Individual provider Active NPI

Susan Keith Linder, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1821058132
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H8972 Issued in TX
Practice address
2800 S Hulen St
Suite 203
Fort Worth, TX 76109-1504
Phone
(817) 926-7671
Fax
(817) 926-7772
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X H8972 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X H8972 TX

Addresses

Primary practice location

2800 S Hulen St
Suite 203
Fort Worth, TX 76109-1504

Mailing address

PO Box 961013
Fort Worth, TX 76161-0013
Phone (817) 926-7671

Other identifiers 1

IdentifierTypeStateIssuer
BCBSOtherTX00L11W

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H8972TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan K Linder MD PA Physical Medicine & Rehabilitation CurrentSince Jan 1, 1990 Accepting new patients

Locations

935 W Rosedale St
Ste 100
Fort Worth, TX 76104
Phone (817) 926-7671

2800 S Hulen St
Ste 203
Fort Worth, TX 76109
Phone (817) 585-4544

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1821058132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961013",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610013",
            "telephone_number": "817-926-7671",
            "fax_number": "817-926-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S HULEN ST",
            "address_2": "SUITE 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091504",
            "telephone_number": "817-926-7671",
            "fax_number": "817-926-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "SUSAN",
        "middle_name": "KEITH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H8972",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H8972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00L11W",
            "identifier": "BCBS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.