MADELINE JENKINS SUCCAR (NPI# 1497114904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497114904 |
| Entity Type | Individual |
| Full Name | MADELINE JENKINS SUCCAR |
| Credential | APRN, NP-C |
| Practice Address |
16310 W 12 Mile Rd Southfield MI 48076-2925 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2482881810 |
| Practice Fax Number | 2482881811 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704293191 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Roosevelt Ave, Selinsgrove, PA 178707969 | 5703740151 | 5703740311 |
| Street Address |
16310 W 12 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932446 | Adina Derecichei Parrish | Nurse Practitioner | 22255 Greenfield Rd Ste 422, Southfield, MI 48075-3730 | 2019-10-04 |
| 1447813092 | Violette Abellera Concepcion | Nurse Practitioner | 17515 W 9 Mile Rd Ste 200, Southfield, MI 48075-4404 | 2019-04-18 |
| 1083172878 | Jaafer Beydoun | Nurse Practitioner | 20180 W 12 Mile Rd Ste 200, Southfield, MI 48076-5412 | 2019-03-11 |
| 1902398787 | Fatoumata Moukir Ndukwe | Nurse Practitioner | 24450 Evergreen Road, 215, Southfield, MI 48075-2022 | 2018-06-06 |
| 1861984817 | Danielle Marguerite Macintosh | Nurse Practitioner | 25130 Southfield Rd Ste 120, Southfield, MI 48075-1900 | 2018-06-05 |
| 1609393313 | Kimiko Parks | Nurse Practitioner | 29866 Spring Hill Dr, Southfield, MI 48076-5735 | 2017-08-23 |
| 1629457213 | Deanna Chew | Nurse Practitioner | 20905 Greenfield Rd Ste 406, Southfield, MI 48075-5348 | 2015-05-28 |
| 1831591551 | Zahera Husaini | Nurse Practitioner | 20905 Greenfield Rd Ste 502, Southfield, MI 48075-5351 | 2014-09-25 |
| 1902044308 | Gail Lee Johnson | Nurse Practitioner | 26957 Northwestern Hwy, Suite 400, Southfield, MI 48033-4700 | 2009-01-23 |
| 1801076328 | Emily Brooke Hosler | Nurse Practitioner | 26400 W. 12 Mile Road, Suite 170, Southfield, MI 48034-1753 | 2007-11-13 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.