Active NPI
Jean Marie Nusbaum, M.D.
- Anesthesiology Physician
- Carrollton, TX
National Provider Identifier
1386620656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L0464
- Practice address
- 4343 N Josey LN
Carrollton, TX 75010-4603 - Phone
- (972) 394-2412
- Fax
- (972) 394-2328
- NPI assigned
- Dec 19, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L0464 | TX | Primary |
Addresses
Primary practice location
4343 N Josey LN
Carrollton, TX 75010-4603
Mailing address
13601 Preston Rd
Suite 900W
Dallas, TX 75240-4911
Phone (972) 233-1999
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0464 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Anesthesia Consultants, PLLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Resources for Children | Anesthesiology | Past | Accepting new patients |
| Ralph J. Posch, M.D., F.a.C.S., P.a. | Past | Accepting new patients | |
| Dallas Anesthesiology Associates, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1588633424
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1063896520
-
- Urology Physician
- Carrollton, TX
- NPI 1639368285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1386620656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"address_2": "SUITE 900W",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-233-1999",
"fax_number": "972-386-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104603",
"telephone_number": "972-394-2412",
"fax_number": "972-394-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSBAUM",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L0464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.