| Total Md Physicians Group, Pllc | |
|
8300 N Lamar Blvd Ste 200a Austin TX 78753-5976 | |
| (512) 782-9312 | |
| (512) 782-9316 |
| Full Name | Total Md Physicians Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8300 N Lamar Blvd Ste 200a, Austin, Texas |
| Authorized Official Name and Position | Michael Sean Wiggin (CFO) |
| Authorized Official Contact | 5125759555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Md Physicians Group, Pllc 8300 N Lamar Blvd Ste 200a Austin TX 78753-5976 Ph: (512) 782-9312 | Total Md Physicians Group, Pllc 8300 N Lamar Blvd Ste 200a Austin TX 78753-5976 Ph: (512) 782-9312 |
| NPI Number | 1982031852 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 7012313521 |
|---|---|
| Medicare Enrollment ID | O20210909000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982031852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Carlos R Orozco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915107 PECOS PAC ID: 3577502343 Enrollment ID: I20050502000050 |
| Provider Name | Kashmir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790713535 PECOS PAC ID: 0840235040 Enrollment ID: I20050627001474 |
| Provider Name | Charles E Herlihy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992788491 PECOS PAC ID: 4587609102 Enrollment ID: I20060428000520 |
| Provider Name | Juan Carlos Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629179338 PECOS PAC ID: 3274595756 Enrollment ID: I20070207000206 |
| Provider Name | Catherine Celeste Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750474904 PECOS PAC ID: 0648371070 Enrollment ID: I20070728000195 |
| Provider Name | Mason Daniel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639220551 PECOS PAC ID: 6800987157 Enrollment ID: I20070801000395 |
| Provider Name | Donald C Dunlap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518995752 PECOS PAC ID: 6406940824 Enrollment ID: I20070917000265 |
| Provider Name | Daniel A Mackay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962450916 PECOS PAC ID: 6709952609 Enrollment ID: I20080828000511 |
| Provider Name | Robert C Simpkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982652947 PECOS PAC ID: 8224196563 Enrollment ID: I20081015000438 |
| Provider Name | Joseph Hurt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210905 PECOS PAC ID: 2264421288 Enrollment ID: I20081211000299 |
| Provider Name | Arthur R Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952359952 PECOS PAC ID: 9537222559 Enrollment ID: I20090116000113 |
| Provider Name | Mahalia L Jackson Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063669893 PECOS PAC ID: 3375601339 Enrollment ID: I20090305000738 |
| Provider Name | Troy Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104912591 PECOS PAC ID: 9830284280 Enrollment ID: I20090928000381 |
| Provider Name | Kynan D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497908495 PECOS PAC ID: 1850431446 Enrollment ID: I20091211000383 |
| Provider Name | Rachel Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235395732 PECOS PAC ID: 0749318467 Enrollment ID: I20100517000450 |
| Provider Name | Janna Sue Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780918490 PECOS PAC ID: 8527249275 Enrollment ID: I20110301000182 |
| Provider Name | Mario A Quintanilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552729 PECOS PAC ID: 0244402303 Enrollment ID: I20111013000541 |
| Provider Name | Alysia M Bedgood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265660724 PECOS PAC ID: 5496999500 Enrollment ID: I20130911000400 |
| Provider Name | Eric E. Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922324359 PECOS PAC ID: 2860626538 Enrollment ID: I20131011001051 |
| Provider Name | Kathleen M Vivian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922166875 PECOS PAC ID: 2961638051 Enrollment ID: I20131120000151 |
| Provider Name | Shannon Dia Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316371578 PECOS PAC ID: 4981831989 Enrollment ID: I20131219001136 |
| Provider Name | Linda E Roley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124050638 PECOS PAC ID: 4385676865 Enrollment ID: I20131226001087 |
| Provider Name | Maria Josefina A Echiverri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287733 PECOS PAC ID: 8325272289 Enrollment ID: I20140918000894 |
| Provider Name | William Ryan Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811253479 PECOS PAC ID: 1951523281 Enrollment ID: I20141120001972 |
| Provider Name | Salman Aleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033480231 PECOS PAC ID: 8921322686 Enrollment ID: I20150129000015 |
| Provider Name | Vanessa D Sadd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184096539 PECOS PAC ID: 9830493311 Enrollment ID: I20160203001066 |
| Provider Name | Adjoa D Ofori-abebresse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926440 PECOS PAC ID: 8820383623 Enrollment ID: I20160817003290 |
| Provider Name | David Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972988632 PECOS PAC ID: 2466747878 Enrollment ID: I20160824002403 |
