SUSAN MCDONALD


Address: 1400 8th Ave, Fort Worth, TX 76104-4110
Phone: 8172691472

SUSAN MCDONALD (NPI# 1295289981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295289981
Entity Type Individual
Full Name SUSAN MCDONALD
Other Name LEE H MOTA
Practice Address 1400 8th Ave
Fort Worth
TX 76104-4110
Mailing Address 1169 N Burleson Blvd # 107-233
Burleson
TX 76028-7011
Practice Telephone 8172691472
Practice Fax Number 8175312939
Mailing Telephone 8172691472
Mailing Fax Number 8175312939
Enumeration Date 2016-08-10
Last Update Date 2016-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 88493 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX FEDERAL TAX ID 208094511 01

Other Providers SUSAN MCDONALD

NPI Name Taxonomy Address Enumeration
1700209178 Susan Mcdonald Registered Nurse 9716 E Chichagof Loop, Eagle River, AK 99577-8650 2014-01-21
1831339654 Susan Mcdonald Counselor 3086 Windsong Ct Unit 201, Naples, FL 34109-8939 2009-03-06
1730394784 Susan Q Mcdonald Speech-Language Pathologist 134 Woodside Ave, Broadalbin, NY 12025-2252 2007-05-13
1194840538 Susan Mcdonald Physical Therapy Assistant 501 E Campus Ave, Chestertown, MD 21620-1671 2007-03-21
1104846203 Susan Irene Mcdonald Advanced Practice Midwife 1580 Valencia St Ste 508, San Francisco, CA 94110-4415 2006-07-20
1386268266 Susan Y Mcdonald Nurse Practitioner 523 Rockingham Rd, Rockingham, NC 28379-3615 2020-06-05
1922471671 Susan Mcdonald Speech-Language Pathologist 127 Carter St, Richmond Hill, GA 31324-3753 2015-11-03
1184977175 Susan Mcdonald Dentist 100 Walco Ln, Malvern, AR 72104-6793 2012-10-16
1588940001 Susan Marie Mcdonald Behavioral Analyst 21210 Nw Mauzey Rd., Hillsboro, OR 97124 2011-10-28
1205065687 Susan Mcdonald Speech-Language Pathologist 12425 Race Track Rd, Suite 100, Tampa, FL 33626-3102 2009-07-07

Office Location

Street Address 1400 8TH AVE
City FORT WORTH
State TX
Zip Code 76104-4110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891393674 Todd Ryan Newton Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-10-13
1477163749 Sarah Louise Kelley Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-08-03
1659980811 Jessica Marie Custance Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-07-23
1912516170 Kevin Pannell Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-07-23
1093336570 Lindsay Keller Chapman Physical Therapist 1400 8th Ave, Fort Worth, TX 76104-4110 2020-05-06
1093336752 Joab Odhiambo Acholla Nurse Practitioner 1400 8th Ave, Fort Worth, TX 76104-4110 2020-05-04
1952937823 Melissa Maxwell Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-03-22
1700419421 Jaclyn Theresa Channell Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-02-20
1245861160 Landon Collier Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-01-29
1245861178 Brittney Long Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093334039 Sport Is Religion Specialist 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 2020-04-09
1518471986 Tyrin W Holt Specialist 1540 Berckmans Rd, Fort Worth, TX 76120-1500 2017-11-21
1538567151 Sarah Dimarco Specialist 3704 Staghorn Cir N, Fort Worth, TX 76137-6054 2014-12-13
1639581077 Pre Diabetes Physician Services Inc Specialist 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 2014-05-20
1447661509 Veronica C Zapata Specialist 1113 Nw 25th St, Fort Worth, TX 76164-6904 2014-05-12
1962835439 Sara Syeda Specialist 7250 Hawkins View Dr Ste 410, Fort Worth, TX 76132-3932 2013-08-19
1750624417 Jennifer C. Brooks, Md Pllc Specialist 909 9th Ave Ste 101, Fort Worth, TX 76104-3916 2013-04-01
1063766178 Richard Eugene Smith Specialist 7162 Axis Ct, Fort Worth, TX 76132-3573 2012-10-29
1770831463 Sharon A Guillory Specialist 5441 S Hulen Street, Dona's Wigs, Fort Worth, TX 76132 2012-08-28
1740537281 Chu Eye Institute, P.a. Specialist 3017 W 7th St # 210, Fort Worth, TX 76107-2223 2012-08-14
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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