| Austin Geriatric Specialists, Pllc | |
|
12731 Research Blvd Ste B200 Austin TX 78759 | |
| (877) 856-3774 | |
| (512) 482-0390 |
| Full Name | Austin Geriatric Specialists, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12731 Research Blvd Ste B200, Austin, Texas |
| Authorized Official Name and Position | Liam M Fry (OWNER) |
| Authorized Official Contact | 8778563774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Geriatric Specialists, Pllc 1108 Lavaca St Ste 110-320 Austin TX 78701-2172 Ph: (877) 856-3774 | Austin Geriatric Specialists, Pllc 12731 Research Blvd Ste B200 Austin TX 78759 Ph: (877) 856-3774 |
| NPI Number | 1376575886 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 5092770511 |
|---|---|
| Medicare Enrollment ID | O20041124000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376575886 | NPI | - | NPPES |
| CG1751 | Other | TX | MEDICARE RAILROAD |
| 079678101 | Medicaid | TX | |
| CI5689 | Other | TX | TRAVELERS/MEDICARE RAILROAD |
| 00049F | Other | TX | BCBS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin Patrick Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417996570 PECOS PAC ID: 5496735326 Enrollment ID: I20040722000029 |
| Provider Name | Craig T Kopecky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174756365 PECOS PAC ID: 2961466875 Enrollment ID: I20041118001128 |
| Provider Name | Mary N. Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164446035 PECOS PAC ID: 3173588605 Enrollment ID: I20041124000207 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20050302000702 |
| Provider Name | Kristin Lee Sagebiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487690251 PECOS PAC ID: 7113947318 Enrollment ID: I20051202000353 |
| Provider Name | Liam Fry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952322570 PECOS PAC ID: 1658390471 Enrollment ID: I20060509000770 |
| Provider Name | Truly Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982643680 PECOS PAC ID: 8921011149 Enrollment ID: I20060710000310 |
| Provider Name | John C Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801812649 PECOS PAC ID: 6608879671 Enrollment ID: I20060811000065 |
| Provider Name | Charitha Rao Tokur-sridhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801016761 PECOS PAC ID: 1456446236 Enrollment ID: I20071009000598 |
| Provider Name | Ping Ye |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740461375 PECOS PAC ID: 1355421819 Enrollment ID: I20080109000595 |
| Provider Name | Jeffrey Karl Eaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366646929 PECOS PAC ID: 7012083504 Enrollment ID: I20080908000088 |
| Provider Name | Haiyan Liu |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144481003 PECOS PAC ID: 0547328528 Enrollment ID: I20081020000403 |
| Provider Name | Christopher Stearns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750572947 PECOS PAC ID: 6305962515 Enrollment ID: I20100924000969 |
| Provider Name | Mauricio A Sardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902005523 PECOS PAC ID: 9931271509 Enrollment ID: I20101115000375 |
| Provider Name | Mahmuda Begum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598956773 PECOS PAC ID: 9133318025 Enrollment ID: I20110107000284 |
| Provider Name | Michelle L Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346539558 PECOS PAC ID: 4385829068 Enrollment ID: I20110421000899 |
| Provider Name | Stacey D Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801810767 PECOS PAC ID: 9931384682 Enrollment ID: I20110425000297 |
| Provider Name | Supriya Ailnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497930291 PECOS PAC ID: 4587722863 Enrollment ID: I20111025000351 |
| Provider Name | Oralia Diaz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205122892 PECOS PAC ID: 1052582590 Enrollment ID: I20111102000357 |
| Provider Name | Nabanita Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118522 PECOS PAC ID: 6103090816 Enrollment ID: I20111115000389 |
| Provider Name | Kim G Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917575 PECOS PAC ID: 7214101419 Enrollment ID: I20111128000782 |
| Provider Name | Anjana Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669675757 PECOS PAC ID: 0143354258 Enrollment ID: I20111221000323 |
| Provider Name | Michelle L Coffey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023392461 PECOS PAC ID: 4688840473 Enrollment ID: I20111228000555 |
| Provider Name | Jody Michael Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033480520 PECOS PAC ID: 5092974865 Enrollment ID: I20120314000409 |
