| Scott & White Hospital - Taylor | |
|
305 Mallard Ln Taylor TX 76574-1208 | |
| (512) 352-7611 | |
| (512) 352-4734 |
| Full Name | Scott & White Hospital - Taylor |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 305 Mallard Ln, Taylor, Texas |
| Authorized Official Name and Position | Alice Cantu (SYSTEM DIRECTOR, CBS) |
| Authorized Official Contact | 2542159719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott & White Hospital - Taylor Po Box 844658 Dallas TX 75284-4658 Ph: () - | Scott & White Hospital - Taylor 305 Mallard Ln Taylor TX 76574-1208 Ph: (512) 352-7611 |
| NPI Number | 1659548568 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 1456246750 |
|---|---|
| Medicare Enrollment ID | O20040217000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659548568 | NPI | - | NPPES |
| 136327711 | Medicaid | TX |
| Provider Name | Dean Edward Schanen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629020136 PECOS PAC ID: 3779561600 Enrollment ID: I20040708000762 |
| Provider Name | Rose Marie Haisler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487642419 PECOS PAC ID: 9638167356 Enrollment ID: I20041108000510 |
| Provider Name | Scott A Nicklebur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740233600 PECOS PAC ID: 8325096308 Enrollment ID: I20050106000278 |
| Provider Name | Jodi G Wieters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285696526 PECOS PAC ID: 7810948999 Enrollment ID: I20050207000172 |
| Provider Name | William R Tobleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538121231 PECOS PAC ID: 9537110259 Enrollment ID: I20050209000912 |
| Provider Name | Larry Ray Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487637138 PECOS PAC ID: 6800854902 Enrollment ID: I20050718000521 |
| Provider Name | Michael W Maxwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588659429 PECOS PAC ID: 5597795716 Enrollment ID: I20050817000809 |
| Provider Name | Sherry J Luken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821006875 PECOS PAC ID: 0446269211 Enrollment ID: I20060406000546 |
| Provider Name | Samuel A Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598779316 PECOS PAC ID: 3274532445 Enrollment ID: I20061216000024 |
| Provider Name | Summer L Lawlis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669574448 PECOS PAC ID: 2264538388 Enrollment ID: I20070507000644 |
| Provider Name | Gerardo Jose Pineiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700886470 PECOS PAC ID: 9234110453 Enrollment ID: I20081016000527 |
| Provider Name | Brandon Browne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922284777 PECOS PAC ID: 4688734825 Enrollment ID: I20081118000764 |
| Provider Name | Edward Young Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912940867 PECOS PAC ID: 2668439241 Enrollment ID: I20090116000045 |
| Provider Name | Paul K Basak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972799864 PECOS PAC ID: 4183706138 Enrollment ID: I20090227000482 |
| Provider Name | Dorman L Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235310251 PECOS PAC ID: 9638251317 Enrollment ID: I20090319000104 |
| Provider Name | Judith Crowley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689661993 PECOS PAC ID: 5193721488 Enrollment ID: I20090527000140 |
| Provider Name | Anthony H James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477711208 PECOS PAC ID: 0941350250 Enrollment ID: I20090608000597 |
| Provider Name | Andrew L Juergens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689832875 PECOS PAC ID: 7113068743 Enrollment ID: I20100105000393 |
| Provider Name | Robert D Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023078722 PECOS PAC ID: 1658415500 Enrollment ID: I20100216000906 |
| Provider Name | Peter Richerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114174117 PECOS PAC ID: 8426174632 Enrollment ID: I20100924001034 |
| Provider Name | Ryan P Morrissey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619136348 PECOS PAC ID: 1052441607 Enrollment ID: I20101007000120 |
| Provider Name | David W Kaylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215142914 PECOS PAC ID: 9133311269 Enrollment ID: I20101007001180 |
| Provider Name | Taylor K Ratcliff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215171996 PECOS PAC ID: 8527249069 Enrollment ID: I20110216001082 |
| Provider Name | Shawn D Horrall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245387059 PECOS PAC ID: 0547331449 Enrollment ID: I20111121000680 |
| Provider Name | Aneta Costa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952537268 PECOS PAC ID: 4082860382 Enrollment ID: I20120803000313 |
