Organization Active NPI

Susan B Rogers MD PA

  • Specialist
  • Richardson, TX
National Provider Identifier
1619208394
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G6004 Issued in TX
Legal business name
SUSAN B ROGERS MD PA
Practice address
399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595
Phone
(972) 238-1848
Fax
(972) 238-8735
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Kelly A McCracken
Title
Billing Manager
Phone
(972) 238-1848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G6004 TX Primary

Addresses

Primary practice location

399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595

Mailing address

399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595
Phone (972) 238-1848

National Provider Directory

National Provider Directory

Locations

399 W Campbell Rd
Ste 101
Richardson, TX 75080
Phone (972) 238-1848

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1619208394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "SUITE 101",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803595",
            "telephone_number": "972-238-1848",
            "fax_number": "972-238-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "SUITE 101",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803595",
            "telephone_number": "972-238-1848",
            "fax_number": "972-238-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B ROGERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "972-238-1848"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.