Susan Imke (NPI# 1043444961, PAC ID# 7911056957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043444961 |
| PAC ID by PECOS | 7911056957 |
| Professional Enrollment ID | I20090521000155 |
| Full Name | Susan Imke |
| Organization Legal Name | MID-CITIES NEUROLOGY ASSOCIATES |
| Address |
4525 Heritage Trace Pkwy Suite 117 Fort Worth TX 76244-8921 |
| Phone Number | 8172676290 |
| Gender | F |
| Graduation Year | 1977 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749379592 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1305 Airport Fwy 205, Bedford, TX 76021-6606 | 8172676290 | MID-CITIES NEUROLOGY ASSOCIATES |
| 4525 Heritage Trace Pkwy, Suite 117, Fort Worth, TX 76244-8921 | 8172676290 | MID-CITIES NEUROLOGY ASSOCIATES |
| 4525 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 | 8172676290 | MID-CITIES NEUROLOGY ASSOCIATES |
| Organization Legal Name | MID-CITIES NEUROLOGY ASSOCIATES |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Stapel | Nurse Practitioner | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Dena L Miller | Nurse Practitioner | Mid-cities Neurology Associates | 4525 Heritage Trace Pkwy, Suite 117, Fort Worth, TX 76244-8921 |
| Hassan Arif | Neurology | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Jerome Marc Kane | Neurology | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Carolyn Sasano | Psychologist, Clinical | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Nirav Chandrakant Shah | Neurology | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Andrew W Houtz | Psychologist, Clinical | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Jessica Mason | Nurse Practitioner | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Sharique A Ansari | Neurology | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| James M Barry Jr. | Neurology | Mid-cities Neurology Associates | 1305 Airport Fwy 205, Bedford, TX 76021-6606 |
| Street Address |
4525 HERITAGE TRACE PKWY SUITE 117 |
| City | FORT WORTH |
| State | TX |
| Zip | 76244-8921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dena L Miller | Nurse Practitioner | Mid-cities Neurology Associates | 4525 Heritage Trace Pkwy, Suite 117, Fort Worth, TX 76244-8921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhaveskumar R Patel | Optometry | 12584 N Beach St, Suite 122, Fort Worth, TX 76244-4251 | |
| Julie Nguyen | Dermatology | 3516 Golden Triangle Blvd, Suite 120, Fort Worth, TX 76244-4801 | |
| Ryan M Pond | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Augustine J Lee | Colorectal Surgery (proctology) | 10840 Texas Health Trail, Suite 200, Fort Worth, TX 76244-4897 | |
| Shawn Arthur Leveridge | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Mary Annette Fischer | Physician Assistant | Wfo Group LLC | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Shane A Clark | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Richard W Hazen | Pulmonary Disease | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Oluwaseun O Odumosu | Family Medicine | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Bushra Khalil | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Find all physicians in zip 76244 | |||
| City | FORT WORTH |
| Zip Code | 76244 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WORTH + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.