Susie A John
MD MPH | Pediatric Adolescent Medicine | Female
Susie A John, MD MPH is a Shiprock, New Mexico based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Susie A John is
Us Hwy 491 North, Shiprock, New Mexico - 87420. She can be contacted on phone at
505-368-6401 and fax number 505-368-6431.
Susie A John is a sole proprietor of her business.
NPI number (Unique professional ID) for Susie A John is
1194714956 which was assigned by NPPES on 14 Oct, 2005 and it was last updated on 26 Dec, 2007.
Susie A John license number is
85216 for Pediatrics Adolescent Medicine (2080A0000X) in New Mexico.
Susie A John specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Susie A John basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Susie A John |
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| Credential : | MD MPH |
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| Gender : | Female |
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Business Address:
Susie A John address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Us Hwy 491 North
Shiprock, NM, 87420
United States |
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| Phone Number : | 505-368-6401 |
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| Fax Number : | 505-368-6431 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194714956 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Oct, 2005 |
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| Last Updated On : | 26 Dec, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susie A John are as mentioned. Primary taxonomy code for Susie A John, MD MPH is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 85216 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Susie A John such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30487064 | MEDICAID | CO | |
| 35568 | MEDICAID | NM | |
| 939572 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 160
Shiprock, NM, 87420-0160
United States |
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| Phone Number : | 505-368-6401 |
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| Fax Number : | 505-368-6431 |
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Business Location:
Patients can refer following map for directions to
Susie A John practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.