| Provider Name | Clifford Buckley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376869040 PECOS PAC ID: 1557515780 Enrollment ID: I20130215000390 |
| Provider Name | Devang J. Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578875738 PECOS PAC ID: 4385886936 Enrollment ID: I20130809000475 |
| Provider Name | Joshua Houser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659647832 PECOS PAC ID: 2163659368 Enrollment ID: I20131214000014 |
| Provider Name | Jana Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407886906 PECOS PAC ID: 2668506163 Enrollment ID: I20140408001593 |
| Provider Name | Brent L Treadaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838488 PECOS PAC ID: 1254582786 Enrollment ID: I20140829002145 |
| Provider Name | Robert E Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396181285 PECOS PAC ID: 9739404989 Enrollment ID: I20150210000515 |
| Provider Name | Kenneth Corley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578846655 PECOS PAC ID: 5698909760 Enrollment ID: I20150831000609 |
| Provider Name | Michael D Benham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285044651 PECOS PAC ID: 4284936295 Enrollment ID: I20160107002942 |
| Provider Name | Jia Wen Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699113274 PECOS PAC ID: 6002105145 Enrollment ID: I20160617001359 |
| Provider Name | Orlando Rivera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629349725 PECOS PAC ID: 6204129034 Enrollment ID: I20160801001437 |
| Provider Name | Jason Adam Jacque |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255678975 PECOS PAC ID: 9739472523 Enrollment ID: I20160802000502 |
| Provider Name | Anthony Dumpit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447462874 PECOS PAC ID: 6305905316 Enrollment ID: I20160921001700 |
| Provider Name | Saba Rizvi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568677045 PECOS PAC ID: 3274603519 Enrollment ID: I20161112000147 |
| Provider Name | Margaret Vo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831431097 PECOS PAC ID: 6709167521 Enrollment ID: I20170110000017 |
| Provider Name | Benjamin B Morrissey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023364866 PECOS PAC ID: 4486978145 Enrollment ID: I20170113000498 |
| Provider Name | Violeta Hutson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053849729 PECOS PAC ID: 4082985924 Enrollment ID: I20170810001575 |
| Provider Name | Tania V Kirk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548649049 PECOS PAC ID: 7618240086 Enrollment ID: I20170906002869 |
| Provider Name | Caitlin O Connor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023407475 PECOS PAC ID: 9537484597 Enrollment ID: I20171009001883 |
| Provider Name | Luke A Friebertshauser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992188528 PECOS PAC ID: 6406112606 Enrollment ID: I20171103000959 |
| Provider Name | Kyle J Halle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578946398 PECOS PAC ID: 0840571162 Enrollment ID: I20180626000351 |
| Provider Name | James Porter Mcdonough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124407606 PECOS PAC ID: 3072893635 Enrollment ID: I20180917000489 |
| Provider Name | Jessica A Preedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346533726 PECOS PAC ID: 8921346164 Enrollment ID: I20190213000684 |
| Provider Name | Jaclyn Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033567052 PECOS PAC ID: 1850640228 Enrollment ID: I20190508002053 |
| Provider Name | Christopher L Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033599790 PECOS PAC ID: 2466766928 Enrollment ID: I20190530002688 |
| Provider Name | Jaismeen Nijjar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073969978 PECOS PAC ID: 0840584017 Enrollment ID: I20190619002107 |
| Provider Name | Celia Escamilla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861848202 PECOS PAC ID: 0547553240 Enrollment ID: I20190626000065 |
| Provider Name | Seth L Parkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700263043 PECOS PAC ID: 4486942117 Enrollment ID: I20190726001745 |
| Provider Name | Joffre Edward Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457765547 PECOS PAC ID: 8224332887 Enrollment ID: I20190831000048 |
| Provider Name | Gabriel Ochoa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952755167 PECOS PAC ID: 9537451380 Enrollment ID: I20190916000527 |
| Provider Name | Christine A Mancheski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497289532 PECOS PAC ID: 9830522739 Enrollment ID: I20191206002174 |
