| Carbon Health Medical Group Of Florida Pa | |
|
9722 Great Hills Trl Ste 375 Austin TX 78759-7263 | |
| (512) 910-3932 | |
| Not Available |
| Full Name | Carbon Health Medical Group Of Florida Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 9722 Great Hills Trl Ste 375, Austin, Texas |
| Authorized Official Name and Position | Marley Page (DIRECTOR) |
| Authorized Official Contact | 4178619739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health Medical Group Of Florida Pa 2100 Franklin St Ste 355 Oakland CA 94612-3140 Ph: (415) 446-1733 | Carbon Health Medical Group Of Florida Pa 9722 Great Hills Trl Ste 375 Austin TX 78759-7263 Ph: (512) 910-3932 |
| NPI Number | 1477155331 |
|---|---|
| Provider Enumeration Date | 11/14/2020 |
| Last Update Date | 06/25/2025 |
| Medicare PECOS PAC ID | 3274947304 |
|---|---|
| Medicare Enrollment ID | O20210429002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477155331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Minh Hang B Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275624074 PECOS PAC ID: 1951382852 Enrollment ID: I20040526001442 |
| Provider Name | Teresa M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609995612 PECOS PAC ID: 2961486550 Enrollment ID: I20040614000084 |
| Provider Name | Rhonda K Treadaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528019122 PECOS PAC ID: 3870579683 Enrollment ID: I20040624000612 |
| Provider Name | Wesley Nahm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720009590 PECOS PAC ID: 7113906561 Enrollment ID: I20040719000599 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023024387 PECOS PAC ID: 8022191139 Enrollment ID: I20080213000305 |
| Provider Name | Janeatrius L Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841888 PECOS PAC ID: 4486816717 Enrollment ID: I20120503000370 |
| Provider Name | Ginger Krentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154573483 PECOS PAC ID: 2264596089 Enrollment ID: I20120711000199 |
| Provider Name | Erin Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144571506 PECOS PAC ID: 3678722576 Enrollment ID: I20130131000038 |
| Provider Name | Sylwia Baczinskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700153624 PECOS PAC ID: 9335388271 Enrollment ID: I20130625000512 |
| Provider Name | Brent L Treadaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838488 PECOS PAC ID: 1254582786 Enrollment ID: I20140829002145 |
| Provider Name | Laura Alfstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149151 PECOS PAC ID: 4284951971 Enrollment ID: I20150317001839 |
| Provider Name | Karina Ivett Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245595420 PECOS PAC ID: 0244530079 Enrollment ID: I20151201001892 |
| Provider Name | Allison J N Harriott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023247871 PECOS PAC ID: 6709028616 Enrollment ID: I20161103001336 |
| Provider Name | Daniel M Khuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982915047 PECOS PAC ID: 1355581950 Enrollment ID: I20170222000877 |
| Provider Name | Candace G Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295244192 PECOS PAC ID: 1153688031 Enrollment ID: I20171130002928 |
| Provider Name | Lola Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284762 PECOS PAC ID: 9638436207 Enrollment ID: I20171207000018 |
| Provider Name | Hillary Ruth Goodwin-yildiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073038584 PECOS PAC ID: 8224392915 Enrollment ID: I20180504000942 |
| Provider Name | Bonnie B Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737646 PECOS PAC ID: 8325390313 Enrollment ID: I20181002001685 |
| Provider Name | Rachel L Tink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619462223 PECOS PAC ID: 2365795036 Enrollment ID: I20181025002220 |
| Provider Name | Gordon Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597661 PECOS PAC ID: 9537408521 Enrollment ID: I20190311000331 |
| Provider Name | Marquetta Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942778162 PECOS PAC ID: 8729328166 Enrollment ID: I20190320003179 |
| Provider Name | Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265085138 PECOS PAC ID: 9133451461 Enrollment ID: I20191105003213 |
| Provider Name | Laura Leann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892443 PECOS PAC ID: 4789013384 Enrollment ID: I20200402001828 |
| Provider Name | Merlendi Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225651219 PECOS PAC ID: 2365860475 Enrollment ID: I20200921003195 |
