Individual provider Active NPI

Susan Terry Maland-Ludewig, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1972794246
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP2772 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6025
Phone
(602) 494-5050
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP2772 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6025

Mailing address

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP2772AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camelback Womens Health, PC PastSince Sep 15, 2000 Accepting new patients
Genesis OB GYN PLLC PastSince Aug 17, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1972794246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286025",
            "telephone_number": "602-494-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286025",
            "telephone_number": "602-494-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAND-LUDEWIG",
        "first_name": "SUSAN",
        "middle_name": "TERRY",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.