| Provider Name | Matthew A Brimberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578791976 PECOS PAC ID: 6800051137 Enrollment ID: I20120711000313 |
| Provider Name | Aneesh George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104051382 PECOS PAC ID: 9436305091 Enrollment ID: I20120814000425 |
| Provider Name | Rasmey Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467614008 PECOS PAC ID: 3577734201 Enrollment ID: I20130111000458 |
| Provider Name | Deborah L Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184996977 PECOS PAC ID: 8224275144 Enrollment ID: I20130514000440 |
| Provider Name | Eric E. Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922324359 PECOS PAC ID: 2860626538 Enrollment ID: I20131011001051 |
| Provider Name | Jessica James Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710315965 PECOS PAC ID: 8921238437 Enrollment ID: I20140303000328 |
| Provider Name | Marisa L Chagoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215231014 PECOS PAC ID: 2567632953 Enrollment ID: I20140529001993 |
| Provider Name | Gerri Reighard Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942478292 PECOS PAC ID: 3375760127 Enrollment ID: I20140819000678 |
| Provider Name | Shahab Hyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033355987 PECOS PAC ID: 3678698354 Enrollment ID: I20140820002113 |
| Provider Name | Courtney Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770585234 PECOS PAC ID: 7214066026 Enrollment ID: I20141002000191 |
| Provider Name | Beth Foy Lynn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770990681 PECOS PAC ID: 5890915334 Enrollment ID: I20141003000608 |
| Provider Name | Megan M Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023308863 PECOS PAC ID: 2668693631 Enrollment ID: I20141016002531 |
| Provider Name | Arlene E Meyer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053720631 PECOS PAC ID: 5890916324 Enrollment ID: I20141024001426 |
| Provider Name | Ryan P Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255740098 PECOS PAC ID: 5991027237 Enrollment ID: I20141124000588 |
| Provider Name | Jason P Schoneman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437568045 PECOS PAC ID: 2860715422 Enrollment ID: I20150422000814 |
| Provider Name | Lauren Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063801702 PECOS PAC ID: 9234457268 Enrollment ID: I20150423000204 |
| Provider Name | Joyce Tseng |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053728337 PECOS PAC ID: 5395068753 Enrollment ID: I20150528002369 |
| Provider Name | Prasanthi K Arety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333713 PECOS PAC ID: 3274845938 Enrollment ID: I20150709000066 |
| Provider Name | Mary Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861878464 PECOS PAC ID: 8527376375 Enrollment ID: I20150929001390 |
| Provider Name | Samira Shahnaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495575 PECOS PAC ID: 9830407097 Enrollment ID: I20151007003142 |
| Provider Name | Raquel Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278500 PECOS PAC ID: 8527368158 Enrollment ID: I20151203000256 |
| Provider Name | Dongli Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689046435 PECOS PAC ID: 6103127675 Enrollment ID: I20151229001557 |
| Provider Name | Susan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477910933 PECOS PAC ID: 9133427271 Enrollment ID: I20160406000907 |
| Provider Name | Kristina E Trembly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841642329 PECOS PAC ID: 2466746649 Enrollment ID: I20160810002678 |
| Provider Name | Michelle E Banister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619210929 PECOS PAC ID: 9537454939 Enrollment ID: I20160824002156 |
| Provider Name | Angelica Contreras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972788891 PECOS PAC ID: 8224341151 Enrollment ID: I20161129002606 |
| Provider Name | Bobbie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659823516 PECOS PAC ID: 9133400690 Enrollment ID: I20161221002042 |
| Provider Name | Marcia J Landin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881126357 PECOS PAC ID: 4688951759 Enrollment ID: I20170428000262 |
| Provider Name | Maria G Ramos Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790110195 PECOS PAC ID: 9537439765 Enrollment ID: I20170721000278 |
| Provider Name | Heather Ashton Gilcrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184154817 PECOS PAC ID: 5799057717 Enrollment ID: I20170824003241 |
| Provider Name | Nona Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083063168 PECOS PAC ID: 4981979960 Enrollment ID: I20170929002661 |
