DR. SUZANNE B KELLEY (NPI# 1033146436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033146436 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE B KELLEY |
| Other Name | SUZANNE B DIXSON |
| Credential | MD |
| Practice Address |
1500 S Main St Fort Worth TX 76104-4917 |
| Practice Telephone | 8179213431 |
| Mailing Telephone | 8179213431 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | J3303 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175531601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790203768 | Suzanne Kelley | Speech-Language Pathologist | 1719 Kingsbury Rd, Washington, IL 61571-9278 | 2017-08-30 |
| 1275637795 | Suzanne Kay Kelley | Family Medicine | 3721 Tecport Dr, Harrisburg, PA 17111-1219 | 2006-09-13 |
| 1871512277 | Suzanne Kelley | Pharmacist | 5041 North 12th Avenue, Covenant Hospice, Pensacola, FL 32504 | 2006-07-18 |
| 1336118678 | Suzanne Kelley | Nurse Practitioner | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013 | 2006-03-17 |
| 1164959599 | Suzanne Nicole Kelley | Massage Therapist | 55 Nw Wall St Ste 100, Bend, OR 97703-3200 | 2017-05-16 |
| 1518385863 | Suzanne Kelley | Counselor | 633 Asbury Dr, Suite A, Mandeville, LA 70471-6511 | 2014-04-03 |
| 1689931180 | Suzanne M Kelley | Nurse Practitioner | 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 2012-04-20 |
| 1508135138 | Suzanne Kelley | Counselor | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-28 |
| 1659569192 | Suzanne P Kelley | Counselor | 101 Jordan Dr, Chattanooga, TN 37421-6732 | 2007-10-10 |
| Street Address |
1500 S MAIN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964634 | Akber M Ashraf | Internal Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2005-07-05 |
| 1518567395 | Jordan Loeffelholz | Pediatrics | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-10-29 |
| 1891305827 | Sandra Bialose | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-08-04 |
| 1467060889 | Melissa Godfrey Wood | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-22 |
| 1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
| 1952919144 | Chinyere Lilian Nkwocha | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-14 |
| 1033727227 | Haley Leverett | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-14 |
| 1447875760 | Lauren Courtney Thompson | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-06-12 |
| 1356965883 | Arjun Kulandaivelu | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-06-01 |
| 1831710482 | Oliver Taylor | Family Medicine | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-05-05 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165191 | Telemedicine Advantage Concierge Urgent Care | Pediatrics | 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 | 2020-05-14 |
| 1942776638 | Melissa S Wright | Pediatrics | 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 | 2018-10-19 |
| 1366975336 | Pragadeeswari Dhanasekaran | Pediatrics | 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 | 2017-04-06 |
| 1275898280 | Suvarna Kolluri | Pediatrics | 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 | 2012-07-06 |
| 1881999613 | Joyce Keck Rafati | Pediatrics | 1263 W Rosedale St, Fort Worth, TX 76104-2801 | 2011-01-26 |
| 1386886802 | Eriel Hayes | Pediatrics | 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 | 2009-03-30 |
| 1194980011 | Cherryll Phoebe Taruc Libed | Pediatrics | 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 | 2008-07-21 |
| 1366605735 | Carolyn Margaret Lentzsch-parcells | Pediatrics | 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 | 2008-07-07 |
| 1366627655 | Courtney M Carter | Pediatrics | 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 | 2008-01-04 |
| 1902017494 | Raheela Hafeez,m.d., P.a. | Pediatrics | 855 Montgomery Street, Fort Worth, TX 76107-2553 | 2007-05-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DR. SUZANNE B KELLEY.
| 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.