| Capital Area Primary Care, Pllc | |
|
2900 N Quinlan Park Rd Suite 430 Austin TX 78732-6083 | |
| (512) 266-8877 | |
| Not Available |
| Full Name | Capital Area Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 N Quinlan Park Rd, Austin, Texas |
| Authorized Official Name and Position | John C. Rebok (VICE PRESIDENT) |
| Authorized Official Contact | 5127089700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Area Primary Care, Pllc 98 San Jacinto Blvd Ste. 1800 Austin TX 78701-4082 Ph: (512) 708-9700 | Capital Area Primary Care, Pllc 2900 N Quinlan Park Rd Suite 430 Austin TX 78732-6083 Ph: (512) 266-8877 |
| NPI Number | 1023287976 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 12/27/2011 |
| Medicare PECOS PAC ID | 9537237482 |
|---|---|
| Medicare Enrollment ID | O20081006000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023287976 | NPI | - | NPPES |
| 200927601 | Medicaid | TX | |
| 203436501 | Medicaid | TX | |
| 203436502 | Medicaid | TX | |
| 200927602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Veronica A Supkay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477531978 PECOS PAC ID: 2163436056 Enrollment ID: I20060814000203 |
| Provider Name | Saramma George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215035845 PECOS PAC ID: 8224030408 Enrollment ID: I20070201000437 |
| Provider Name | Kwang-il In |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265644975 PECOS PAC ID: 6507958949 Enrollment ID: I20070815000558 |
| Provider Name | Li Tai Chuo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841384211 PECOS PAC ID: 8628149648 Enrollment ID: I20080619000246 |
| Provider Name | Jacinto A Obregon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936019 PECOS PAC ID: 7012079924 Enrollment ID: I20081230000423 |
| Provider Name | Angela R Eklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245434802 PECOS PAC ID: 1254478811 Enrollment ID: I20091030000270 |
| Provider Name | Richard T Strawser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891762357 PECOS PAC ID: 5799756581 Enrollment ID: I20100115000560 |
| Provider Name | Daniel S Voss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639259625 PECOS PAC ID: 2860433539 Enrollment ID: I20100312000915 |
| Provider Name | John G Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730269721 PECOS PAC ID: 6406897172 Enrollment ID: I20100312000933 |
| Provider Name | Elise Klose Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336423797 PECOS PAC ID: 2163688110 Enrollment ID: I20120719000589 |
| Provider Name | David R Willingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770928145 PECOS PAC ID: 8628366838 Enrollment ID: I20161004000450 |
| Provider Name | Cody R Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316357346 PECOS PAC ID: 0547582256 Enrollment ID: I20190325002136 |
| Provider Name | Dianne E Elledge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770965329 PECOS PAC ID: 2062700974 Enrollment ID: I20190507002006 |
| Provider Name | Lena Nicole Howerton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487041430 PECOS PAC ID: 5799081006 Enrollment ID: I20191121001115 |
| Provider Name | Emily Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801355706 PECOS PAC ID: 2466883038 Enrollment ID: I20220809001541 |
| Provider Name | Laura Elaine Defreitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245965235 PECOS PAC ID: 1658756721 Enrollment ID: I20220912000294 |
| Provider Name | William Christopher Giunta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518677285 PECOS PAC ID: 7719358621 Enrollment ID: I20230131002252 |
| Provider Name | Kevin Ceballos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114555190 PECOS PAC ID: 2365860160 Enrollment ID: I20230912001664 |
| Provider Name | Rekha Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678942 PECOS PAC ID: 4981829678 Enrollment ID: I20230918002774 |
| Provider Name | Grady C Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962262964 PECOS PAC ID: 6709227754 Enrollment ID: I20240508003640 |
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 |