MS. SUSAN M MCKEOWN


Address: 1245 Elm Street, Manchester, NH 03101-1308
Phone: 6036686629

MS. SUSAN M MCKEOWN (NPI# 1326111295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326111295
Entity Type Individual
Full Name MS. SUSAN M MCKEOWN
Credential ARNP
Practice Address 1245 Elm Street
Manchester
NH 03101-1308
Practice Telephone 6036686629
Practice Fax Number 6036227680
Mailing Telephone 6036686629
Mailing Fax Number 6036227680
Enumeration Date 2006-11-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
016062 21 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30008740 05

Office Location

Street Address 1245 ELM STREET
City MANCHESTER
State NH
Zip Code 03101-1308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245498823 Child Health Services Psychologist 1245 Elm Street, Manchester, NH 03101-1398 2008-05-30
1952591331 Child Health Servics (teen Health Clinic) Clinic/Center 1245 Elm Street, Manchester, NH 03101 2007-07-31
1932269149 Lisa Allard Dibrigida Pediatrics 1245 Elm Street, Manchester, NH 03101-1308 2006-12-11
1750459376 Maria Veronica Osullivan Pediatrics 1245 Elm Street, Manchester, NH 03101-1308 2006-12-01
1912075532 Claudette C Ramsey Nurse Practitioner 1245 Elm Street, Manchester, NH 03101-1308 2006-12-01
1225101199 Diana Dorsey Pediatrics 1245 Elm Street, Manchester, NH 03101-1308 2006-11-16
1376616243 Robert Andrew Nordgren Pediatrics 1245 Elm Street, Manchester, NH 03101-1308 2006-11-16
1043383912 Joyce C Koerber Registered Nurse 1245 Elm Street, Manchester, NH 03101-1308 2006-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003320425 Miranda Sherburne Occupational Therapist 470 Pine Street, Manchester, NH 03101 2017-11-21
1396266938 Juliette W Daniels Social Worker 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 2017-07-05
1851820450 Samantha Ysabelle Kattiria Specialist/Technologist 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 2017-06-07
1598121188 Angelique Alicia Fortin Counselor 77 Pearl St., Manchester, NH 03101 2016-01-12
1578946786 Reta Goldman Counselor 25 Lowell St Ste 208, Manchester, NH 03101 2015-07-07
1306239207 Myra Jean Nikitas Dental Hygienist 97 West Merrimack Street, Manchester, NH 03101 2015-03-17
1902234586 Judith Patrick Ronshagen Pharmacist 175 Queen City Avenue, Ste 1, Manchester, NH 03101 2013-10-17
1942566336 Elizabeth Zavagnin Specialist 2 Wall St Ste 200, Manchester, NH 03101 2012-04-10
1538463088 William Gerald Mccormick Pharmacist 175 Queen City Ave, Manchester, NH 03101 2010-12-27
1215241799 Melissa Ann Dinoto Counselor 20 Market St., Manchester, NH 03101 2010-07-27
Find all providers in zip 03101

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508834508 Barbara Renshaw Nurse Practitioner 210 Main Street, Manchester, CT 06040 2006-03-08
1285073213 Kristin Evans Logan Nurse Practitioner 1245 Elm St, Manchester, NH 03101-1308 2013-06-24
1891054490 Suzanne Marie Vance Nurse Practitioner 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 2012-05-16
1942451646 Kristen Elizabeth Stevens Nurse Practitioner 100 Hitchcock Way, Manchester, NH 03104-4125 2008-10-01
1417153677 Kids Station Pediatrics Nurse Practitioner 191 Main St, Manchester, CT 06042-3556 2007-06-25
1396814612 Elda Cordero-goodman Nurse Practitioner 100 Hitchcock Way, Manchester, NH 03104-4125 2006-11-08
1235219320 Cornelia Gonsalves Nurse Practitioner 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 2006-10-16
1205921996 Eileen Mccarthy Nurse Practitioner 4 Elliot Way, Suite105, Manchester, NH 03103 2006-10-04
1568490225 Debra Ann Ritrovato Nurse Practitioner 100 Hitchcock Way, Manchester, NH 03104-4125 2006-06-29
1538196902 Matthew Thomas Hendell Nurse Practitioner 212 Rosedale Dr, Manchester, PA 17345-1023 2006-06-28
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 03101

Improve Information

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Dataset Information

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.

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