| Meridian Health Partners Pllc | |
|
14550 W State Highway 29 Liberty Hill TX 78642-5792 | |
| (512) 515-0065 | |
| Not Available |
| Full Name | Meridian Health Partners Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14550 W State Highway 29, Liberty Hill, Texas |
| Authorized Official Name and Position | Grady Goodwin (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2145642510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Health Partners Pllc Po Box 679676 Dallas TX 75267-9676 Ph: (512) 515-0065 | Meridian Health Partners Pllc 14550 W State Highway 29 Liberty Hill TX 78642-5792 Ph: (512) 515-0065 |
| NPI Number | 1215533807 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 03/12/2024 |
| Medicare PECOS PAC ID | 5597170878 |
|---|---|
| Medicare Enrollment ID | O20210218002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215533807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paula G Gillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588770804 PECOS PAC ID: 4981640141 Enrollment ID: I20050628001427 |
| Provider Name | Michael Olaleye Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303863 PECOS PAC ID: 3476585233 Enrollment ID: I20050901000456 |
| Provider Name | Grady G Goodwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407964158 PECOS PAC ID: 2961403803 Enrollment ID: I20070120000029 |
| Provider Name | Brigid B Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861483760 PECOS PAC ID: 5092883363 Enrollment ID: I20081014000509 |
| Provider Name | Christopher Ray Chumley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982803664 PECOS PAC ID: 0749328375 Enrollment ID: I20091118000644 |
| Provider Name | Ankit D Punatar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831350461 PECOS PAC ID: 8426247305 Enrollment ID: I20111108000390 |
| Provider Name | Ahsan Riaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952616187 PECOS PAC ID: 1153518105 Enrollment ID: I20120521000622 |
| Provider Name | Amanda M Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811313844 PECOS PAC ID: 4981837234 Enrollment ID: I20140512001976 |
| Provider Name | Audrey Roodhuyzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861818098 PECOS PAC ID: 2365665064 Enrollment ID: I20140528000511 |
| Provider Name | Melissa J. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992118301 PECOS PAC ID: 7719102540 Enrollment ID: I20140710000646 |
| Provider Name | Ahmed M Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508249285 PECOS PAC ID: 6901104207 Enrollment ID: I20180611002451 |
| Provider Name | Pallavi Kiran Batwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497987580 PECOS PAC ID: 1052562543 Enrollment ID: I20180717001884 |
| Provider Name | Angela Ozment |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598754657 PECOS PAC ID: 4284984071 Enrollment ID: I20180828003480 |
| Provider Name | Syed A Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700221090 PECOS PAC ID: 4486944782 Enrollment ID: I20201118002877 |
| Provider Name | Melissa Montez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609487222 PECOS PAC ID: 0941698286 Enrollment ID: I20211019002377 |
| Provider Name | Monica Dianne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447945316 PECOS PAC ID: 5991164543 Enrollment ID: I20230629003779 |
| Provider Name | Ngono Zoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659915320 PECOS PAC ID: 6305254509 Enrollment ID: I20230717001607 |
| Provider Name | Tara Christie-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538753710 PECOS PAC ID: 1052765310 Enrollment ID: I20230920004361 |
| Provider Name | Sameer Tajudden Shaik Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700033883 PECOS PAC ID: 8921270620 Enrollment ID: I20230922003520 |
| Provider Name | Maureen Polakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023011210 PECOS PAC ID: 2860397296 Enrollment ID: I20240214003429 |
| Provider Name | Eyad Farhan Kakish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902892268 PECOS PAC ID: 8628976214 Enrollment ID: I20240826003360 |
Kaela Thurman Np & Associate Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12701 W State Highway 29, Liberty Hill, TX 78642 Phone: 512-968-6687 | |
M B Systems Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13740 W State Highway 29 Ste 4, Liberty Hill, TX 78642 Phone: 512-548-6838 Fax: 512-548-6840 | |
Dustin Dwiggins Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 W State Highway 29 Ste 5, Liberty Hill, TX 78642 Phone: 512-548-5373 Fax: 512-548-5374 |