SAMUEL A NUSSBAUMER (NPI# 1073515508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073515508 |
| Entity Type | Individual |
| Full Name | SAMUEL A NUSSBAUMER |
| Credential | MD |
| Practice Address |
1924 Forest Ridge Dr Bedford TX 76021-8228 |
| Practice Telephone | 8175454550 |
| Practice Fax Number | 8175710804 |
| Mailing Telephone | 8175454550 |
| Mailing Fax Number | 8175710804 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G5438 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G5438 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139651720 | 05 |
| Street Address |
1924 FOREST RIDGE DR |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-8228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619433927 | Hang Tran | Physician Assistant | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2019-02-12 |
| 1265824106 | Margaret Ashley Ceranti | Physician Assistant | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2015-03-02 |
| 1144612508 | Rebecca Waggoner | Nurse Practitioner | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2015-02-23 |
| 1245636190 | James Rose | Clinical Nurse Specialist | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2014-11-05 |
| 1760508592 | Neeraj Badhey | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-5727 | 2007-03-22 |
| 1649258757 | Tu Khac Le | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-5727 | 2006-01-09 |
| 1013909258 | Srinivas N Paranandi | Internal Medicine | 1924 Forest Ridge Dr, Bedford, Bedford, TX 76021-8228 | 2005-08-15 |
| 1700888229 | Michael J Duran | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2005-08-15 |
| 1356343867 | David R Eisen | Internal Medicine | 1924 Forest Ridge Dr, Bedford, Bedford, TX 76021-8228 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295845600 | Raghavan Amarasingham | Internal Medicine | Veterans Admin Medical Center, 200 Springs Road, Bedford, MA 01730 | 2006-08-30 |
| 1548644610 | Venkatesan D. Vidi, Md Pllc | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2015-07-17 |
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| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.