| Provider Name | Aileen Blancaflor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902257033 PECOS PAC ID: 7719272749 Enrollment ID: I20160830000121 |
| Provider Name | Renuka Shringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968398 PECOS PAC ID: 8527344522 Enrollment ID: I20170405001175 |
| Provider Name | Lora Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477745149 PECOS PAC ID: 5991081887 Enrollment ID: I20170406002871 |
| Provider Name | Carrie J Bhavsar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174776116 PECOS PAC ID: 6901173988 Enrollment ID: I20170523000187 |
| Provider Name | Josephine Mandeya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609226505 PECOS PAC ID: 7113205089 Enrollment ID: I20170525000128 |
| Provider Name | Kelly Nicole Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733589 PECOS PAC ID: 7416224936 Enrollment ID: I20170603000101 |
| Provider Name | Mathew Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801243779 PECOS PAC ID: 4880962794 Enrollment ID: I20170619001296 |
| Provider Name | Marissa Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073046272 PECOS PAC ID: 1052680543 Enrollment ID: I20170626002333 |
| Provider Name | Sharon Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641786 PECOS PAC ID: 3173804093 Enrollment ID: I20170907002844 |
| Provider Name | Anthony L Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083087365 PECOS PAC ID: 7810261310 Enrollment ID: I20170921003703 |
| Provider Name | Sigga Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710413042 PECOS PAC ID: 0749554137 Enrollment ID: I20170925000128 |
| Provider Name | Rathna Nuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295171668 PECOS PAC ID: 8729350467 Enrollment ID: I20171020000365 |
| Provider Name | Denise M Brelsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587019 PECOS PAC ID: 4385901446 Enrollment ID: I20171127002949 |
| Provider Name | Andrew Nguyen Dao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447752852 PECOS PAC ID: 0840545026 Enrollment ID: I20180611002645 |
| Provider Name | Olumayowa Omoyeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356847529 PECOS PAC ID: 7618224841 Enrollment ID: I20180719001609 |
| Provider Name | Clayton S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467950592 PECOS PAC ID: 9739430877 Enrollment ID: I20180928000594 |
| Provider Name | Jashunta Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760836399 PECOS PAC ID: 7113279415 Enrollment ID: I20181016000265 |
| Provider Name | Abiola Omo Oyemade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417454992 PECOS PAC ID: 6507102910 Enrollment ID: I20190107000563 |
| Provider Name | Michael D Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437457249 PECOS PAC ID: 8325287519 Enrollment ID: I20190125001823 |
| Provider Name | Zakari Kwota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806810 PECOS PAC ID: 8022359603 Enrollment ID: I20190409000339 |
| Provider Name | Christopher Garcia Vindua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629531314 PECOS PAC ID: 9638411846 Enrollment ID: I20190508000629 |
| Provider Name | Brian E Zachariah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093126302 PECOS PAC ID: 5991038416 Enrollment ID: I20190614000346 |
| Provider Name | Slade Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512839 PECOS PAC ID: 9436482882 Enrollment ID: I20190618000351 |
| Provider Name | Lynda Hatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457911125 PECOS PAC ID: 6901131929 Enrollment ID: I20190715000137 |
| Provider Name | Vanessa Danquah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811351257 PECOS PAC ID: 4587575188 Enrollment ID: I20190806001451 |
| Provider Name | Akshai Lakhanpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700147683 PECOS PAC ID: 6800168204 Enrollment ID: I20190828001018 |
| Provider Name | Evelyn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399772 PECOS PAC ID: 1153659099 Enrollment ID: I20190829003793 |
| Provider Name | Lola O Popoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922653013 PECOS PAC ID: 5597096677 Enrollment ID: I20191004001057 |
| Provider Name | Leuwiskah L Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521519 PECOS PAC ID: 7315278298 Enrollment ID: I20191007002980 |
| Provider Name | Alexandria Polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679044713 PECOS PAC ID: 0143569095 Enrollment ID: I20191021000281 |
| Provider Name | Mehreen Ghanchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463506 PECOS PAC ID: 7214269257 Enrollment ID: I20191024001807 |
| Provider Name | Joely Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962925065 PECOS PAC ID: 1658703905 Enrollment ID: I20191107001644 |
| Provider Name | Jihong Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134025 PECOS PAC ID: 4082047881 Enrollment ID: I20191210000543 |
| Provider Name | Tommy W Weesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811480668 PECOS PAC ID: 0749616878 Enrollment ID: I20200207001110 |
