DR. SUSAN LIPPOLD (NPI# 1659597284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659597284 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LIPPOLD |
| Credential | M.D. |
| Practice Address |
Hwy 264, Mp 388 Hopi Health Care Center Polacca AZ 86042 |
| Mailing Address |
P.o. Box 4000 Hopi Health Care Center/keams Canyon S.u. Polacca AZ 86042 |
| Practice Telephone | 9287376000 |
| Mailing Telephone | 9287376000 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-102153 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
HWY 264, MP 388 HOPI HEALTH CARE CENTER |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881736072 | Marilyn Masayesva | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042 | 2007-02-13 |
| 1982155081 | Andrea Lynn Joshevama | Counselor | Hwy 264, Mp 388, Hopi Behavioral Health Services, Polacca, AZ 86042 | 2016-10-24 |
| 1649597808 | Eric Espinosa | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-04-28 |
| 1033432620 | Eugene Nodestine | Nurse's Aide | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
| 1760705354 | Susan Cody | Registered Nurse | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
| 1851623599 | Erica Yvonne Smith | Dietitian, Registered | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-02-05 |
| 1437292570 | Mary Beth Johnson | Dentist | Hwy 264, Mp 388, Polacca, AZ 86042 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| 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. |
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| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1326676800 | Arizona Physicians Group | Internal Medicine | 13771 N Fountain Hills Blvd # 114-146, Fountain Hills, AZ 85268-3762 | 2020-03-30 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
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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.