SUSAN FOWLER GUELICH


Address: 2602 Franklin Rd Sw, Roanoke, VA 24014-1010
Phone: 5403441400

SUSAN FOWLER GUELICH (NPI# 1912054719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912054719
Entity Type Individual
Full Name SUSAN FOWLER GUELICH
Other Name SUSAN M FOWLER
Credential MD
Practice Address 2602 Franklin Rd Sw
Roanoke
VA 24014-1010
Practice Telephone 5403441400
Practice Fax Number 5403447133
Mailing Telephone 5403441400
Mailing Fax Number 5403447133
Enumeration Date 2007-01-04
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 2009-01001 NC Allopathic & Osteopathic Physicians
Y 2080P0210X Pediatrics
Specialization: Pediatric Nephrology
0101249088 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 2602 FRANKLIN RD SW
City ROANOKE
State VA
Zip Code 24014-1010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760485635 Stephen Laurence Hill Surgery 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2005-05-24
1083237432 Walter Curtis Hodges Jr. Registered Nurse 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2020-05-20
1821647330 Jearls Nutrition, LLC Dietitian, Registered 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2019-09-06
1033779814 Kristie Jearls Dietitian, Registered 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2019-06-14
1881148732 Jessica M Saunders Nurse Practitioner 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2016-08-09
1871988386 Dennis Hu Internal Medicine 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2015-04-01
1750526075 Rebecca D Hughes Internal Medicine 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2008-12-16
1073762829 Robin Hurt Wright Family Medicine 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2008-09-17
1518151620 Abdelaziz Ali Elsanjak Internal Medicine 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 2007-08-31
1053436923 Rebin Thomas Titus Internal Medicine 2602 Franklin Rd Sw, Roanoke, VA 24014 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417558602 Irene Pace Seidman Pharmacist 3350 Clearbrook Village Ln, Roanoke, VA 24014 2020-11-04
1720617970 Mounica Reddy Thootkur Student in an Organized Health Care Education/Training Program 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 2020-04-08
1326675422 Bharath Muppala Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2020-03-26
1235629239 Sanjeeb Sudarshan Bhandari Student in an Organized Health Care Education/Training Program 1906 Bellview Ave Se, Roanoke, VA 24014 2018-05-15
1104325778 Vera J. Short Registered Nurse 3167 Huffman Ln, Roanoke, VA 24014 2018-02-08
1770001380 Michael Alan Phillips I Social Worker 2017 Jefferson Street, Roanoke, VA 24014 2017-09-03
1306362884 Sara Alicia Guasch Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2017-08-16
1790212256 Pouya Mafi Student in an Organized Health Care Education/Training Program 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 2017-05-16
1790222867 Mara Cate Physician Assistant 523 Arbuttus Ave, Roanoke, VA 24014 2017-01-26
1508314634 Dknl Enterprises, Inc. Non-emergency Medical Transport (VAN) 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 2016-09-19
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Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881016541 Michael John Solhaug Pediatrics 5203 Holly Rd, Virginia Beach, VA 23451-2330 2014-01-15
1386764025 Roberto Ariel Gomez Pediatrics 2nd Lee St, Charlottesville, VA 22908-0001 2007-03-29
1235226663 Randala R Lakkis Pediatrics 3023 Hamaker Ct Ste 600, Fairfax, VA 22031-2241 2006-10-06
1740836287 Sarah Burnett Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2019-08-12
1639483373 Davoud Mohtat Pediatrics 3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207 2010-08-05
1942520341 Cristin Duongba Wendel Kaspar Pediatrics 1250 E Marshall St, Richmond, VA 23298-5051 2010-06-08
1396979019 Sarah E Hoffmann Pediatrics 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 2009-05-08
1558485524 Jennifer R. Charlton Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2007-03-16
1497816045 Agnieszka Swiatecka-urban Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-12-13
1376612903 Victoria F. Norwood Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2006-11-07
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Competitor

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City ROANOKE
Zip Code 24014

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Dataset Information

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.

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