| Provider Name | Dina Whiteaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841490 PECOS PAC ID: 5294953576 Enrollment ID: I20201029002894 |
| Provider Name | Vanessa Philman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189300 PECOS PAC ID: 9436452570 Enrollment ID: I20201029002998 |
| Provider Name | Eva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200687 PECOS PAC ID: 5193114312 Enrollment ID: I20211109003348 |
| Provider Name | Michael Catausan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20211117001266 |
| Provider Name | Anaidra Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20211222001204 |
| Provider Name | Dayna M Twyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457015133 PECOS PAC ID: 0941692156 Enrollment ID: I20220120002173 |
| Provider Name | Candice Polochak Arrambide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740830520 PECOS PAC ID: 6103243571 Enrollment ID: I20220304000367 |
| Provider Name | Amber Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639570708 PECOS PAC ID: 0648490003 Enrollment ID: I20220429000112 |
| Provider Name | Andrew Keyser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225442023 PECOS PAC ID: 8921375130 Enrollment ID: I20220621002589 |
| Provider Name | Forrest R Estes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992110423 PECOS PAC ID: 1557641727 Enrollment ID: I20220730000479 |
| Provider Name | Andrea S Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588003842 PECOS PAC ID: 9032168174 Enrollment ID: I20220827000052 |
| Provider Name | Ashley Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007951 PECOS PAC ID: 6406187178 Enrollment ID: I20221116001241 |
| Provider Name | Lana Marie Basto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164925343 PECOS PAC ID: 8123431251 Enrollment ID: I20221125000421 |
| Provider Name | Candice Latrice Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457664104 PECOS PAC ID: 0143407650 Enrollment ID: I20221126000008 |
| Provider Name | Robert David Vichich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780983569 PECOS PAC ID: 7517117278 Enrollment ID: I20221128001205 |
| Provider Name | Laureen L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496203 PECOS PAC ID: 5193026011 Enrollment ID: I20221129000097 |
| Provider Name | Thomas Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669141396 PECOS PAC ID: 6608245212 Enrollment ID: I20221202001999 |
| Provider Name | Patrick Kavanagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104970417 PECOS PAC ID: 0345381489 Enrollment ID: I20221202002502 |
| Provider Name | Chelcie Kaluzny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356816854 PECOS PAC ID: 1951733369 Enrollment ID: I20221208001250 |
| Provider Name | Lynn Elizabeth Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912327040 PECOS PAC ID: 9830314996 Enrollment ID: I20221215001106 |
| Provider Name | Malissa D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023448115 PECOS PAC ID: 7012148760 Enrollment ID: I20221219001280 |
| Provider Name | Erin Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043441009 PECOS PAC ID: 0446306328 Enrollment ID: I20221227000919 |
| Provider Name | Merkessie Redix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491307 PECOS PAC ID: 4385961440 Enrollment ID: I20221228001630 |
| Provider Name | Frank Suppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700199213 PECOS PAC ID: 5799923199 Enrollment ID: I20221229000955 |
| Provider Name | Ingrid Hoden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376772467 PECOS PAC ID: 1759622400 Enrollment ID: I20221229001219 |
| Provider Name | Blake Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972954469 PECOS PAC ID: 6608246392 Enrollment ID: I20230112001889 |
| Provider Name | Anna Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194439091 PECOS PAC ID: 0941671846 Enrollment ID: I20230131001967 |
| Provider Name | Ryan Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20230311000295 |
| Provider Name | Jonathan A Albert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811027675 PECOS PAC ID: 4082630496 Enrollment ID: I20230824000103 |
| Provider Name | Melissa Jane Lebrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922386879 PECOS PAC ID: 6406021567 Enrollment ID: I20240530003502 |
| Provider Name | Olga A Pudovka Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013799683 PECOS PAC ID: 9234678103 Enrollment ID: I20240823002137 |
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 |