| Provider Name | Kavita A Chitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487111688 PECOS PAC ID: 6103154208 Enrollment ID: I20200218000572 |
| Provider Name | Kristina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487115630 PECOS PAC ID: 1052740230 Enrollment ID: I20200409001584 |
| Provider Name | Kathryn K Criner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215568910 PECOS PAC ID: 5294165007 Enrollment ID: I20200420000051 |
| Provider Name | Janice Joy Limos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043834641 PECOS PAC ID: 7719300995 Enrollment ID: I20200707000185 |
| Provider Name | Bianca Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154794188 PECOS PAC ID: 4183049174 Enrollment ID: I20200807002034 |
| Provider Name | Priya Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629693353 PECOS PAC ID: 0840619649 Enrollment ID: I20200928003162 |
| Provider Name | Hisako Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124635370 PECOS PAC ID: 0840610960 Enrollment ID: I20201012001003 |
| Provider Name | Kitzia Rooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255949947 PECOS PAC ID: 7315367646 Enrollment ID: I20201026001786 |
| Provider Name | Kasa Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497357313 PECOS PAC ID: 6103237060 Enrollment ID: I20201125000053 |
| Provider Name | Michele R Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910877 PECOS PAC ID: 6406267202 Enrollment ID: I20201130002915 |
| Provider Name | Fiona A Crozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073900973 PECOS PAC ID: 2668789124 Enrollment ID: I20210122001580 |
| Provider Name | Alex E Udabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346839701 PECOS PAC ID: 4688089097 Enrollment ID: I20210217001670 |
| Provider Name | Timothy John Caras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114532876 PECOS PAC ID: 7911314620 Enrollment ID: I20210325000195 |
| Provider Name | Eileen Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521828 PECOS PAC ID: 8426452285 Enrollment ID: I20210802002690 |
| Provider Name | Joyce Aiyeojenku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295485 PECOS PAC ID: 6608038393 Enrollment ID: I20210809001476 |
| Provider Name | Tiffany Renee Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578237442 PECOS PAC ID: 1153726013 Enrollment ID: I20210817000020 |
| Provider Name | Brittany L Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417553629 PECOS PAC ID: 8921404799 Enrollment ID: I20210901003541 |
| Provider Name | Nongnuch Kuligowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013473248 PECOS PAC ID: 2466841820 Enrollment ID: I20211105001810 |
| Provider Name | Kristin Nicole Spain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366741951 PECOS PAC ID: 2264821628 Enrollment ID: I20211105001870 |
| Provider Name | Timothy A Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470590 PECOS PAC ID: 3577952449 Enrollment ID: I20211115002012 |
| Provider Name | Lauren Elizabeth Ahart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851976682 PECOS PAC ID: 6800285362 Enrollment ID: I20211123000617 |
| Provider Name | Brittany Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852825 PECOS PAC ID: 3274923784 Enrollment ID: I20211123002750 |
| Provider Name | Kayleigh Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735234 PECOS PAC ID: 9638419690 Enrollment ID: I20211124001514 |
| Provider Name | Natalia Milliken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710588819 PECOS PAC ID: 3274940507 Enrollment ID: I20211202001180 |
| Provider Name | Amber Lee Baines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011270 PECOS PAC ID: 7810387768 Enrollment ID: I20211208000419 |
| Provider Name | Natasha Gambhir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942799143 PECOS PAC ID: 9436549318 Enrollment ID: I20211208001939 |
| Provider Name | Geoffrey Fulton Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902317886 PECOS PAC ID: 2668862566 Enrollment ID: I20211208002735 |
| Provider Name | Newartha Rollins Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255786687 PECOS PAC ID: 5294125035 Enrollment ID: I20211209001252 |
| Provider Name | Heather Eliason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912263 PECOS PAC ID: 7214327097 Enrollment ID: I20211209002583 |
| Provider Name | Ruby Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799651 PECOS PAC ID: 3971915976 Enrollment ID: I20211210001212 |
| Provider Name | Katy Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396115903 PECOS PAC ID: 6204145212 Enrollment ID: I20211210002351 |
| Provider Name | Abby Louise Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093479487 PECOS PAC ID: 2668863952 Enrollment ID: I20211221001375 |
| Provider Name | Jai Georgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396208559 PECOS PAC ID: 3678965449 Enrollment ID: I20220128000743 |
| Provider Name | Susan A Dornbusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265185961 PECOS PAC ID: 4688068265 Enrollment ID: I20220224001046 |
