SUSAN MCDONALD (NPI# 1295289981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 88493 | TX | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | FEDERAL TAX ID | 208094511 | 01 |
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 |
Street Address |
1400 8TH AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76104-4110 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 76104 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76104 |
Please comment or provide details below to improve the information on SUSAN MCDONALD.
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.