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SUSIE A JOHN MD MPH
NPI 1194714956
Pediatrics - Adolescent Medicine in Shiprock, NM

Active since October 14, 2005
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6401(505) 368-6431 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susie A John Md Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE A JOHN MD MPH (NPI 1194714956) is an individual adolescent medicine provider in Shiprock, New Mexico, licensed in New Mexico (85216) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1194714956
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameSUSIE A JOHNCredential: MD MPH
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6401 · Fax (505) 368-6431
Phone(505) 368-6401
Fax(505) 368-6431
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateDecember 26, 2007
✔ NPI 1194714956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NM · 85216
Definition
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.
US HWY 491 NORTH, Shiprock, NM 87420
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Other Identifiers 6

Medicaid939572AZ
Medicaid35568NM
Medicare UPIND43180
Medicare OSCAR/certification320059
Medicaid30487064CO
Medicare PIN8HD824

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. MATTHEW S SPIVA DPM
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie John's NPI number?

The NPI number for Susie John is 1194714956. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Susie John located?

Susie John practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6401.

What is Susie John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Susie John was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.