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Susan St Mosley

  • Female

Medical Specialty

Professional ID

  • NPI: 1528313848
  • PECOS ID: 9133371529
  • Enrollment ID: I20161104001237
  • Credential(MD, DO, DPM):
  • Medical School: University Of Tennessee College Of Medicine
  • Medical School Graduation Year: 2012

Hospital Service

  • Hospital CCN1: 230019
  • Business Name (LBN)1: Providence - Providence Park Hospital
  • Hospital CCN2: 230301
  • Business Name (LBN)2: Oakland Regional Hospital

Medical Practices

  • Organization Name: Asa Staffing Inc
  • Group Practice ID assigned by PECOS: 3971898644
  • Number of Group Practice member: 139

Location

  • Address1: 21230 Dequindre Rd
  • Address2:
  • City: Warren
  • State: Michigan
  • Zip Code: 48091
  • Phone Number: (586)427-1000

Medical Practices

  • Organization Name: Southfield Rehabilitation Company
  • Group Practice ID assigned by PECOS: 6709872617
  • Number of Group Practice member: 39

Location

  • Address1: 22401 Foster Winter Dr
  • Address2: Oakland Regional Hospital
  • City: Southfield
  • State: Michigan
  • Zip Code: 48075
  • Phone Number: (248)423-4100

Medical Practices

  • Organization Name: Psj Anesthesia Pc
  • Group Practice ID assigned by PECOS: 8325342488
  • Number of Group Practice member: 95

Location

  • Address1: 16001 W 9 Mile Rd
  • Address2: St John Providence Hospital
  • City: Southfield
  • State: Michigan
  • Zip Code: 48075
  • Phone Number: (248)849-3000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):