DR. SUSAN RUDD BAILEY (NPI# 1396722583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396722583 |
| Entity Type | Individual |
| Full Name | DR. SUSAN RUDD BAILEY |
| Credential | M.D. |
| Practice Address |
5929 Lovell Ave Fort Worth TX 76107-5029 |
| Practice Telephone | 8173152550 |
| Practice Fax Number | 8177324660 |
| Mailing Telephone | 8173152550 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | G0037 | TX | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
G0037 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741042 | Susan Desiree Bailey | Licensed Practical Nurse | 1104 S Main St # A, Lexington, NC 27292-3134 | 2017-06-29 |
| 1326582321 | Susan Bailey | Registered Nurse | 806 Pearman Dairy Rd, Anderson, SC 29625-2616 | 2016-12-09 |
| 1164892394 | Susan Bailey | Nurse Practitioner | 4140 N 108th Ave, Suite 134, Phoenix, AZ 85037-5466 | 2015-09-30 |
| 1326393174 | Susan Bailey | Physical Therapist | 790 Roy Richard Dr., Schertz, TX 78154 | 2012-07-18 |
| 1780813360 | Susan E Bailey | Speech-Language Pathologist | 810 W Lamberth Rd, Sherman, TX 75092-2978 | 2009-07-05 |
| 1740430610 | Susan J Bailey | Counselor | Grove Street, 15 Grove Street, North Conway, NH 03860 | 2008-09-26 |
| 1568582062 | Susan Prange Bailey | Chiropractor | 664a Azalea Ave, Redding, CA 96002-0217 | 2007-03-29 |
| 1245358274 | Susan Lynn Bailey | Internal Medicine | 700 Commons Way, #227, Rochester, NY 14623-3147 | 2007-03-27 |
| 1245232016 | Susan Deborah Bailey | Nurse Practitioner | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2005-08-11 |
| 1174164115 | Susan A Bailey | Counselor | 116 Hills Plz, Charleston, WV 25387-2438 | 2019-10-01 |
| Street Address |
5929 LOVELL AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970969 | Robert J. Rogers | Allergy & Immunology | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2005-05-31 |
| 1699138305 | Fort Worth Allergy and Asthma Associates, LLP | Clinic/Center | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2016-03-30 |
| 1912169467 | Robert J. Rogers, M.d., P.a. | Clinic/Center | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2008-06-26 |
| 1578725032 | Normand F. Tremblay, M.d. P.a. | Clinic/Center | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2008-06-26 |
| 1184886640 | Susan R. Bailey, M.d.p.a. | Clinic/Center | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2008-06-26 |
| 1316924509 | Normand Francis Tremblay | Allergy & Immunology | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259293 | Allergy Relief of Texas Pllc | Allergy & Immunology | 7200 Dutch Branch Rd, Suite 200, Fort Worth, TX 76132-4143 | 2016-12-07 |
| 1235316308 | Dalia Giovanna Galicia | Allergy & Immunology | 9433 N Beach St Ste 111, Fort Worth, TX 76244 | 2008-01-30 |
| 1417054024 | University of North Texas Health Science Center At Fort Worth | Allergy & Immunology | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148470 | Stephanie Kathrynann Angell | Allergy & Immunology | 415 Downing St, Belton, TX 76513-2049 | 2019-01-15 |
| 1144792615 | Integrated Wellness Clinics Pllc | Allergy & Immunology | 3308 Preston Rd Ste 350-307, Plano, TX 75093-7453 | 2018-12-21 |
| 1073963526 | San Antonio Allergenic and Wellness LLC | Allergy & Immunology | 9023 Huebner Rd, Ste 105, San Antonio, TX 78240-2071 | 2016-06-15 |
| 1629428164 | South Austin Allergy and Wellness LLC | Allergy & Immunology | 11530 Manchaca Rd, Unit 2-a, Austin, TX 78748-2712 | 2016-06-15 |
| 1962896340 | Southwest Hcp Access Pa | Allergy & Immunology | 211 Bartlett Dr, Suite 108, El Paso, TX 79912 | 2015-03-24 |
| 1417377839 | Sasha Ahangama Alvarado | Allergy & Immunology | 623 W Fm 544 Ste 104, Murphy, TX 75094-4587 | 2014-04-24 |
| 1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
| 1912343419 | Zachary Wade Marshall | Allergy & Immunology | 205 N Oak St Unit B, Roanoke, TX 76262-7001 | 2013-05-12 |
| 1902241292 | Tr Diagnostic Radiology Management Inc | Allergy & Immunology | 3620 N Josey Ln Ste 116, Carrollton, TX 75007-3151 | 2013-05-01 |
| 1831533157 | U S Allergy Labs, LLC | Allergy & Immunology | 2008 N Navarro St, Ste B, Victoria, TX 77901-4824 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on DR. SUSAN RUDD BAILEY.
| 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.