SUSAN L DAVIS (NPI# 1699883108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699883108 |
| Entity Type | Individual |
| Full Name | SUSAN L DAVIS |
| Credential | MD |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828854268 |
| Practice Fax Number | 6828857956 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
H4272 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CIGNA PIN | 7196161 | 01 |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | FIRSTCARE PIN | 111357100 | 01 |
| TX | 134924308 | 05 | |
| TX | FIRSTHEALTH PIN | 1640402 | 01 |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | AMERIGROUP PIN | 10009851 | 01 |
| TX | SUPERIOR PIN | 124118 | 01 |
| TX | CSHCN | 134924309 | 01 |
| TX | BCBSTX IND PIN | 84041G | 01 |
| TX | UHC PIN | 1056493 | 01 |
| TX | PHCS PIN | 425611 | 01 |
| TX | AETNA PIN | 4640155 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1629639349 | Susan E Davis | Dentist | 707 Us Highway 24 N, Buena Vista, CO 81211-9863 | 2019-06-24 |
| 1639739980 | Susan Jean Davis | Psychiatry & Neurology | 4817 Medical Center Dr # 3a, Mckinney, TX 75069-1886 | 2019-06-18 |
| 1932768348 | Susan Rae Davis | Nurse Practitioner | 3800 S Ocean Dr Suite 209, Hollywood, FL 33019-6614 | 2019-06-10 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1578928313 | Susan Melanie Davis | Counselor | 1254 Big Talk Ct, San Jose, CA 95120-3910 | 2015-12-21 |
| 1497126882 | Susan Kathryn Davis | Counselor | 2519 E Ellendale Ave, Dallas, OR 97338-9575 | 2015-10-12 |
| 1942605654 | Susan Davis | Registered Nurse | 634 Saint Marks St, Suite B, Redding, CA 96003-2553 | 2014-10-24 |
| 1528468022 | Susan Davis | Registered Nurse | 9648 Parramatta Pl, Highlands Ranch, CO 80130-7156 | 2014-09-03 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033477419 | Kyle Anthony Brown | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2012-04-24 |
| 1639311616 | Mary Kathryn Ramsey | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2009-04-06 |
| 1669529541 | Ryan R Meyer | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-01-04 |
| 1588728182 | William Edward Gordon | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-20 |
| 1427111988 | Raymond Nkwantabisa | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-18 |
| 1275626368 | James D Marshall | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-10-02 |
| 1306942487 | Jose L Olarte-motta | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-09-15 |
| 1750486304 | William B Nelson | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-09-14 |
| 1225140270 | Javier Gelvez | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-31 |
| 1366552218 | Larry E Easterling | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on SUSAN L DAVIS.
| 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.