| St. David's Ortho, Neuro And Rehab, Pllc | |
|
98 San Jacinto Blvd Suite 1800 Austin TX 78701-4082 | |
| (512) 708-9700 | |
| (512) 410-2942 |
| Full Name | St. David's Ortho, Neuro And Rehab, Pllc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 98 San Jacinto Blvd, Austin, Texas |
| Authorized Official Name and Position | Nicholas Wadlington (GROUP VICE PRESIDENT) |
| Authorized Official Contact | 6153727332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. David's Ortho, Neuro And Rehab, Pllc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | St. David's Ortho, Neuro And Rehab, Pllc 98 San Jacinto Blvd Suite 1800 Austin TX 78701-4082 Ph: (512) 708-9700 |
| NPI Number | 1669742755 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 11/20/2025 |
| Certification Date | 11/20/2025 |
| Medicare PECOS PAC ID | 5799948857 |
|---|---|
| Medicare Enrollment ID | O20120530000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669742755 | NPI | - | NPPES |
| Provider Name | Christopher S English |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912953647 PECOS PAC ID: 1557340098 Enrollment ID: I20040720001171 |
| Provider Name | Eduardo R Elizondo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295783728 PECOS PAC ID: 4486628344 Enrollment ID: I20040825000809 |
| Provider Name | Juan M Latorre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841269263 PECOS PAC ID: 3678533320 Enrollment ID: I20041016000099 |
| Provider Name | Richard Bernard Stovall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134115595 PECOS PAC ID: 1951330588 Enrollment ID: I20050808000539 |
| Provider Name | Anant I Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295710655 PECOS PAC ID: 1052346707 Enrollment ID: I20050930000356 |
| Provider Name | Matthew J Crawford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205888138 PECOS PAC ID: 9032113535 Enrollment ID: I20060913000566 |
| Provider Name | Kristopher M Webb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114913605 PECOS PAC ID: 7719927581 Enrollment ID: I20080130000119 |
| Provider Name | Mark G Burnett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932195427 PECOS PAC ID: 1850331216 Enrollment ID: I20080130000130 |
| Provider Name | Patricia A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154514248 PECOS PAC ID: 0345301735 Enrollment ID: I20081203000705 |
| Provider Name | Richard M Wupperman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760539647 PECOS PAC ID: 7719072339 Enrollment ID: I20081211000375 |
| Provider Name | Miles D Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447490289 PECOS PAC ID: 3870643059 Enrollment ID: I20090609000636 |
| Provider Name | Jacob B Manuel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063628964 PECOS PAC ID: 9537292420 Enrollment ID: I20100728001231 |
| Provider Name | Hari K Tumu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457427130 PECOS PAC ID: 8820188402 Enrollment ID: I20100820001003 |
| Provider Name | Craig M Kemper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164582912 PECOS PAC ID: 9739279316 Enrollment ID: I20100820001017 |
| Provider Name | Faheem Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538163860 PECOS PAC ID: 3072427558 Enrollment ID: I20110105000568 |
| Provider Name | James Sherman Waldron |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902926850 PECOS PAC ID: 8426102534 Enrollment ID: I20110908001881 |
| Provider Name | Mark Geyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306012265 PECOS PAC ID: 2163670217 Enrollment ID: I20120913000630 |
| Provider Name | Alexandra C Boske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326275033 PECOS PAC ID: 4789828005 Enrollment ID: I20130926000159 |
| Provider Name | Robert Kun-hua Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013163146 PECOS PAC ID: 2062605637 Enrollment ID: I20131104001149 |
| Provider Name | Craig A Kuhns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922038108 PECOS PAC ID: 8022047190 Enrollment ID: I20131230001348 |
| Provider Name | Jennifer B Tutanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457629859 PECOS PAC ID: 1658501119 Enrollment ID: I20140228000718 |
| Provider Name | Ikechukwu John Obih |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811156730 PECOS PAC ID: 5395977128 Enrollment ID: I20140410000392 |
| Provider Name | Aravind Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174686364 PECOS PAC ID: 2668570391 Enrollment ID: I20140828000664 |
| Provider Name | Judson Howard Cook |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386603553 PECOS PAC ID: 7810987187 Enrollment ID: I20141110001408 |
| Provider Name | Carl Lauryssen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568410629 PECOS PAC ID: 6901866888 Enrollment ID: I20150409001889 |
