DR. SUSAN LYNN HETMAN (NPI# 1770784621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770784621 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LYNN HETMAN |
| Credential | MD |
| Practice Address |
6624 Trident Way Naples FL 34108-8242 |
| Practice Telephone | 2395953245 |
| Mailing Telephone | 2395953245 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME 85046 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6624 TRIDENT WAY |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508424656 | Longevity Health Pilots LLC | General Practice | 8171 Bay Colony Dr Apt 902, Naples, FL 34108-7564 | 2019-06-04 |
| 1326583485 | Dwic of Tampa Bay, Inc | General Practice | 13005 Collier Boulevard, Naples, FL 34116-4003 | 2016-12-28 |
| 1467804898 | Dr William J Espinoza, Pa | General Practice | 12268 Tamiami Trl E Ste 301, Naples, FL 34113-7946 | 2016-07-11 |
| 1295195725 | Dr Manuel A Fernandez, Pa | General Practice | 12268 Tamiami Trl E, Suite 301, Naples, FL 34113-7946 | 2016-02-25 |
| 1639538176 | Charlemagne Marius | General Practice | 3761 20th Ave Se, Naples, FL 34117-9186 | 2016-02-11 |
| 1891131330 | Kantibhai S Patel | General Practice | 2796 Jude Island Way, Naples, FL 34119-7527 | 2013-05-10 |
| 1790024941 | Douglas Mair Gebbie | General Practice | 100 Glenview Pl Apt 907, Naples, FL 34108-3131 | 2013-02-07 |
| 1043455959 | Ovidio R Pozo | General Practice | 1737 Knights Way, Naples, FL 34112-5325 | 2008-12-05 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| 1053520197 | Daved Rosensweet | General Practice | 501 Goodlette Rd N Ste B300, Ste. B300, Naples, FL 34102-5665 | 2007-05-22 |
| Find all providers in NAPLES | ||||
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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.