| Rock Springs Physician Group Llc | |
|
700 Se Inner Loop Georgetown TX 78626-7700 | |
| (512) 819-9400 | |
| Not Available |
| Full Name | Rock Springs Physician Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 700 Se Inner Loop, Georgetown, Texas |
| Authorized Official Name and Position | Greg Miller (EVO / CFO) |
| Authorized Official Contact | 4125883546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Springs Physician Group Llc 101 S 5th St Louisville KY 40202-3157 Ph: (412) 588-3546 | Rock Springs Physician Group Llc 700 Se Inner Loop Georgetown TX 78626-7700 Ph: (512) 819-9400 |
| NPI Number | 1205221397 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 2365751468 |
|---|---|
| Medicare Enrollment ID | O20151012000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205221397 | NPI | - | NPPES |
| Provider Name | Robert C Strayhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023178043 PECOS PAC ID: 7810980828 Enrollment ID: I20040817000043 |
| Provider Name | John M Bouras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669514311 PECOS PAC ID: 2668433095 Enrollment ID: I20070730000569 |
| Provider Name | Hatem Nour El Deen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194779892 PECOS PAC ID: 9335137900 Enrollment ID: I20091123000092 |
| Provider Name | Robert E Mcclung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215962352 PECOS PAC ID: 3678734522 Enrollment ID: I20120419000730 |
| Provider Name | Anil Swarup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952593048 PECOS PAC ID: 6507955036 Enrollment ID: I20121011000918 |
| Provider Name | Marc W Kundler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265488928 PECOS PAC ID: 1456524743 Enrollment ID: I20130808000923 |
| Provider Name | Tiffany Nicole Thomure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124278429 PECOS PAC ID: 9931341377 Enrollment ID: I20130814000209 |
| Provider Name | James Arthur Halgrimson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508158437 PECOS PAC ID: 4385870351 Enrollment ID: I20131121000627 |
| Provider Name | Samuel D Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841593787 PECOS PAC ID: 5698918381 Enrollment ID: I20141020001983 |
| Provider Name | Justin M Scaffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026995 PECOS PAC ID: 2163738964 Enrollment ID: I20150824001983 |
| Provider Name | Nathaniel William Seck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073924312 PECOS PAC ID: 5890912729 Enrollment ID: I20151205000040 |
| Provider Name | John E Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447664313 PECOS PAC ID: 1254619786 Enrollment ID: I20161103000434 |
| Provider Name | Matthew Eugene Bradbury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407234792 PECOS PAC ID: 9739469206 Enrollment ID: I20170119002540 |
| Provider Name | Shahid M Kaous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881893881 PECOS PAC ID: 7719071620 Enrollment ID: I20170519000432 |
| Provider Name | Reginald Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801348321 PECOS PAC ID: 7810269578 Enrollment ID: I20170816001392 |
| Provider Name | Marc Biala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336661974 PECOS PAC ID: 0547533358 Enrollment ID: I20170830000560 |
| Provider Name | Elisabeth Netherton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851735955 PECOS PAC ID: 8426323098 Enrollment ID: I20171006002107 |
| Provider Name | Candice Schrodetzki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235630427 PECOS PAC ID: 1052666047 Enrollment ID: I20180614002612 |
| Provider Name | Mohammad J Javed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497195481 PECOS PAC ID: 2769792746 Enrollment ID: I20180925001177 |
| Provider Name | Gregory Scott Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912386749 PECOS PAC ID: 3971840745 Enrollment ID: I20190201000544 |
| Provider Name | Andrea Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659604890 PECOS PAC ID: 5991043424 Enrollment ID: I20190208000246 |
| Provider Name | Usha S Guduru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942783600 PECOS PAC ID: 2567701147 Enrollment ID: I20190226000890 |
| Provider Name | Jacqueline Jones Toal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488697 PECOS PAC ID: 8628358843 Enrollment ID: I20190806003421 |
| Provider Name | Joanna Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023482627 PECOS PAC ID: 3173826013 Enrollment ID: I20190813002902 |
| Provider Name | Benjamin Van Leeuwen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942734785 PECOS PAC ID: 9537438502 Enrollment ID: I20190905002595 |
| Provider Name | Komi Afangnon Kokou-abi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910810 PECOS PAC ID: 4486985967 Enrollment ID: I20191015000477 |
| Provider Name | Veronica Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538555669 PECOS PAC ID: 0941622138 Enrollment ID: I20200616002838 |
| Provider Name | Princess D Eghianruwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477161164 PECOS PAC ID: 1052736691 Enrollment ID: I20200730000872 |
| Provider Name | Igal Tarash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053818286 PECOS PAC ID: 9335495886 Enrollment ID: I20201123001012 |
| Provider Name | Felicia Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659637957 PECOS PAC ID: 7911257985 Enrollment ID: I20210226002286 |
| Provider Name | Natasha Gambhir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942799143 PECOS PAC ID: 9436549318 Enrollment ID: I20211208001939 |
| Provider Name | Fauzia Akhtar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255097887 PECOS PAC ID: 5193115947 Enrollment ID: I20211209001317 |
| Provider Name | Ayesha Shaheryar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477907012 PECOS PAC ID: 5698169142 Enrollment ID: I20220225000881 |
| Provider Name | Lauren Elizabeth Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366183014 PECOS PAC ID: 1355738923 Enrollment ID: I20220428002496 |
| Provider Name | Matthew R Paley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396303756 PECOS PAC ID: 9638557234 Enrollment ID: I20220610001403 |
| Provider Name | Xitong Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609491984 PECOS PAC ID: 3779905286 Enrollment ID: I20221228002285 |
| Provider Name | Katherine Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023727591 PECOS PAC ID: 9133590573 Enrollment ID: I20230124000418 |
| Provider Name | David Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558927095 PECOS PAC ID: 0547633570 Enrollment ID: I20230222001580 |
| Provider Name | Sarah J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275221368 PECOS PAC ID: 5597121764 Enrollment ID: I20230512000825 |
| Provider Name | Caanan Lee Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265147847 PECOS PAC ID: 4385074251 Enrollment ID: I20230524001468 |
| Provider Name | Alexandra Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467075408 PECOS PAC ID: 3476919911 Enrollment ID: I20230525001253 |
| Provider Name | Nathaniel Nevitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841816592 PECOS PAC ID: 0840653036 Enrollment ID: I20230906001859 |
| Provider Name | Andrea Bickley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104605096 PECOS PAC ID: 9830546167 Enrollment ID: I20231108002400 |
| Provider Name | Syeda Masooma Javaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790308781 PECOS PAC ID: 6305295866 Enrollment ID: I20231208001323 |
Central Texas Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Se Inner Loop, Georgetown, TX 78626 Phone: 512-819-9400 Fax: 512-819-9404 | |
Rachel Saenger And Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3613 Williams Dr Ste 804, Georgetown, TX 78628 Phone: 512-864-5592 | |
Trauma Detox Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3613 Williams Dr Ste 1006, Georgetown, TX 78628 Phone: 512-796-5059 | |
Whole Body Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Williams Dr Ste 212-158, Georgetown, TX 78633 Phone: 609-417-8777 | |
Sjs Medical Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Se Inner Loop, Georgetown, TX 78626 Phone: 512-819-9400 Fax: 512-819-9404 | |
Pamela Horton, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1618 Williams Dr Ste 6, Georgetown, TX 78628 Phone: 512-931-2162 Fax: 724-238-1281 | |
Alta Loma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E 8th St, Georgetown, TX 78626 Phone: 737-444-1213 |