| Provider Name | Lorne H Blackbourne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977525 PECOS PAC ID: 4082937834 Enrollment ID: I20150413000769 |
| Provider Name | Danielle C Husen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488230 PECOS PAC ID: 3476872342 Enrollment ID: I20150428001610 |
| Provider Name | Dhruve Satish Jeevan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124429923 PECOS PAC ID: 3870893647 Enrollment ID: I20151201000035 |
| Provider Name | Raquel Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278500 PECOS PAC ID: 8527368158 Enrollment ID: I20151203000256 |
| Provider Name | David Hoak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932499365 PECOS PAC ID: 5597072538 Enrollment ID: I20160921000698 |
| Provider Name | Shahbaz A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518125830 PECOS PAC ID: 4789877390 Enrollment ID: I20161230000154 |
| Provider Name | Cameron Ludt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770859423 PECOS PAC ID: 8921372608 Enrollment ID: I20170919002074 |
| Provider Name | Calvin M Cooper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609169457 PECOS PAC ID: 8729381488 Enrollment ID: I20181113000158 |
| Provider Name | Katherine Butler Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891273710 PECOS PAC ID: 9032454194 Enrollment ID: I20181218000512 |
| Provider Name | Alexa Bodman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861783144 PECOS PAC ID: 1850656323 Enrollment ID: I20190826003705 |
| Provider Name | Adrienne Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086805 PECOS PAC ID: 7911235122 Enrollment ID: I20190827000823 |
| Provider Name | Jose A Romero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346686128 PECOS PAC ID: 1052674801 Enrollment ID: I20190911001681 |
| Provider Name | Bonnie Leigh Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275176232 PECOS PAC ID: 4587096938 Enrollment ID: I20191122002419 |
| Provider Name | Cydney Palmer Rana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275184541 PECOS PAC ID: 5395179808 Enrollment ID: I20191216002116 |
| Provider Name | Bonny Wong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316326366 PECOS PAC ID: 0547590671 Enrollment ID: I20200818000984 |
| Provider Name | Matthew R Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598370421 PECOS PAC ID: 9830517093 Enrollment ID: I20200921000904 |
| Provider Name | Megan Mallamaci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710568712 PECOS PAC ID: 2860895901 Enrollment ID: I20210727001046 |
| Provider Name | Jorge Gonzalez-cruz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386850006 PECOS PAC ID: 4486753845 Enrollment ID: I20211115003002 |
| Provider Name | Christopher Hause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992397798 PECOS PAC ID: 8527475508 Enrollment ID: I20211208002778 |
| Provider Name | Nita M Maknojiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265191746 PECOS PAC ID: 4082009279 Enrollment ID: I20220325001318 |
| Provider Name | Valerie Rodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619646346 PECOS PAC ID: 6103205992 Enrollment ID: I20220624001926 |
| Provider Name | Trent Roubleau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831624295 PECOS PAC ID: 5496024556 Enrollment ID: I20220708002646 |
| Provider Name | Uttam Keshav Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821476011 PECOS PAC ID: 7517279391 Enrollment ID: I20220908001921 |
| Provider Name | Patricia Andrea Tan Montierth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499636 PECOS PAC ID: 6406203801 Enrollment ID: I20231107001177 |
| Provider Name | Aubrey Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026393 PECOS PAC ID: 6800022658 Enrollment ID: I20240308003259 |
| Provider Name | Laura Ann Heindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366206161 PECOS PAC ID: 9931642014 Enrollment ID: I20240617004071 |
| Provider Name | Omar Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861631590 PECOS PAC ID: 4789813528 Enrollment ID: I20240710000421 |
| Provider Name | Diana Ontiveros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790305498 PECOS PAC ID: 6507297199 Enrollment ID: I20240807003951 |
| Provider Name | Kathy Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760211148 PECOS PAC ID: 6800327123 Enrollment ID: I20240926004394 |
| Provider Name | Sanober Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285456103 PECOS PAC ID: 8628598323 Enrollment ID: I20250225002809 |
Kevin Mcfarley, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 | |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Fadya Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg 7c, Austin, TX 78746 Phone: 512-589-5897 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |