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MARY SUSAN MCMAHON NP
NPI 1821174012
Nurse Practitioner in Eastpointe, MI

Active since October 31, 2006
21300 KELLY ROAD, EASTPOINTE, MI 48021(586) 447-4200(586) 447-4208 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Susan Mcmahon Np NPPES

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

MARY SUSAN MCMAHON NP (NPI 1821174012) is an individual nurse practitioner in Eastpointe, Michigan, licensed in Michigan (4704101463) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821174012
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY SUSAN MCMAHONCredential: NP
Location Address21300 KELLY ROADEastpointe, MI 48021
Mailing Address21300 Kelly RoadEastpointe, MI 48021 · (586) 447-4200 · Fax (586) 447-4208
Phone(586) 447-4200
Fax(586) 447-4208
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821174012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704101463
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
21300 KELLY ROAD, Eastpointe, MI 48021
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Other Identifiers 2

Medicare ID-Type UnspecifiedON53030
Medicare UPINS99617

Other Providers at the Same Location NPPES 2

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

GROSSE POINTE ALLERGY & ASTHMA CENTER PC
Allergy & Immunology
21300 KELLY ROAD
EASTPOINTE, MI 48021
Macomb County (586) 447-4200
JOAN M OLEAR NP
Nurse Practitioner
21300 KELLY ROAD
EASTPOINTE, MI 48021
Macomb County (586) 447-4200

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 Mary Mcmahon's NPI number?

The NPI number for Mary Mcmahon is 1821174012. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Mary Mcmahon located?

Mary Mcmahon practices at 21300 Kelly Road, Eastpointe, MI 48021. The listed phone number is (586) 447-4200.

What is Mary Mcmahon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Mcmahon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.