DR. SUSAN KAY EASLEY (NPI# 1639170202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639170202 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KAY EASLEY |
| Credential | M.D. |
| Practice Address |
2027 61st St West Isle Urgent Care Galveston TX 77561 |
| Mailing Address |
609 Constellation Blvd League City TX 77573-6431 |
| Practice Telephone | 4097449800 |
| Mailing Telephone | 8329325812 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2010-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N6273 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA CAPITATED | 2618832 | 01 |
| MD | CAREFIRST MD RENDERING | 611088-01 | 01 |
| MD | CIGNA PIN | 0621984 | 01 |
| MD | MAMSI SPECIALIST | 2107595 | 01 |
| MD | AETNA FEE FOR SERVICE | 7135255 | 01 |
| MD | RR MEDICARE | 080186598 | 01 |
| MD | JHHC PROVIDER NUMBER | 042889 | 01 |
| MD | CAREFIRST MPOS | P15034 | 01 |
| MD | 451350900 | 05 | |
| MD | CAREFIRST BLUECHOICE | 7605-0049 | 01 |
| MD | MAMSI PRIMARY CARE | 8107595 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811298367 | Susan Rose Easley | Pharmacist | 10576 Kenai Spur Hwy, Kenai, AK 99611-7811 | 2010-11-14 |
| Street Address |
2027 61ST ST WEST ISLE URGENT CARE |
| City | GALVESTON |
| State | TX |
| Zip Code | 77561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400173 | Zompa Guderian Enterprises | Family Medicine | 2027 61st St, Galveston, TX 77551-1401 | 2015-02-26 |
| 1033311303 | Zompa Guderian Enterprises, Pllc | Family Medicine | 2027 61st St, Galveston, TX 77551-1401 | 2007-05-31 |
| 1609980317 | Douglas V Kasper | Emergency Medicine | 2027 61st St, Galveston, TX 77551-1401 | 2006-08-18 |
| 1265457667 | Edward Zompa | Emergency Medicine | 2027 61st St, Galveston, TX 77551-1401 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887793 | Gabriela Ybarra | Registered Nurse | 2117 Wimcrest St, Galveston, TX 77551-1232 | 2020-10-02 |
| 1760091367 | Caroline Tremblay | Social Worker | 20 Legas Dr, Galveston, TX 77551-1568 | 2020-07-29 |
| 1891303814 | Emily Dennis | Speech-Language Pathologist | Utmb Center for Audiology & Speech Pathology, 301 University Blvd, Galveston, TX 77555-0523 | 2020-07-15 |
| 1548886435 | Rana Facial Plastic Surgery Pllc | Otolaryngology | 137 San Marino Dr, Galveston, TX 77550-5715 | 2020-06-17 |
| 1356966642 | Gwendolyn Medley | Registered Nurse | 3423 Avenue Q, Galveston, TX 77550-7559 | 2020-06-11 |
| 1780209361 | Michael Jacob Antony | Internal Medicine | 801 University Blvd, Galveston, TX 77550-0570 | 2020-06-10 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1912522566 | Shermeen Sufi Ali | Internal Medicine | Utmb Medical Education Office 301 University Blvd, Galveston, TX 77555-0001 | 2020-06-10 |
| 1598388282 | Deaa Al-daen Nahid Hassan Abu-jazar | Student in an Organized Health Care Education/Training Program | 301 University Blvd. - Jsa 9.128, Galveston, TX 77555-0539 | 2020-05-28 |
| 1508489618 | Pooja N. Bhakta | Internal Medicine | Department of Internal Medicine 301 University Blvd, Galveston, TX 77555-0001 | 2020-05-22 |
| Find all providers in GALVESTON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811346828 | Ali Charif | Family Medicine | 301 University Blvd Galveston Tx 77555 1395, Galveston, TX 77555-1395 | 2016-06-09 |
| 1962857854 | Marcqwon Travon Montego Daywalker | Family Medicine | 1400 Bayou Shore Dr Apt 306, Galveston, TX 77551-4395 | 2016-04-28 |
| 1649617085 | Aic Primary Care Pllc | Family Medicine | 2808 61st St, Suite 200, Galveston, TX 77551 | 2013-05-24 |
| 1639346133 | Lisset Parets-rodriguez | Family Medicine | Utmb Faculty Group Practice, 301 University Blvd, Galveston, TX 77555-0001 | 2008-05-14 |
| 1790883965 | Sungmi Lian | Family Medicine | 301 Univesity Blvd, Galveston, TX 77555-5302 | 2006-09-20 |
| 1811962368 | Sean A Hollonbeck | Family Medicine | 1615 Winnie St, # 1, Galveston, TX 77550-4848 | 2006-02-20 |
| 1326027392 | Carlos M Quinones | Family Medicine | 1 Ferry Rd, Galveston, TX 77550-3185 | 2006-01-10 |
| 1235748633 | Youlanda Martin-jones | Family Medicine | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-31 |
| 1386261204 | Prava Karki | Family Medicine | 400 Harborside Drive, Galveston, TX 77555-1120 | 2020-06-26 |
| 1104449990 | Mohamed Faheid | Family Medicine | 400 Harborside Drive, Galveston, TX 77555-1120 | 2020-05-27 |
| Find all providers in GALVESTON | ||||
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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.