| Provider Name | Erica Marie Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023779634 PECOS PAC ID: 9537554928 Enrollment ID: I20220322001509 |
| Provider Name | Natasha Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356094049 PECOS PAC ID: 5799170924 Enrollment ID: I20220324001648 |
| Provider Name | John Michael Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876485 PECOS PAC ID: 2769877901 Enrollment ID: I20220324002177 |
| Provider Name | Sintu Brayen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043804271 PECOS PAC ID: 6507252616 Enrollment ID: I20220329001923 |
| Provider Name | Gregorio Jose Robles Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073123360 PECOS PAC ID: 9133515281 Enrollment ID: I20220330000229 |
| Provider Name | Muqiao Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700535788 PECOS PAC ID: 7012303761 Enrollment ID: I20220405001639 |
| Provider Name | Salman Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578892113 PECOS PAC ID: 5698924322 Enrollment ID: I20220407001003 |
| Provider Name | Lenka Svedova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508439498 PECOS PAC ID: 5698161032 Enrollment ID: I20220411002589 |
| Provider Name | Bill Chanin Hubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316319163 PECOS PAC ID: 0840687729 Enrollment ID: I20220422001796 |
| Provider Name | Jennifer Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710631015 PECOS PAC ID: 7113314949 Enrollment ID: I20220426002850 |
| Provider Name | Emily Kohorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457741944 PECOS PAC ID: 9830509983 Enrollment ID: I20220505001230 |
| Provider Name | Sovannarat Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013591569 PECOS PAC ID: 7911384946 Enrollment ID: I20220513000388 |
| Provider Name | Colleen Kuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407513146 PECOS PAC ID: 3375920192 Enrollment ID: I20220517002872 |
| Provider Name | Allison Stojanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861159691 PECOS PAC ID: 3375920036 Enrollment ID: I20220518001327 |
| Provider Name | Schrice Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669623310 PECOS PAC ID: 7911050687 Enrollment ID: I20220526001046 |
| Provider Name | Ethan Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427529338 PECOS PAC ID: 1658759402 Enrollment ID: I20220607001033 |
| Provider Name | Danni Lynnette Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013649961 PECOS PAC ID: 1153702683 Enrollment ID: I20220715000019 |
| Provider Name | Stephene Suzette Gwinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285382606 PECOS PAC ID: 5294116174 Enrollment ID: I20220725000232 |
| Provider Name | Carly Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415870 PECOS PAC ID: 6305228164 Enrollment ID: I20220727000759 |
| Provider Name | Micheala Marie Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639834054 PECOS PAC ID: 8123400199 Enrollment ID: I20220808001755 |
| Provider Name | Laura Helen Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023743903 PECOS PAC ID: 6103209978 Enrollment ID: I20220811003929 |
| Provider Name | Danielle Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427703792 PECOS PAC ID: 2264815919 Enrollment ID: I20220813000646 |
| Provider Name | Marlena Ann Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942935218 PECOS PAC ID: 6709269467 Enrollment ID: I20220813000735 |
| Provider Name | Jamie Wadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033624648 PECOS PAC ID: 0143589820 Enrollment ID: I20220928000672 |
| Provider Name | Janice Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386318301 PECOS PAC ID: 0244608354 Enrollment ID: I20221122000261 |
| Provider Name | Yisa Tunde Sulaiman Jr. |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932772043 PECOS PAC ID: 0840668778 Enrollment ID: I20221123002382 |
| Provider Name | Patrick Michael Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467885269 PECOS PAC ID: 9133597966 Enrollment ID: I20221128002814 |
| Provider Name | Chorvy Yos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730898651 PECOS PAC ID: 8224406814 Enrollment ID: I20221202000526 |
| Provider Name | Thomas Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669141396 PECOS PAC ID: 6608245212 Enrollment ID: I20221202001999 |
| Provider Name | Sabrea Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982320131 PECOS PAC ID: 0143699504 Enrollment ID: I20221207002474 |
| Provider Name | Ainsley Dungan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760147854 PECOS PAC ID: 0840669891 Enrollment ID: I20221213003126 |
| Provider Name | Julia Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588373187 PECOS PAC ID: 4486023447 Enrollment ID: I20221214000142 |
| Provider Name | Sarah Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205549185 PECOS PAC ID: 5294106514 Enrollment ID: I20230125001091 |
| Provider Name | Shannon Nichole Skolaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376200030 PECOS PAC ID: 9133591092 Enrollment ID: I20230202002324 |
