SUSAN TRACY WOLGAMOTT (NPI# 1760894638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760894638 |
| Entity Type | Individual |
| Full Name | SUSAN TRACY WOLGAMOTT |
| Credential | DNP |
| Practice Address |
30795 23 Mile Rd Suite 206 Chesterfield MI 48047-5720 |
| Practice Telephone | 5865985731 |
| Mailing Telephone | 5865985731 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704191164 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30795 23 MILE RD SUITE 206 |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379444 | Val Kristine Alef | Nurse Practitioner | 30795 23 Mile Rd, Suite 206, Chesterfield, MI 48047-5720 | 2005-07-14 |
| 1336706951 | Gregory Hayman | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2019-05-20 |
| 1316422165 | Mary Harm | Occupational Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-09-27 |
| 1538641121 | Kathleen Hartway Cook | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-08-30 |
| 1811488166 | Jamie Martin | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-05-22 |
| 1386133577 | Vanessa Marie Lafleur | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-05-03 |
| 1295224491 | Kathyrn Reaume | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-05-03 |
| 1811485477 | Minu Khalili | Clinic/Center | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-04-28 |
| 1174024103 | Salvatore Deangelo | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-02-26 |
| 1487047700 | Catherine Bammel | Pharmacist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2015-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1083211981 | Rebecca Escamilla | Nurse Practitioner | 52867 Turnberry Dr, Chesterfield, MI 48051-3657 | 2020-10-04 |
| 1841807948 | Mollie Alexander | Nurse Practitioner | 9901 Lori Rd, Chesterfield, VA 23832-6626 | 2020-09-23 |
| 1952917791 | Beatrice B Brown | Nurse Practitioner | 7812 Hampton Manor Ct, Chesterfield, VA 23832-2061 | 2020-09-17 |
| 1083234165 | Hannah Braxton | Nurse Practitioner | 5625 Burnage Ct, Chesterfield, VA 23832-4051 | 2020-04-20 |
| 1790314326 | Sara Jessica Buckhorn | Nurse Practitioner | 232 S Woods Mill Rd Ste 330, Chesterfield, MO 63017-3467 | 2020-04-06 |
| 1083259287 | Saving & Changing Lives LLC | Nurse Practitioner | 9520 Iron Bridge Rd Ste 31, Chesterfield, VA 23832-6455 | 2019-11-12 |
| 1437794773 | Kimberly Nicole Ottensmeyer | Nurse Practitioner | 17421 Chesterfield Airport Rd, Chesterfield, MO 63005-1308 | 2019-11-11 |
| 1881244531 | Elizabeth Blanzy | Nurse Practitioner | 16216 Baxter Rd Ste 100, Chesterfield, MO 63017-4778 | 2019-09-15 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on SUSAN TRACY WOLGAMOTT.
| 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.