| Provider Name | Allison Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912417221 PECOS PAC ID: 2466718523 Enrollment ID: I20171107001417 |
| Provider Name | Sam Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528578994 PECOS PAC ID: 5294091245 Enrollment ID: I20171108002064 |
| Provider Name | Hong-ngoc Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437667177 PECOS PAC ID: 4486915121 Enrollment ID: I20180221000732 |
| Provider Name | Heidi Kook-willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952804650 PECOS PAC ID: 2264794882 Enrollment ID: I20180320000913 |
| Provider Name | Tori Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902035421 PECOS PAC ID: 8820352511 Enrollment ID: I20180504000746 |
| Provider Name | Michael Lefkof Krol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841634854 PECOS PAC ID: 6305138488 Enrollment ID: I20180525000566 |
| Provider Name | Tara Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760981997 PECOS PAC ID: 5597010777 Enrollment ID: I20180611002572 |
| Provider Name | Margaret A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912302514 PECOS PAC ID: 0143575027 Enrollment ID: I20180618001219 |
| Provider Name | Sarah Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406246 PECOS PAC ID: 4688925928 Enrollment ID: I20180925002962 |
| Provider Name | Rachel Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134694268 PECOS PAC ID: 0648524447 Enrollment ID: I20181114001579 |
| Provider Name | Audra Puffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205311719 PECOS PAC ID: 3375897887 Enrollment ID: I20181120002407 |
| Provider Name | Susan Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437644697 PECOS PAC ID: 0547506461 Enrollment ID: I20190115001324 |
| Provider Name | Brandi D Stull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322161 PECOS PAC ID: 2365780491 Enrollment ID: I20190214001292 |
| Provider Name | Marsha Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487059127 PECOS PAC ID: 1951619931 Enrollment ID: I20190327001527 |
| Provider Name | Joan E Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558789487 PECOS PAC ID: 4284956764 Enrollment ID: I20190403002478 |
| Provider Name | Heather L Herrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740211085 PECOS PAC ID: 5193724581 Enrollment ID: I20190708000378 |
| Provider Name | Angela Henninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750933180 PECOS PAC ID: 2769710243 Enrollment ID: I20190821003210 |
| Provider Name | Adam Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811456247 PECOS PAC ID: 7315275393 Enrollment ID: I20190829000670 |
| Provider Name | Jennifer Ulliman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083268528 PECOS PAC ID: 5395074140 Enrollment ID: I20190904002496 |
| Provider Name | Liliana Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780238857 PECOS PAC ID: 1557691599 Enrollment ID: I20190918001011 |
| Provider Name | Emily Anne Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912394222 PECOS PAC ID: 1052641446 Enrollment ID: I20190927001449 |
| Provider Name | Megan K Quint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416520 PECOS PAC ID: 6002148830 Enrollment ID: I20191029001459 |
| Provider Name | Emily Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902457120 PECOS PAC ID: 4880926260 Enrollment ID: I20191105000749 |
| Provider Name | Jihong Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134025 PECOS PAC ID: 4082047881 Enrollment ID: I20191210000543 |
| Provider Name | Christina Marie Boman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743572 PECOS PAC ID: 6406280718 Enrollment ID: I20191219001333 |
| Provider Name | Suong Thi Van |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134770860 PECOS PAC ID: 4880023969 Enrollment ID: I20200413000413 |
| Provider Name | Kimberly Chou |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255789962 PECOS PAC ID: 4082901400 Enrollment ID: I20200522000150 |
| Provider Name | Carolyn M Wisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247094 PECOS PAC ID: 7416378757 Enrollment ID: I20200522000828 |
| Provider Name | Jasmine Javadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144674136 PECOS PAC ID: 7012335235 Enrollment ID: I20200918002415 |
| Provider Name | Lynnea Elisabeth Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730791799 PECOS PAC ID: 7719305820 Enrollment ID: I20200921003209 |
| Provider Name | Stacey Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497365282 PECOS PAC ID: 1850710294 Enrollment ID: I20201002002754 |
| Provider Name | Ryan Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003429986 PECOS PAC ID: 5395165351 Enrollment ID: I20201014000639 |
