SUETTA TENNEY (NPI# 1649346925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649346925 |
| Entity Type | Individual |
| Full Name | SUETTA TENNEY |
| Credential | MD |
| Practice Address |
Genesis Health Care Winward Gardens Nursing Center 105 Mechanic Street Camden ME 04843 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 2072364197 |
| Practice Fax Number | 2072300563 |
| Mailing Telephone | 4104947607 |
| Mailing Fax Number | 6109257387 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD22576 | ME | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 71345 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BT0137326 | 01 | |
| HARVARD PILGRAM | 69626 | 01 | |
| MASS LICENSE # | 71345 | 01 | |
| BC BS ANTHEM | 0701800 | 01 | |
| RAILROAD MEDICARE | 110229385 | 01 | |
| MA | 3002764 | 05 | |
| TUETS HEALTH PLAN | 712914 | 01 | |
| FALLON | 4978 | 01 |
| Street Address |
GENESIS HEALTH CARE WINWARD GARDENS NURSING CENTER 105 MECHANIC STREET |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1629594155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 35 Elm St, Camden, ME 04843 | 2017-08-16 |
| 1881930048 | Jonathan Philip Burns | Chiropractor | 92 Elm St, Camden, ME 04843 | 2012-12-17 |
| Find all providers in zip 04843 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407202492 | Tyler Mcmillan | Internal Medicine | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2016-05-09 |
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1548321490 | Vincent Thomas Mc Dermott Jr. | Internal Medicine | 439 Clinton St, Camden, NJ 08103-3529 | 2006-12-13 |
| 1144304536 | Simon Samaha | Internal Medicine | One Cooper Plaza /hospitalist Team, Camden, NJ 08103 | 2006-10-24 |
| 1801996772 | Elizabeth J Boogusch | Internal Medicine | 17 Rockbrook Dr, Camden, ME 04843-1616 | 2006-09-22 |
| 1992801237 | Meena Sharma | Internal Medicine | 1 Cooper Plaza, Camden, NJ 08103-1438 | 2006-09-15 |
| 1831203918 | Mill Street Medical Associates, LLP | Internal Medicine | 1113 Mill St, Camden, SC 29020-3763 | 2006-08-18 |
| 1790707511 | Steven Mills | Internal Medicine | Empire Medical, Camden, DE 19134 | 2006-07-24 |
| 1760400451 | Faith M Young | Internal Medicine | 2 Cooper Plz 400 Haddon Avenue, Suite 3200, Camden, NJ 08103-1461 | 2006-07-18 |
| 1225018518 | Mirfat Bird | Internal Medicine | 426 Hospital Dr, Camden, AR 71701-4616 | 2006-01-20 |
| Find all providers in CAMDEN | ||||
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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.