MARY SUSAN RAE (NPI# 1629176946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629176946 |
| Entity Type | Individual |
| Full Name | MARY SUSAN RAE |
| Other Name | MARY SUSAN BUNTON |
| Credential | PA-C |
| Practice Address |
700 2nd St Ne Washington DC 20002-8100 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanante Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 2023463375 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C04613 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA030732 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013067412 | Mary Bryce Rae | Marriage & Family Therapist | 259 S Randolph Ave, Ste. 160, Brea, CA 92821-5739 | 2007-01-11 |
| 1720249253 | Mary Margaret Rae | Registered Nurse | 219 S 4th St, West Newton, PA 15089-1315 | 2008-06-18 |
| 1629047295 | Mary Rae | Emergency Medicine | 190 Heights Blvd, Houston, TX 77007-3729 | 2006-03-16 |
| Street Address |
700 2ND ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114996 | Piyapong Vongkovit | Internal Medicine | 700 2nd St Ne, Washington, DC 20002-8100 | 2005-06-16 |
| 1225640907 | Hycenta Ndosoh Halle | Registered Nurse | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-08-23 |
| 1568083822 | Michelle Yeung | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-28 |
| 1285253138 | Seth A Keating | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-10 |
| 1982231460 | Kiana Deneen Mack | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-03-25 |
| 1285272369 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 700 2nd St Ne, Washington, DC 20002-8100 | 2019-12-19 |
| 1033693767 | Jewell J Reddick | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2018-09-19 |
| 1720594997 | Nathan Redington | Physical Therapist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-12-23 |
| 1558875765 | Sheryl Lynn Canlas | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-11-27 |
| 1114456092 | Jacinda Thieu-tran Tran | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811391022 | Shannon Rasmussen Duescher | Physician Assistant | 3800 Reservoir Rd Nw # 7phc, Washington, DC 20007-2113 | 2014-10-17 |
| 1356623961 | Denise Nanette Blackbourne | Physician Assistant | 106 Irving St Nw Ste 206, Washington, DC 20010-2993 | 2011-09-09 |
| 1114056421 | Kevin Joseph Dubree | Physician Assistant | 110 Irving St, Nw, Unit 1f, Room 1218, Washington, DC 20010-2927 | 2007-03-04 |
| 1225139686 | Kimberly Lynn Seablom | Physician Assistant | 6209 Nebraska Ave Nw, Washington, DC 20015-1144 | 2006-09-26 |
| 1548232887 | David Barry Jennette | Physician Assistant | 1775 Eye St Nw, Suite 1150, Washington, DC 20006-2402 | 2006-02-02 |
| 1699301853 | Monica Vu | Physician Assistant | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-03-19 |
| 1659843803 | Kalley Rae Veit | Physician Assistant | 3800 Reservoir Rd Nw, 1 Gorman, Washington, DC 20007 | 2018-12-28 |
| 1760961494 | Katie Ann Leemaster | Physician Assistant | 2440 M St Nw Ste 200, Washington, DC 20037-1449 | 2018-08-13 |
| 1851885313 | Samantha Brooke Bickar | Physician Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-06-19 |
| 1265921605 | Meredith Patricia Miles | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2018-05-01 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on MARY SUSAN RAE.
| 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.