| Provider Name | Vanessa Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619576766 PECOS PAC ID: 7810308244 Enrollment ID: I20201116001879 |
| Provider Name | Doris Poston |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275059479 PECOS PAC ID: 0143631739 Enrollment ID: I20201203001379 |
| Provider Name | Debra Traynor Biskobing |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629679709 PECOS PAC ID: 1355754409 Enrollment ID: I20210108001081 |
| Provider Name | Amanda Kanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184238735 PECOS PAC ID: 7416362967 Enrollment ID: I20210216002094 |
| Provider Name | Geoffrey Flynn Mccrossan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316488695 PECOS PAC ID: 5799193751 Enrollment ID: I20210413000960 |
| Provider Name | Graciela V Castro Pou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710225214 PECOS PAC ID: 3678861754 Enrollment ID: I20210426001348 |
| Provider Name | Alison Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982201281 PECOS PAC ID: 5799194197 Enrollment ID: I20210517000273 |
| Provider Name | Reeta Dawady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457958738 PECOS PAC ID: 8527467554 Enrollment ID: I20210525001697 |
| Provider Name | Thomas Ryan Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437739695 PECOS PAC ID: 1254730708 Enrollment ID: I20210603000682 |
| Provider Name | Stacey Rae Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396327706 PECOS PAC ID: 3971902388 Enrollment ID: I20210603003322 |
| Provider Name | Jennie Rose Posey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962016519 PECOS PAC ID: 8426458993 Enrollment ID: I20210621002877 |
| Provider Name | Deborah Blinkhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922468974 PECOS PAC ID: 8628357365 Enrollment ID: I20210720000836 |
| Provider Name | Rebecca Eileen Nycz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508437948 PECOS PAC ID: 6406251164 Enrollment ID: I20210819000483 |
| Provider Name | Elizabeth Natalie Vallot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124691308 PECOS PAC ID: 5991100489 Enrollment ID: I20210820003021 |
| Provider Name | Claire Kylander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003581166 PECOS PAC ID: 4082011051 Enrollment ID: I20210920000917 |
| Provider Name | Shannon Leigh Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833262 PECOS PAC ID: 4688071418 Enrollment ID: I20210922000101 |
| Provider Name | Vicki Jo Matava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952077679 PECOS PAC ID: 7517365661 Enrollment ID: I20211005000745 |
| Provider Name | Courtney Beth Ratheal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316601024 PECOS PAC ID: 8224427448 Enrollment ID: I20211110000020 |
| Provider Name | Lori Lynn Brown-duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851054878 PECOS PAC ID: 4880083047 Enrollment ID: I20211110001371 |
| Provider Name | Michelle Guillot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124783428 PECOS PAC ID: 5799175063 Enrollment ID: I20211130001223 |
| Provider Name | Lisa Karen Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487265013 PECOS PAC ID: 9234520362 Enrollment ID: I20211229000447 |
| Provider Name | Catherine Elizabeth Ward |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164992152 PECOS PAC ID: 4880086545 Enrollment ID: I20220110002126 |
| Provider Name | Yu Zhong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780343764 PECOS PAC ID: 4486046554 Enrollment ID: I20220121001965 |
| Provider Name | Elida Maria Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831841717 PECOS PAC ID: 3971996950 Enrollment ID: I20220216000454 |
| Provider Name | Stephanie Blanch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198360 PECOS PAC ID: 3577958214 Enrollment ID: I20220316002859 |
| Provider Name | Kaitlin E Gastinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346905403 PECOS PAC ID: 6800281262 Enrollment ID: I20220322000303 |
| Provider Name | Elva Cantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821759432 PECOS PAC ID: 1254727613 Enrollment ID: I20220412000674 |
| Provider Name | Kathleen Theresa Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962144543 PECOS PAC ID: 6608253968 Enrollment ID: I20220509000003 |
| Provider Name | Vanessa J Schiafone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952053217 PECOS PAC ID: 4880072230 Enrollment ID: I20220526000728 |
| Provider Name | Gabrielle Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407461775 PECOS PAC ID: 9830577428 Enrollment ID: I20220610000863 |
