Susie A John, MD MPH | |
Us Hwy 491 North, Shiprock, NM 87420 | |
(505) 368-6401 | |
(505) 368-6431 |
Full Name | Susie A John |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | Us Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194714956 | NPI | - | NPPES |
30487064 | Medicaid | CO | |
35568 | Medicaid | NM | |
939572 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 85216 (New Mexico) | Primary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Susie A John, MD MPH Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6401 | Susie A John, MD MPH Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6401 |
Sandra Beirne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-7060 Fax: 505-368-6545 | |
Dr. Daniel Langsam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-6001 | |
Dr. Alan Lyndale Schooley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Tommie T Begay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Neil Gholkar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Jeffrey C Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 |