Active NPI
Suzanne Marshall, PA-C
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1053696468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05294
- Practice address
- 12755 Woodforest Blvd
Houston, TX 77015-2737 - Phone
- (713) 455-1306
- Fax
- (713) 455-9560
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05294 | TX | Primary |
Addresses
Primary practice location
12755 Woodforest Blvd
Houston, TX 77015-2737
Mailing address
5941 Dallas Pkwy
Ste 100
Plano, TX 75093-9002
Phone (972) 758-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292
5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05294 | TX | MD | Medical Physician Assistant |
Interoperability endpoints
- suzanne.marshall@doim.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1194895474
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1053696468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 DALLAS PKWY",
"address_2": "STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750939002",
"telephone_number": "972-758-4455",
"fax_number": "972-758-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12755 WOODFOREST BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770152737",
"telephone_number": "713-455-1306",
"fax_number": "713-455-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.