| Provider Name | Tiffany Nannette Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225762768 PECOS PAC ID: 6103208343 Enrollment ID: I20220803003929 |
| Provider Name | Shonita Renet Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265190987 PECOS PAC ID: 9739561986 Enrollment ID: I20220803003977 |
| Provider Name | Elisa M Griswold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962995415 PECOS PAC ID: 0941683338 Enrollment ID: I20220817003182 |
| Provider Name | Marilu Yanez Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578299061 PECOS PAC ID: 6103200860 Enrollment ID: I20220829003432 |
| Provider Name | Bianca Rose Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220749 PECOS PAC ID: 6103200399 Enrollment ID: I20220907003585 |
| Provider Name | Kazandra Nicole Menchaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366160335 PECOS PAC ID: 7618353236 Enrollment ID: I20221005002964 |
| Provider Name | Megan Elizabeth Meseck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422499 PECOS PAC ID: 3971971656 Enrollment ID: I20221130003028 |
| Provider Name | Rebecca Juliet Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255040432 PECOS PAC ID: 1557739182 Enrollment ID: I20221201001630 |
| Provider Name | Hannah Gartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851008346 PECOS PAC ID: 7416326616 Enrollment ID: I20221209002717 |
| Provider Name | Kiah Grey Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679286504 PECOS PAC ID: 8820469141 Enrollment ID: I20230125001110 |
| Provider Name | Teadra Np Nealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792098 PECOS PAC ID: 5496127946 Enrollment ID: I20230209000019 |
| Provider Name | Megan Nicole Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417653320 PECOS PAC ID: 6800268814 Enrollment ID: I20230220001728 |
| Provider Name | Danielle Kislin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609575604 PECOS PAC ID: 8123492741 Enrollment ID: I20230322002663 |
| Provider Name | Theresa Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043916893 PECOS PAC ID: 4284008459 Enrollment ID: I20230330000925 |
| Provider Name | Toral J Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477817930 PECOS PAC ID: 5890095996 Enrollment ID: I20230612002832 |
| Provider Name | Audrey Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851076624 PECOS PAC ID: 4981050341 Enrollment ID: I20231023000586 |
| Provider Name | Michelle Beth Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023880952 PECOS PAC ID: 7618324120 Enrollment ID: I20231106000748 |
| Provider Name | Vanessa Rene Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417735523 PECOS PAC ID: 5698122075 Enrollment ID: I20231107000265 |
| Provider Name | Brandy Kay Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528849700 PECOS PAC ID: 7517314602 Enrollment ID: I20231110002237 |
| Provider Name | Melbys Beatriz Bedor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588436513 PECOS PAC ID: 3375990070 Enrollment ID: I20231116002005 |
| Provider Name | Mireya Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982283321 PECOS PAC ID: 4789033424 Enrollment ID: I20231207000530 |
| Provider Name | Nikki Cherice Govan-forge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619744646 PECOS PAC ID: 6800230087 Enrollment ID: I20240215001395 |
| Provider Name | Oscar Misael Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023874765 PECOS PAC ID: 3274973730 Enrollment ID: I20240501000170 |
| Provider Name | Sydney Elizabeth Schuetze |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255158481 PECOS PAC ID: 0547792822 Enrollment ID: I20241010003866 |
| Provider Name | Priti P Gopal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700544053 PECOS PAC ID: 6901334739 Enrollment ID: I20250108000145 |
| Provider Name | Jami Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649076654 PECOS PAC ID: 8527580067 Enrollment ID: I20250313003014 |
| Provider Name | Mariama Sillah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982149688 PECOS PAC ID: 3173896974 Enrollment ID: I20250319003680 |
| Provider Name | Shevon Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184410367 PECOS PAC ID: 3476070657 Enrollment ID: I20250512000438 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Episcopal Mission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Occupational Health Centers Of The Southwest P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Tmc Provider Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Slaughter Ln Ste 404, Austin, TX 78744 Phone: 469-277-8253 |