SUSIE A. JOHN MD MPH – NPI #1194714956
Pediatrics

A pediatrician who 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.

SUSIE JOHN is a physician located in SHIPROCK, NM. NPPES has assigned the NPI number 1194714956 to SUSIE JOHN on October 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 18 years ago on Dec 26, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSIE JOHN below.

NPI Profile for
SUSIE A. JOHN

NPI Number
1194714956
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSIE A. JOHN
Credentials
MD MPH
Primary location
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone: (505) 368-6401 Fax: (505) 368-6431
Mailing address
PO BOX 160
SHIPROCK, NM 87420-0160
Phone: (505) 368-6401 Fax: (505) 368-6431
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSIE JOHN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ939572
MEDICAIDCO30487064
MEDICAIDNM35568
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
NM 85216

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.