DR. SUSAN WILLARD (NPI# 1851459804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851459804 |
| Entity Type | Individual |
| Full Name | DR. SUSAN WILLARD |
| Credential | MD |
| Practice Address |
4920 Campbell Boulevard Baltimore MD 21236-5916 |
| Mailing Address |
2101 East Jefferson Street Ppqa Medicare Compliance Unit 6 West Rockville MD 20852-4908 |
| Practice Telephone | 4109337600 |
| Practice Fax Number | 4109337601 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0021264 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179916 | Susan Chaiser Willard | Family Medicine | 6532 E 71st St Ste 150, Tulsa, OK 74133-2771 | 2006-03-24 |
| 1174819882 | Susan E. C. Willard | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2011-06-21 |
| 1376868638 | Susan Jean Willard | Registered Nurse | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2010-03-30 |
| 1265541445 | Susan Willard | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1912925025 | Susan L. Willard | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-17 |
| Street Address |
4920 CAMPBELL BOULEVARD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346315280 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 4920 Campbell Boulevard, Baltimore, MD 21236-5916 | 2006-11-22 |
| 1184788234 | Alice Ann Aldrich | Physician Assistant | 4920 Campbell Boulevard, Baltimore, MD 21236-5916 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1659722239 | Guy Jackson | Obstetrics & Gynecology | 425 N Chapel Gate Ln, Baltimore, MD 21229-2430 | 2016-06-25 |
| 1083077952 | Anna Jo Bodurtha Smith | Obstetrics & Gynecology | 1000 Fell St Apt 630, Baltimore, MD 21231-3560 | 2016-03-30 |
| 1023438850 | Golsa Mirmiran Yazdy | Obstetrics & Gynecology | 4940 Eastern Ave Bldg A1, Baltimore, MD 21224-2735 | 2014-04-19 |
| 1689091514 | Keila Siomara Muniz | Obstetrics & Gynecology | 4940 Eastern Ave Bldg Room3100, Baltimore, MD 21224-2735 | 2014-03-28 |
| 1467899179 | Caroline Davis Shell | Obstetrics & Gynecology | 37 Walker Ave Ste 100, Baltimore, MD 21208-4030 | 2013-06-04 |
| 1114299237 | Shoghag Lajinian | Obstetrics & Gynecology | 6604 Deancroft Rd, Baltimore, MD 21209-2713 | 2012-02-05 |
| 1285929778 | Dilip Guha-ray | Obstetrics & Gynecology | 11 Slade Ave # 61a, Baltimore, MD 21208-5299 | 2011-06-13 |
| 1861783391 | Stefanie M Rodwell | Obstetrics & Gynecology | 6565 N Charles St Ste 406, Baltimore, MD 21204-5803 | 2011-05-02 |
| 1740579150 | Kristi Renea King | Obstetrics & Gynecology | 1001 Pine Heights Ave Ste 203, Baltimore, MD 21229 | 2011-04-06 |
| Find all providers in BALTIMORE | ||||
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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.