DR. SUZANNE KAREN WHITBOURNE


Address: 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122
Phone: 6828854283

DR. SUZANNE KAREN WHITBOURNE (NPI# 1609834787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609834787
Entity Type Individual
Full Name DR. SUZANNE KAREN WHITBOURNE
Credential M.D.
Practice Address 1301 Pennsylvania Ave
Fort Worth
TX 76104-2122
Practice Telephone 6828854283
Practice Fax Number 6828851088
Mailing Telephone 6828854283
Mailing Fax Number 6828851088
Enumeration Date 2006-05-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
K7229 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 1301 PENNSYLVANIA AVE
City FORT WORTH
State TX
Zip Code 76104-2122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144227257 Robert Louis Quillin Pediatrics 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2005-07-05
1003414996 Jana Mitchell Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-10-13
1730799941 Brin Alexandra Morris Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-08-03
1871103168 Niki Sheth Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-08-03
1033736863 Molly Taylor Respiratory Therapist, Registered 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-27
1215554175 Suja Varghese Nurse Practitioner 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-26
1538786470 Amanda A Viehmann Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-26
1376169599 Heather Nicole Le Nurse Practitioner 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-23
1750904249 Kelli Renee Vogler Physician Assistant 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-05-19
1598387169 Alim Virji Radiology 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-05-17
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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/certification
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942266069 Jeannette Whitney Pediatrics 3525 Dorothy Ln S, Fort Worth, TX 76107-1731 2006-04-26
1235193780 Richard Alan Sidebottom Pediatrics 801 W 7th St, Fort Worth, TX 76102-3510 2006-04-13
1518567395 Jordan Loeffelholz Pediatrics 1500 S Main St, Fort Worth, TX 76104-4917 2020-10-29
1801162557 Hevil Shah Pediatrics 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2012-03-27
1114121662 Darryl Chuan-jen Miao Pediatrics 1301 Pennsylvania Ave, Pediatrix Medical Group, Fort Worth, TX 76104-2122 2007-06-11
1780735738 Lori Nesslein Pediatrics 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2007-01-16
1396824496 Victor York Levy Pediatrics 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2006-11-02
1346320603 Yvette R Johnson Pediatrics 1500 Cooper St, Fort Worth, TX 76104-2710 2006-10-17
1841223641 Donald K Nelms Pediatrics 1500 S Main St, Fort Worth, TX 76104-4917 2006-07-08
1821041104 Philip Vincent Marinelli Pediatrics 1301 Pennsylvania Ave, Dept Neonatology Pediatrix Medical Grp of Tx Pa, Fort Worth, TX 76104-2122 2006-05-18
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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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