MEDICARE: DR. SUSAN THERESA HOWARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	19273	NE
2	2084P0802X	Addiction Psychiatry Physician	19273	NE
3	2084P0804X	Child & Adolescent Psychiatry Physician	19273	NE
4	2084P0800X	Psychiatry Physician	DR.0075051	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	24846	OTHER	NE	MIDLANDS
4	12006646	OTHER	NE	CAQH
5	527829	OTHER	NE	VALUE OPTIONS
6	738439000	OTHER	NE	MAGELLAN
7	31593	OTHER	NE	BC/BS

General Provider Information

NPI Number	:	1649247107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN THERESA HOWARD M.D.

Provider Business Mailing Address
First Line	:	439 EDWARDS ACCESS RD
Second Line	:
City	:	EDWARDS
State	:	CO
Zip	:	81632-5634
Country	:	US
Telephone Number	:	970-445-2489
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 EDWARDS ACCESS RD
Second Line	:
City	:	EDWARDS
State	:	CO
Zip	:	81632-5633
Country	:	US
Telephone Number	:	970-476-2451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	07/08/2025

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