SUSAN BROCK
LIFE LINE COMMUNITY HEALTHCARE

Address: 1156 Bowman Rd, Unit 200, Mount Pleasant, SC 29464-3858

SUSAN BROCK (NPI# 1730500430, PAC ID# 2860622446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1730500430
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 2860622446
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20210331002682
Last Name BROCK
First Name SUSAN
Gender F
Organization Legal Name LIFE LINE COMMUNITY HEALTHCARE
Address 6111 Oak Tree Blvd
Suite 301
Independence
OH 44131-2585
Phone Number 8669643285
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7416170501
Number of Group Practice Members 15
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Other Locations

Organization Location Address Phone
6111 Oak Tree Blvd, Suite 301, Independence, OH 44131-2585 8669643285 LIFE LINE COMMUNITY HEALTHCARE
18444 N 25th Ave, Suite 420, Phoenix, AZ 85023-1268 8665795103 LIFE LINE COMMUNITY HEALTHCARE
615 W Johnson Ave, Suite 202, Cheshire, CT 06410-4532 8669643285 LIFE LINE COMMUNITY HEALTHCARE
4660 Ne Belknap Ct, Suite 101, Hillsboro, OR 97124-8402 8669643285 LIFE LINE COMMUNITY HEALTHCARE
1156 Bowman Rd, Unit 200, Mount Pleasant, SC 29464-3858 8669643285 LIFE LINE COMMUNITY HEALTHCARE
901 S Mopac Expressway, Building II Suite 130, Austin, TX 78746-5776 8669643285 LIFE LINE COMMUNITY HEALTHCARE
7380 W Sand Lake Rd, Suite 500, Orlando, FL 32819-5257 8669643285 LIFE LINE COMMUNITY HEALTHCARE
625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 8669643285 LIFE LINE COMMUNITY HEALTHCARE
1616 Westgate Cir, Suite 317, Brentwood, TN 37027-8571 8669643285 LIFE LINE COMMUNITY HEALTHCARE
9850 Von Allmen Ct, Suite 201, Louisville, KY 40241-2855 8669643285 LIFE LINE COMMUNITY HEALTHCARE

Provider Overview

Nation Provider ID (NPI) 1730500430
by National Plan and Provider Enumeration System (NPPES)
Full Name SUSAN MICHELLE BROCK
Other Name SUSAN MICHELLE SLAWSON
Taxonomy Code 363L00000X
Taxonomy Classification Nurse Practitioner
Location Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, OH 44131

Organization Information

Organization Legal Name LIFE LINE COMMUNITY HEALTHCARE

Physicians Physicians in the same organization

Name Specialty Organization Address
Melissa Mccoy Nurse Practitioner Life Line Community Healthcare 519 W 22nd St, Suite 100, Sioux Falls, SD 57105-1745
Laurie Raher Nurse Practitioner Life Line Community Healthcare 205 Capitol St, Suite 208, Charleston, WV 25301-2231
Tarrah Kaplan Nurse Practitioner Life Line Community Healthcare 5 Washington St, Suite 300 77, Valparaiso, IN 46383-4768
Raquel Barba Nurse Practitioner Life Line Community Healthcare 355 S Teller St, Suite 200, Lakewood, CO 80226-7391
Cynthia Malcolm Nurse Practitioner Life Line Community Healthcare 1518 Willow Lawn Dr, Richmond, VA 23230-3419
Robyn Anne Rafter Nurse Practitioner Life Line Community Healthcare 706 N 129th St, Suite 100, Omaha, NE 68154-6116
Arielya Binn Nurse Practitioner Life Line Community Healthcare 1000 Parkwood Cir Se, Suite 900, Atlanta, GA 30339-2140
Sharon Lee Morris Nurse Practitioner Life Line Community Healthcare 309 Court Ave, Suite 816, Des Moines, IA 50309-2282
Laura Ann Rogers Nurse Practitioner Life Line Community Healthcare 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4800
Wendy Ann Lunny Nurse Practitioner Life Line Community Healthcare 615 W Johnson Ave, Cheshire, CT 06410-4532
Find all physicians in the same organization

