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DR. SUSAN ELISABETH MOORE MD
NPI 1578670089
Family Medicine in Crandon, WI

Active since August 23, 2006
400 W GLEN ST, CRANDON, WI 54520(715) 478-3318(715) 478-3255 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Susan Elisabeth Moore Md NPPES

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

DR. SUSAN ELISABETH MOORE MD (NPI 1578670089) is an individual family medicine provider in Crandon, Wisconsin, licensed in Wisconsin (45505) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1578670089
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN ELISABETH MOORECredential: MD
Location Address400 W GLEN STCrandon, WI 54520-1355
Mailing Address400 W Glen StCrandon, WI 54520-1355 · (715) 478-3318 · Fax (715) 478-3255
Phone(715) 478-3318
Fax(715) 478-3255
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 7, 2012
✔ NPI 1578670089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 45505
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 W GLEN ST, Crandon, WI 54520
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Other Names 1

Former Name (1)Susan Elisabeth Hammond

Other Providers at the Same Location NPPES 7

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

REBECCA D PERRY MD
Internal Medicine
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-3318
MS. CORRIE M. KASSLER FNP
Nurse Practitioner (Family)
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-3318
KRISTIN MARY DAHMS
Physician Assistant
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 623-9763
AMY SUSAN KUEBLER APNP
Nurse Practitioner (Family)
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-6300
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
General Practice
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-3318
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Clinic/Center (Rural Health)
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-3318
TRACY LYNNE FERRARO-SCHUMACHER MSW
Social Worker (Clinical)
400 W GLEN ST
CRANDON, WI 54520
Forest County (715) 478-6300

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 Susan Moore's NPI number?

The NPI number for Susan Moore is 1578670089. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Susan Elisabeth Hammond.

Where is Susan Moore located?

Susan Moore practices at 400 W Glen St, Crandon, WI 54520. The listed phone number is (715) 478-3318.

What is Susan Moore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.