| Provider Name | Austin R Essenburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649700303 PECOS PAC ID: 1557634946 Enrollment ID: I20191227001572 |
| Provider Name | Catherine Yaggi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275995326 PECOS PAC ID: 5890125116 Enrollment ID: I20200428000786 |
| Provider Name | Sabrina Merchant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598923534 PECOS PAC ID: 9032385927 Enrollment ID: I20200508001292 |
| Provider Name | Jubin Sadeghian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265966980 PECOS PAC ID: 4880965284 Enrollment ID: I20200529002821 |
| Provider Name | Adam P Rodrigues |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982066833 PECOS PAC ID: 8022431717 Enrollment ID: I20200714002081 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20201103002538 |
| Provider Name | Nora J Demchur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194222331 PECOS PAC ID: 7618387507 Enrollment ID: I20201104001313 |
| Provider Name | Bertin Denova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811493380 PECOS PAC ID: 6507278470 Enrollment ID: I20201217001322 |
| Provider Name | Michael K Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700306834 PECOS PAC ID: 8325379696 Enrollment ID: I20210429000357 |
| Provider Name | Dustin Michael Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356845218 PECOS PAC ID: 8224385679 Enrollment ID: I20210608002602 |
| Provider Name | Stephen R Ramaley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922363563 PECOS PAC ID: 5799070017 Enrollment ID: I20210901002112 |
| Provider Name | Rama Heyratifar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962962936 PECOS PAC ID: 1153655121 Enrollment ID: I20210928001636 |
| Provider Name | Larrite Debaptist Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164059937 PECOS PAC ID: 8527499391 Enrollment ID: I20220120000185 |
| Provider Name | Jin Hyuck Choi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447783162 PECOS PAC ID: 5496178493 Enrollment ID: I20220321000651 |
| Provider Name | Brian Daniel Albert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780241638 PECOS PAC ID: 5092193540 Enrollment ID: I20220613000387 |
| Provider Name | Derek Herkes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962909887 PECOS PAC ID: 9537564927 Enrollment ID: I20220722002291 |
| Provider Name | Robyn N Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225485204 PECOS PAC ID: 2567757719 Enrollment ID: I20220913000171 |
| Provider Name | Mushtaba Yuridullah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306307939 PECOS PAC ID: 8325376940 Enrollment ID: I20230628001618 |
| Provider Name | Alexis R Seibert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477173011 PECOS PAC ID: 3779907993 Enrollment ID: I20230703002387 |
| Provider Name | Maxwell Harris Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487273975 PECOS PAC ID: 2062873847 Enrollment ID: I20230726000850 |
| Provider Name | Jonathan Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326675083 PECOS PAC ID: 4284096751 Enrollment ID: I20230815003021 |
| Provider Name | Mollie C Shutter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316575285 PECOS PAC ID: 9335558725 Enrollment ID: I20231017003251 |
| Provider Name | Ashley Frost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669059044 PECOS PAC ID: 0941682439 Enrollment ID: I20240624002992 |
| Provider Name | Ashton Federico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619504271 PECOS PAC ID: 3274956164 Enrollment ID: I20240701004031 |
| Provider Name | Nachiketa Jigyasu Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922427368 PECOS PAC ID: 3375887698 Enrollment ID: I20241107003920 |
| Provider Name | William Haufe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205455037 PECOS PAC ID: 5698186021 Enrollment ID: I20241212001888 |
Lisa Drummond, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Hosack St, Taylor, TX 76574 Phone: 512-970-5643 | |
Atlas Natural Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1426 N Main St Ste 106, Taylor, TX 76574 Phone: 512-352-1300 Fax: 512-352-1301 | |
Thomas F Pullen, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601a Mallard Ln, Taylor, TX 76574 Phone: 512-352-3200 Fax: 512-352-3201 | |
Lone Star Circle Of Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 W 4th St, Taylor, TX 76574 Phone: 877-800-5722 | |
Mercy Advanced Wound Care Of Central Texas Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Old Granger Unit 2, Taylor, TX 76574 Phone: 832-367-2411 |