Susan R. Bailey, M.D.P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G0037 Issued in TX

Legal business name

SUSAN R. BAILEY, M.D.P.A.

Practice address

5929 Lovell Ave
Fort Worth, TX 76107-5029

Phone

(817) 315-2550

Fax

(817) 732-4660

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Ellen Rogers

Title

Insurance Supervisor

Phone

(817) 315-2550

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Rudd Bailey, M.D.

  • Allergy Physician
  • Fort Worth, TX
  • NPI 1396722583
  NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1184886640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 LOVELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075029",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 LOVELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075029",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN R. BAILEY, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "817-315-2550"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "G0037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032156401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaire Surley, OTR, CBIS
• Sajid Ali Surve, DO
• Survivor Gals Specialty Products and Salon LLC
• Susan Arnold Lange, Psychologist, LPPC
• Susan K Linder MD PA
• Susan Roberts Pediatric Dentistry PLLC
• Susan Roberts, DDS, Ms
• Andrea Jennys Sustache Medina
• Bhoomi Sutaria, D.O.
• Paula Suter, RN

• Medical Specialty Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.