SUSAN WILLIG FAN (NPI# 1124044995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124044995 |
| Entity Type | Individual |
| Full Name | SUSAN WILLIG FAN |
| Credential | M.D. |
| Practice Address |
2800 Garth Rd Baytown TX 77521-3947 |
| Mailing Address |
319 Hawthorne St Houston TX 77006-4007 |
| Practice Telephone | 2814273700 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
H7012 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2800 GARTH RD |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101243 | Ricardo R Pardo | Psychiatry & Neurology | 2800 Garth Rd, Baytown, TX 77521-3947 | 2005-06-01 |
| 1982108593 | Jose Luis Marquez | Nurse Practitioner | 2800 Garth Rd, Baytown, TX 77521-3947 | 2018-03-19 |
| 1184126575 | Edward Y Ji | Family Medicine | 2800 Garth Rd, Baytown, TX 77521-3947 | 2018-03-01 |
| 1740704048 | Ashley Katherine Guest | Nurse Practitioner | 2800 Garth Rd, Baytown, TX 77521-3947 | 2017-07-28 |
| 1336521277 | Laquinta Metoyer | Physician Assistant | 2800 Garth Rd, Suite E, Baytown, TX 77521-3947 | 2015-06-28 |
| 1285976001 | Rebecca J Dees | Physician Assistant | 2800 Garth Rd, Baytown, TX 77521-3947 | 2013-03-19 |
| 1417287947 | James G. Evans | Physician Assistant | 2800 Garth Rd, Baytown, TX 77521-3947 | 2010-01-06 |
| 1225267214 | Kelly Jones | Physician Assistant | 2800 Garth Rd, Baytown, TX 77521-3947 | 2009-07-10 |
| 1073772489 | Shirmeen Lakhani | Podiatrist | 2800 Garth Rd, Baytown, TX 77521-3947 | 2008-06-02 |
| 1043488273 | Gulf Coast Medical | General Acute Care Hospital | 2800 Garth Rd, Baytown, TX 77521-3947 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463415 | Ct Medical Group | Radiology | 11901 Shadow Creek Pkwy Ste 111b, Pearland, TX 77584-7346 | 2020-10-04 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1225370273 | Gary Brent Mayes | Radiology | 5248 Lower Crabapple Rd, Fredericksburg, TX 78624-7594 | 2013-03-17 |
| 1578820866 | Kuang-wei Eric Chang | Radiology | 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | 2012-04-12 |
| 1043583008 | 1st South Texas Pain Management | Radiology | 1431 Wirt Rd., 113, Houston, TX 77055 | 2012-02-21 |
| 1194058800 | Carlos Maldonado, D.o., P.a. | Radiology | 2933 Lazy Lake Dr, Harlingen, TX 78550-8633 | 2009-09-13 |
| 1326235359 | Louisea Marie Raymun Bonoan Deomampo | Radiology | University of Texas Medical Branch- Radiology, 301 University Boulevard Route 0709, Galveston, TX 77555-0709 | 2007-10-03 |
| 1518180488 | Border Radiology Consultants PC | Radiology | 1155 N Zaragoza Rd, Suite C107, El Paso, TX 79907-1812 | 2007-04-10 |
| 1861551046 | Radiology Associates of North Texas Pa | Radiology | 2911 Oak Park Cir, Fort Worth, TX 76109-1893 | 2006-12-06 |
| 1851450969 | Radiology Associates of North Texas Pa | Radiology | 525 E Southlake Blvd, Southlake, TX 76092-6235 | 2006-12-06 |
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| 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.