Office Location

Street Address 1156 BOWMAN RD
UNIT 200
City MOUNT PLEASANT
State SC
Zip Code 29464-3858

Physicians in the same location

Name Specialty Organization Address
Stephanie Hopkins Millhouse Nurse Practitioner Life Line Community Healthcare 1156 Bowman Rd, Unit 200, Mount Pleasant, SC 29464-3858
Philip Holton Nurse Practitioner Life Line Community Healthcare 1156 Bowman Rd, Unit 200, Mount Pleasant, SC 29464-3858
Jesse Chasman Psychologist, Clinical 1156 Bowman Rd, Unit 200, Mt Pleasant, SC 29464-3858
Sheldon C Levin Psychologist, Clinical 1156 Bowman Rd, Mt Pleasant, SC 29464-3803

Physicians in the same zip code prefix

Name Specialty Organization Address
Dale Friar Chiropractic 1909 N Hwy 17, Suite I, Mount Pleasant, SC 29464
Carolyn R Word Pediatric Medicine Allergy and Asthma Consultants, LLP 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807
Jeffrey S Rieder Cardiovascular Disease (cardiology) Coastal Cardiology Pa 180 Wingo Way, Suite 101, Mt Pleasant, SC 29464-1810
Troy A Bunting Cardiovascular Disease (cardiology) Coastal Cardiology Pa 180 Wingo Way, Suite 101, Mt Pleasant, SC 29464-1810
Kati J Hinrichsen Qualified Audiologist Charleston Ent Associates, LLC 180 Wingo Way, Suite 103, Mt Pleasant, SC 29464-1810
Jeffrey J Dietrich Allergy/Immunology Allergy and Asthma Consultants, LLP 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807
Karen Jean Byrd Physician Assistant Coastal Cardiology Pa 180 Wingo Way, Suite 101, Mt Pleasant, SC 29464-1810
Bruce Ball Allergy/Immunology Allergy and Asthma Consultants, LLP 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807
Lars Hokan Runquist Cardiovascular Disease (cardiology) Coastal Cardiology Pa 180 Wingo Way, Suite 101, Mt Pleasant, SC 29464-1810
Meredith L Moore Allergy/Immunology Allergy and Asthma Consultants, LLP 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807
Find all in zip 29464

Competitor

Search similar physicians

City MOUNT PLEASANT
Zip Code 29464
Specialty NURSE PRACTITIONER
City + Specialty MOUNT PLEASANT + NURSE PRACTITIONER

Physicians Similar physicians

Name Specialty Organization Address
Joy Brock Clinical Psychologist River Valley Counseling Center Inc 303 Beech St, Holyoke, MA 01040-3996
Amy L Brock Nurse Practitioner Phoebe Physician Group Inc 2336 Dawson Rd, Suite 1600, Albany, GA 31707-2801
Lee R Brock Ophthalmology 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234
Lee A Brock Interventional Pain Management U S Anesthesia Partners of Texas, Pa 8000 Eldorado Pkwy, Bldg C Suite A, Mckinney, TX 75070-4136
Ann Brock Physician Assistant Lee Memorial Health System 2780 Cleveland Ave, Fort Myers, FL 33901-5817
Amanda L Brock Nurse Practitioner Union Physician Services LLC 205 Hospital Dr, Dover, OH 44622-2058
Derek J Brock Nurse Practitioner Union Physician Services LLC 110 Dublin Dr, Dover, OH 44622-7805
Brock S Clough Certified Registered Nurse Anesthetist (crna) The Duluth Clinic Ltd 1101 9th St N, Virginia, MN 55792-2329
Kymberli R Brock Nurse Practitioner Moose Creek Medical Clinic LLC 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627
Malcolm Brock Thoracic Surgery Johns Hopkins University 600 N Wolfe St, Blalock 266, Baltimore, MD 21287-0005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.