SUSAN K GROGAN


Address: 2115 S Fremont Ave, Suite 1000, Springfield, MO 65804-2239
Phone: 4178208033

SUSAN K GROGAN (NPI# 1437291861) 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) 1437291861
Entity Type Individual
Full Name SUSAN K GROGAN
Credential FNP
Practice Address 2115 S Fremont Ave
Suite 1000
Springfield
MO 65804-2239
Mailing Address Po Box 2580
Springfield
MO 65801-2580
Practice Telephone 4178208033
Practice Fax Number 4178208093
Mailing Telephone 4178294620
Mailing Fax Number 4178294316
Enumeration Date 2007-02-13
Last Update Date 2008-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
092772 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD P00602718 01

Other Providers SUSAN GROGAN

NPI Name Taxonomy Address Enumeration
1679061808 Susan Swyers Grogan Occupational Therapist 2806 Flamewood Drive, St. Louis, MO 63129 2018-04-24
1609044247 Susan Mathis Grogan Speech-Language Pathologist 105 N 5th Ave, Madill, OK 73446-1203 2008-02-18

Office Location

Street Address 2115 S FREMONT AVE
SUITE 1000
City SPRINGFIELD
State MO
Zip Code 65804-2239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750383543 Steven K Bowlin Internal Medicine 2115 S Fremont Ave, Ste 2300, Springfield, MO 65804-2239 2005-08-11
1932656535 Jill Cotner Registered Nurse 2115 S Fremont Ave, Ste 3300, Springfield, MO 65804-2239 2016-09-01
1427437185 Ashleigh D. Gentles Nurse Practitioner 2115 S Fremont Ave, Springfield, MO 65804-2239 2015-05-27
1063805489 Chad D. Holland Physician Assistant 2115 S Fremont Ave, Suite 5000, Springfield, MO 65804-2239 2015-03-10
1609267731 Chrystal M. Killinger Nurse Practitioner 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 2015-02-11
1497145767 Joshua Steven Reece Physician Assistant 2115 S Fremont Ave, Ste 5000, Springfield, MO 65804-2239 2015-01-26
1154724144 Melissa Diane Grisaffe Nurse Practitioner 2115 S Fremont Ave, Springfield, MO 65804-2239 2014-10-03
1790102366 Breanna R. Burks Physician Assistant 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 2014-03-21
1154745537 Tarrah Divine Nurse Practitioner 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 2014-02-06
1831539428 Lacy A. Schnelle Registered Nurse 2115 S Fremont Ave, Suite 4300, Springfield, MO 65804-2239 2013-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072823 Rachel Westbrook Nurse Practitioner 1417 Burning Bush Ct, Springfield, IL 62712-7529 2020-10-27
1730786377 Catherine Newman Nurse Practitioner 27124 La-42, Springfield, LA 70462 2020-10-07
1275146268 Courtney Wilbern Nurse Practitioner 1200 W Centre St, Springfield, IL 62704-5812 2020-08-28
1588276240 Andrew Ronald Mouser Nurse Practitioner 607 Prospect Rd, Springfield, PA 19064-2819 2020-08-23
1821609082 William Coleman Bryant Nurse Practitioner 5552 W Longleaf Dr, Springfield, MO 65802-7834 2020-08-12
1386254399 Ashley Lynn Murray Nurse Practitioner 2443 E Greenwood St, Springfield, MO 65804-3907 2020-08-04
1679182281 Erica Gail Hunt Nurse Practitioner 2813 Haverford Rd, Springfield, IL 62704-4267 2020-07-29
1063020063 Gage Azeez Nurse Practitioner 46 Timber Ln, Springfield, MA 01119-2828 2020-07-16
1033737440 Janne L Nicholson Nurse Practitioner 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 2020-07-13
1922623156 Amanda E Hildebrand Nurse Practitioner 3370 Carman Ave, Springfield, IL 62703-4642 2020-06-12
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Competitor

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City SPRINGFIELD
Zip Code 65804

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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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