Organization Active NPI

Sue Ellen Baum MD LLC

  • Infectious Disease Physician
  • Plano, TX
National Provider Identifier
1598076044
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L2795 Issued in TX
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

Updated by the provider on Jan 14, 2011

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.