williamsport, IN 47993-8900 | 2006-11-10 |
1073013785 | Jaclyn Craigin | Nurse Practitioner | 1731 Ringer Ln, Williamsport, IN 47993-8900 | 2018-02-19 |
1083818835 | Jacqueline Suzanne Cole | Nurse Practitioner | 1731 Ringer Ln, Williamsport, IN 47993-8900 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
Find all providers in zip 47993 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760941355 | Theresa Hershberger | Nurse Practitioner | 1100 Grampian Blvd Fl 3, Williamsport, PA 17701-1909 | 2019-03-14 |
1053910711 | Taylor Anne Yagel | Nurse Practitioner | 131 W Edwin St, Williamsport, PA 17701-6131 | 2020-10-22 |
1619440971 | Debra Kay Canellos | Nurse Practitioner | 700 High Street, Williamsport, PA 17701-3198 | 2019-01-09 |
1235611625 | Jeffrey M Tessman | Nurse Practitioner | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-08-31 |
1730671462 | Sarah Updegraff | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-05-30 |
1437653557 | Kelle Rae Steinbacher | Nurse Practitioner | 2300 E 3rd St, Williamsport, PA 17701-4004 | 2018-03-22 |
1235631490 | Holly Shadle | Nurse Practitioner | 740 High Street, Suite 3002, Williamsport, PA 17701-3102 | 2018-03-05 |
1073013785 | Jaclyn Craigin | Nurse Practitioner | 1731 Ringer Ln, Williamsport, IN 47993-8900 | 2018-02-19 |
1396263778 | Jennifer Renee Burnett | Nurse Practitioner | 3 Byrkit Dr, Williamsport, MD 21795-1158 | 2017-09-06 |
1659823953 | Leslie Erdman | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2016-11-03 |
Find all providers in WILLIAMSPORT |
City | WILLIAMSPORT |
Zip Code | 47993 |
Please comment or provide details below to improve the information on SUSAN DISSER.
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.