Susan Holliday Barde, MD

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

35052334 Issued in OH

Practice address

3075 Governors Place Blvd
Ste 110
Dayton, OH 45409-1332

Phone

(937) 296-0015

Fax

(937) 296-0074

NPI assigned

Nov 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Dayton Arthritis and Allergy Center LLC

  • Rheumatology Physician
  • Dayton, OH
  • NPI 1912087511

  Pediatric Allergy/Immunology

  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144204538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091332",
            "telephone_number": "937-296-0015",
            "fax_number": "937-296-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091332",
            "telephone_number": "937-296-0015",
            "fax_number": "937-296-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDE",
        "first_name": "SUSAN",
        "middle_name": "HOLLIDAY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "OH",
            "license": "35052334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Barbot, DO
• Eboni Barbour
• Monica Barbour
• Elizabeth Barclay, LPCC, LICDC
• Christopher J Barde, MD
• Felicia Renee Barefield
• Lei Barga, MA, RDN, LD
• Maria S Barga, PHARMD
• Lori Lynn Barganier, MS, CCC/SLP
• Sheela M Barhan, MD

• Pediatric Allergy/Immunology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Allergy/Immunology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.