Susan Elizabeth Harte, D.O.
Individual provider Active NPI Family Medicine Physician · Oskaloosa, IA
NPI 1508913146 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1508913146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO-03123 (IA)
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577-4246 - Phone
- (641) 672-3100
- Fax
- (641) 673-7377
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hidalgo Medical Services
Practice addresses (Care Compare)
1007 N Pope St
Silver City, NM 88061-5161
Phone (575) 388-1511
530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-8384
Hospital & facility affiliations
- Gila Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000112 | NM | Practitioner - Family Practice |
6901791219 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015966 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DR.0039684 | CO | MD | Family Medicine Physician |
| DO-03123 | IA | MD | Family Medicine Physician |
| 39685 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Hidalgo Medical Services | Current |
Accepting new patients | |
| Hidalgo Medical Services | Current |
Accepting new patients | |
| Roswell Hospital Corporation | Family Medicine | Past | Accepting new patients |
| Northwest Iowa Hospital Corporation | Past | Accepting new patients | |
| Highlands Ranch Healthcare LLC | Emergency Medicine | Past | Accepting new patients |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Past | Accepting new patients |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 39685 | CO | |
| Family Medicine Physician | 207Q00000X | DR.0039684 | CO | |
| Family Medicine Physician | 207Q00000X | DO-03123 | IA | Yes |
Addresses
Primary practice location
1229 C Ave E
Oskaloosa, IA 52577-4246
Mailing address
PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 262-7263
Other practice location 1
2030 Mountain View Ave Ste 300
Longmont, CO 80501-3181
Phone (720) 652-8860
Other providers in Oskaloosa, IA
- Hammer Incorporated
- Haili Jade Hansen
- Michelle Renee Harban
- Amy Harper
- Randall C Hart
- Marissa K Haubrich
- Heartland Eye Care PLC
- Heartland Home Care Inc
- Nicole Helm
- Helping Hands Business and Home Services
All providers in Oskaloosa, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.