Susan L Bacsik, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M6511 Issued in TX

Practice address

8350 N Central Expy Ste M1025
Dallas, TX 75206-1615

Phone

(214) 368-6341

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Susan Bacsik DO PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1548752850
  NPD Authorized official
• Christopher S. Abel, M.D., P.a.

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1760911481
  NPD (past)
• William H. Moore, M.D., P.a.

  • Health Service Clinic/Center
  • Dallas, TX
  • NPI 1497967046
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1992911895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 N CLINTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083613",
            "telephone_number": "817-946-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N CENTRAL EXPY STE M1025",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061615",
            "telephone_number": "214-368-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACSIK",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Backmenders
• Backsnap Enterprises, Inc.
• Annette L. Bacon, WHCNP
• Boone Bacon, PA-C
• Rebecca Gray Bacsik, L.M.F.T.
• Chasta-Dawne Louise Bacsu, M.D.
• Edgar Quinagoran Bacud, P.T.
• Winona Bacud
• Sarah McMenamin Baculi
• Alexa Jo Badalamenti, MS

• Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.