SUSAN THOMA RAUCKMAN (NPI# 1669642260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669642260 |
| Entity Type | Individual |
| Full Name | SUSAN THOMA RAUCKMAN |
| Credential | MSN ANP-BC |
| Practice Address |
211 S 3rd St Belleville IL 62220-1915 |
| Mailing Address |
1 Saint Elizabeth Blvd O Fallon IL 62269-1099 |
| Practice Telephone | 6182342120 |
| Practice Fax Number | 6182224761 |
| Mailing Telephone | 6182342120 |
| Mailing Fax Number | 6182235741 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209007010 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700811908 | Susan Rauckman | Nurse Anesthetist, Certified Registered | 4231 W 16th Ave, Denver, CO 80204-1335 | 2006-07-12 |
| Street Address |
211 S 3RD ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397319 | Ravi Kumar | Specialist | 211 S 3rd St, Belleville, IL 62220-1915 | 2005-06-21 |
| 1720590045 | Cep America - Illinois Snf, LLP | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-10-26 |
| 1336670454 | Therese Krause | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-03-21 |
| 1578920591 | Paul Lee | Registered Nurse | 211 S 3rd St, Operating Room, Belleville, IL 62220-1915 | 2016-01-21 |
| 1417326430 | Lynlee Barnhart | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-09-21 |
| 1518346634 | Jared Sheley | Pharmacist | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-05-21 |
| 1952792665 | Tracie Kloeppel | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-02-17 |
| 1184022352 | Kristopher Clements | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-12-19 |
| 1518362946 | Amanda Patterson | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-10-28 |
| 1194124032 | Sharon Faye Haege | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414354 | Vida Sarkodie | Nurse Practitioner | 34 Brighton Ave, Belleville, NJ 07109-1230 | 2015-04-14 |
| 1922368836 | Ma Cristina Valencia Gonzaga | Nurse Practitioner | 725 Joralemon St Unit 59, Belleville, NJ 07109-1482 | 2012-05-24 |
| 1881760437 | Nivia G Rowe | Nurse Practitioner | 77 Newark Avenue, Jersey Rehab Pa, Belleville, NJ 07109 | 2006-11-27 |
| 1538539614 | Kimberly Grana | Nurse Practitioner | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2015-10-01 |
| 1285022442 | Bellecare Medical Services Pllc | Nurse Practitioner | 25 Owen St, Belleville, MI 48111-2921 | 2014-12-22 |
| 1033548045 | Michelle Veronica Jacob | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2013-11-11 |
| 1043650955 | Stephanie C Mccarthy | Nurse Practitioner | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2013-06-25 |
| 1699088161 | Vincent Ayako | Nurse Practitioner | 303 Belmont Ave, Belleville, NJ 07109-1103 | 2010-07-26 |
| 1962724393 | Kyung H Chu | Nurse Practitioner | 1 Clara Maass Dr Ste 200, Belleville, NJ 07109-3550 | 2010-02-26 |
| 1295062271 | Connie Louise Robben | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2009-11-11 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on SUSAN THOMA RAUCKMAN.
| 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.