DR. SUSAN B ROGERS M.D. NPI 1629043179

NPI Information

NPI: 1629043179
Provider Name: DR. SUSAN B ROGERS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
399 W CAMPBELL RD
#101
RICHARDSON, TX
ZIP 75080
Phone: (972) 238-1848
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DR. Susan B Rogers, M.D. is a family medicine in Richardson, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Susan B Rogers, M.D. NPI is 1629043179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

399 W CAMPBELL RD
#101
RICHARDSON, TX
ZIP 75080-595
Phone: (972) 238-1848
Fax: (972) 238-8735

The enumeration date for this NPI number is 2/20/2006 and was last updated on 3/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G6004	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB102230	MEDICARE PIN	TEXAS
2	4019553	OTHER	TEXAS	AETNA NON-HMO
3	B04454	MEDICARE UPIN	TEXAS
4	2266929	OTHER	TEXAS	AETNA HMO
5	00FV75	OTHER	TEXAS	BCBS
6	080154026	OTHER	TEXAS	RAILROAD MEDICARE
7	P00845040	OTHER	TEXAS	RR MC
8	098426203	MEDICAID	TEXAS
9	8F24102	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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