Active NPI
Sue Ellen Baum MD LLC
- Infectious Disease Physician
- Plano, TX
National Provider Identifier
1598076044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- L2795
- Legal business name
- SUE ELLEN BAUM MD LLC
- Practice address
- 1708 Coit Rd
Suite 295
Plano, TX 75075-5041 - Phone
- (972) 599-1637
- NPI assigned
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sue Ellen Baum, MD
- Title
- Owner
- Phone
- (214) 293-7086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | L2795 | TX | Primary |
Addresses
Primary practice location
1708 Coit Rd
Suite 295
Plano, TX 75075-5041
Mailing address
312 Oriole Dr
Murphy, TX 75094-3889
Phone (214) 293-7086
National Provider Directory
National Provider DirectoryLocations
3801 W 15th St
Ste 304
Plano, TX 75075
Phone (972) 599-1637
1708 Coit Rd
Ste 295
Plano, TX 75075
Phone (972) 599-1631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294963200000",
"number": "1598076044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 ORIOLE DR",
"city": "MURPHY",
"state": "TX",
"postal_code": "750943889",
"telephone_number": "214-293-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 COIT RD",
"address_2": "SUITE 295",
"city": "PLANO",
"state": "TX",
"postal_code": "750755041",
"telephone_number": "972-599-1637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUE ELLEN BAUM MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-30",
"last_updated": "2011-01-14",
"status": "A",
"authorized_official_last_name": "BAUM",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-293-7086",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "L2795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.