Susan Diane Earls
Susan D Twilley · Physician Assistant (Surgical)

Address: 465 Saint Michaels Dr, Santa Fe, NM 87505-7670
Phone: 5059883233

Susan Diane Earls (NPI# 1477613891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477613891
Entity Type Individual
Full Name Susan Diane Earls
Other Name Susan D Twilley
Credential PA-C
Gender Female
Practice Address 465 Saint Michaels Dr
Santa Fe
NM 87505-7670
Practice Telephone 5059883233
Mailing Address 465 Saint Michaels Dr
Santa Fe
NM 87505-7670
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-08
Last Update Date 2011-12-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AS0400X Physician Assistant · Surgical Physician Assistants & Advanced Practice Nursing Providers PA2005-0049 NM
No 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA10005131 WA

Physician Overview

NPI 1477613891
PAC ID by PECOS 8527068964
Professional Enrollment ID I20111222000301
Full Name Susan D Earls
Organization Legal Name ST. VINCENT HOSPITAL
Phone Number 5059881232
Gender F
Credential PA
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 6608775135
Number of Group Practice Members 165
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320002 CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER

Office Location

Street Address 465 SAINT MICHAELS DR
City SANTA FE
State NM
Zip Code 87505-7670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568461374 Marshall Tredway Watson Jr. Neurological Surgery 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 2005-07-14
1366980427 St. Vincent Hospital Pharmacy 465 Saint Michaels Dr, Suite 112, Santa Fe, NM 87505-7670 2017-02-08
1184083594 St. Vincent Hospital Psychiatry & Neurology 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7670 2016-02-12
1205217270 Sandra Judy Health Educator 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 2015-06-15
1609218452 St. Vincent Hospital Surgery 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505 2013-07-22
1740528975 Patricia Donahue Registered Nurse 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 2013-01-23
1902108780 Trisha Joella Maxon Advanced Practice Midwife 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 2010-11-29
1871722520 Vahid Behravan Psychiatry & Neurology 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7670 2009-07-02
1346476173 Santa Fe Cardiology PC Internal Medicine 465 Saint Michaels Dr, Suite 117, Santa Fe, NM 87505-7670 2009-06-08
1184850398 St. Vincent Hospital Surgery 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505-7670 2009-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649742966 Karla Angela Moya-crites Family Medicine 421 Saint Michaels Dr, Santa Fe, NM 87505 2018-12-27
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1134611460 Nicholas L Hugentobler PC Durable Medical Equipment & Medical Supplies 2019 Galisteo St Ste K-2, Santa Fe, NM 87505 2018-06-01
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
1285122820 Manuel Dejesus Zarate Jr. Nurse Anesthetist, Certified Registered St. Micheals Dr., Santa Fe, NM 87505 2018-04-30
1124523857 Bio Medical Applications of New Mexico, Inc. Clinic/Center 5300 Las Soleras Dr, Santa Fe, NM 87505 2018-03-26
1346744182 Aaron D Berry Physical Therapy Assistant 333 W. Cordova Rd. Ste 100, Therapy Solutions LLC, Santa Fe, NM 87505 2018-03-19
1619470861 Sf Sports Md & Rehab Physical Therapist 104c Old Las Vegas Highway, Santa Fe, NM 87505 2018-03-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508161936 New Mexico Surgical Assisting, Inc Physician Assistant 1505 Kachina Ridge Dr, Santa Fe, NM 87507-5172 2011-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720445562 Rebecca Gahan Brown Physician Assistant 150 N Roadrunner Pkwy, Las Cruces, NM 88011 2016-01-25
1295191351 Duke City Surgical Assisting LLC Physician Assistant 28 Valle Lindo Rd, Peralta, NM 87042-8230 2016-01-05
1396121505 Regina Gantt Physician Assistant 28 Valle Lindo Road, Peralta, NM 87042 2015-08-11
1013398072 Lauren Ames Physician Assistant 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 2015-06-16
1447666508 Audrey Rich Physician Assistant 201 Cedar Ave, Albuquerque, NM 87106 2014-07-09
1104178813 Adam M Newman Physician Assistant University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-04
1033494992 Sandra Seward Physician Assistant 11 Calle Pinon, Placitas, NM 87043-9316 2011-10-11
1598046484 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B345, Albuquerque, NM 87123-5549 2011-09-06
1033386420 Patrick Keenan Shanley Physician Assistant 1219 Gusdorf Rd Ste A, Taos, NM 87571-6499 2008-05-14
1982818860 Kristen Marron Bushnell Physician Assistant Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2007-05-09
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City SANTA FE
Zip Code 87505

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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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