DR. SUZANNE WILLARD (NPI# 1295779742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295779742 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE WILLARD |
| Credential | CRNP |
| Practice Address |
1427 Vine St 3rd Flr Philadelphia PA 19102-1031 |
| Mailing Address |
6123 Wayne Ave Philadelphia PA 19144-6103 |
| Practice Telephone | 2157622530 |
| Practice Fax Number | 2157622531 |
| Mailing Telephone | 2157680337 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
VP001737C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316245293 | Suzanne Willard | Speech-Language Pathologist | 306 Crescent Blvd, Bennington, VT 05201-2419 | 2011-03-02 |
| Street Address |
1427 VINE ST 3RD FLR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410793 | Sara L. Allen | Nurse Practitioner | 1427 Vine St, 5th Floor, Philadelphia, PA 19102-1031 | 2005-07-07 |
| 1316312788 | Jennifer Thompson | Nurse Practitioner | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2015-12-10 |
| 1871973313 | Elliot Goodenough | Family Medicine | 1427 Vine St, Philadelphia, PA 19102-1031 | 2015-05-30 |
| 1528477098 | Jared Goldman | Psychologist | 1427 Vine St, Philadelphia, PA 19102-1031 | 2014-08-08 |
| 1871925214 | Nicola D'souza | Social Worker | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2013-08-08 |
| 1497187835 | Sarah Baky | Social Worker | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2013-08-08 |
| 1942549365 | Richard Baccare | Social Worker | 1427 Vine St, Philadelphia, PA 19102-1031 | 2013-02-05 |
| 1912285065 | Shara Ilyse Epstein | Internal Medicine | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2011-07-22 |
| 1699062174 | Laura Panarey | Internal Medicine | 1427 Vine St, Philadelphia, PA 19102-1031 | 2011-07-05 |
| 1205157484 | Behnaz Rouhani | Ophthalmology | 1427 Vine St, Philadelphia, PA 19102-1031 | 2010-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
| 1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
| 1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
| 1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
| 1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
| 1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
| 1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
| 1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
| 1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on DR. SUZANNE WILLARD.
| 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.