SUSAN CAROLINE DITMYER (NPI# 1376680025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376680025 |
| Entity Type | Individual |
| Full Name | SUSAN CAROLINE DITMYER |
| Credential | NP |
| Practice Address |
744 52nd St Suite 5203 Oakland CA 94609-1809 |
| Practice Telephone | 5104283885 |
| Practice Fax Number | 5105977034 |
| Mailing Telephone | 5104283885 |
| Mailing Fax Number | 5105977034 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NPF 10382 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
744 52ND ST SUITE 5203 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647244 | Robert Wesman | Otolaryngology | 744 52nd St, Ste 4200, Oakland, CA 94609-1810 | 2005-08-26 |
| 1730700873 | Elizabeth C Scott | Registered Nurse | 744 52nd St, Oakland, CA 94609-1810 | 2020-04-29 |
| 1225660921 | Eileen B Finley | Speech-Language Pathologist | 744 52nd St, Oakland, CA 94609 | 2020-02-10 |
| 1235778499 | Brent Ryo Hisaka | Physical Therapist | 744 52nd St, Oakland, CA 94609-1810 | 2020-01-04 |
| 1508349010 | Erica S Pool | Student in an Organized Health Care Education/Training Program | 744 52nd St, Oakland, CA 94609-1810 | 2018-09-11 |
| 1578041687 | Ashley Ramirez | Pediatrics | 744 52nd St, Oakland, CA 94609-1810 | 2018-07-31 |
| 1962936054 | Ucsf Medical Group Business Services | Durable Medical Equipment & Medical Supplies | 744 52nd St, Oakland, CA 94609-1810 | 2017-04-14 |
| 1750831228 | Andy An Phuoc Nguyen | Nurse Practitioner | 744 52nd St, Oakland, CA 94609-1810 | 2016-10-10 |
| 1134675804 | Anne Thatcher-stephens | Specialist/Technologist | 744 52nd St, Ucsf Benioff Children's Hopspital, Oakland, CA 94609 | 2016-08-31 |
| 1861845497 | Brianna Chai | Audiologist | 744 52nd St, Oakland, CA 94609 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1356687651 | Kristine Carter | Nurse Practitioner | 991 14th St Bldg H, Oakland, CA 94607-3230 | 2012-12-14 |
| 1497029144 | Megan Keating | Nurse Practitioner | 757 52nd St., Oakland, CA 94609 | 2012-02-28 |
| 1801079629 | Angelique Champeau Hinds | Nurse Practitioner | 744 52nd St Ste 4100, Oakland, CA 94609-1810 | 2007-12-14 |
| 1821621269 | Rita Bolous Mccowan | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2020-02-13 |
| 1962048488 | Mellany Ann Aquino | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2019-11-19 |
| 1366923138 | Jessica Olivero | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2018-08-28 |
| 1093220485 | Julia Alysse Reisman | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-12-06 |
| 1043724719 | Anna X Liang | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-11-16 |
| 1477091965 | Bianca Juarez | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-02-06 |
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| 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.