| Provider Name | Jennifer Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548970551 PECOS PAC ID: 6507238169 Enrollment ID: I20230207002774 |
| Provider Name | Darniece Christian Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952016180 PECOS PAC ID: 6406228964 Enrollment ID: I20230209000525 |
| Provider Name | Ahmad Bilal Tabbara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568134054 PECOS PAC ID: 1456724244 Enrollment ID: I20230224002546 |
| Provider Name | Alexis M Stonerock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871209296 PECOS PAC ID: 4789058850 Enrollment ID: I20230314000282 |
| Provider Name | Faith Ijeoma Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699436329 PECOS PAC ID: 1456725886 Enrollment ID: I20230324001965 |
| Provider Name | Tornado Top Luangraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780339465 PECOS PAC ID: 5890160089 Enrollment ID: I20230330002021 |
| Provider Name | Edwin Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275640039 PECOS PAC ID: 1951551290 Enrollment ID: I20230405001966 |
| Provider Name | Jessica Kate Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134737455 PECOS PAC ID: 1355749391 Enrollment ID: I20230504000629 |
| Provider Name | Ryan D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326709825 PECOS PAC ID: 3870958374 Enrollment ID: I20230506000046 |
| Provider Name | Nicole Dauksavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194423541 PECOS PAC ID: 9830557594 Enrollment ID: I20230628001078 |
| Provider Name | Megan Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477243210 PECOS PAC ID: 6305206210 Enrollment ID: I20230724001374 |
| Provider Name | Samuel Mauras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316639636 PECOS PAC ID: 1759741606 Enrollment ID: I20230724002815 |
| Provider Name | William James Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487339362 PECOS PAC ID: 9537522412 Enrollment ID: I20230824002646 |
| Provider Name | Anabel Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538695283 PECOS PAC ID: 6002279916 Enrollment ID: I20230824003897 |
| Provider Name | Benjamin Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952099665 PECOS PAC ID: 8325401078 Enrollment ID: I20230828002980 |
| Provider Name | Daniela Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831812940 PECOS PAC ID: 2264895630 Enrollment ID: I20230901000097 |
| Provider Name | Edna Badjie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033819396 PECOS PAC ID: 9032564638 Enrollment ID: I20231018000023 |
| Provider Name | Derek Hazelwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841738077 PECOS PAC ID: 2860840139 Enrollment ID: I20231127002540 |
| Provider Name | Warren Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676885 PECOS PAC ID: 9032560933 Enrollment ID: I20240104002791 |
| Provider Name | Jane Ellis Mclaughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659760072 PECOS PAC ID: 5496106973 Enrollment ID: I20240109002986 |
| Provider Name | Kaoue Bernadette Bakanho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437921327 PECOS PAC ID: 6204288095 Enrollment ID: I20240117002528 |
| Provider Name | Miranda Claire Blaeuer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629252747 PECOS PAC ID: 1153761747 Enrollment ID: I20240430001674 |
| Provider Name | Kristina Ortiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942871421 PECOS PAC ID: 6103266655 Enrollment ID: I20240501000104 |
| Provider Name | Jennefer Christine Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801651963 PECOS PAC ID: 5193267540 Enrollment ID: I20240612004480 |
| Provider Name | Hamida Juma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235805508 PECOS PAC ID: 6608309109 Enrollment ID: I20241022005016 |
| Provider Name | Mark Faith Dalion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588326060 PECOS PAC ID: 4789032392 Enrollment ID: I20241031001488 |
| Provider Name | Justin Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659191203 PECOS PAC ID: 0345774824 Enrollment ID: I20241106000965 |
| Provider Name | Paulina Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598592016 PECOS PAC ID: 6406380997 Enrollment ID: I20241106001621 |
| Provider Name | Elizabeth Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205619053 PECOS PAC ID: 7012442924 Enrollment ID: I20241129000491 |
| Provider Name | Amicua Breckenridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962218917 PECOS PAC ID: 7416484381 Enrollment ID: I20241217003058 |
| Provider Name | Njuambo Prudence Nosimbang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479479 PECOS PAC ID: 1658891130 Enrollment ID: I20250227001751 |
| Provider Name | Audrey Miao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275330599 PECOS PAC ID: 6204357874 Enrollment ID: I20250312000035 |
| Provider Name | Julie Sekachev |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750116307 PECOS PAC ID: 2365964087 Enrollment ID: I20250321001984 |
| Provider Name | Valarie A Bernier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124818638 PECOS PAC ID: 3274052378 Enrollment ID: I20250521003402 |
| Provider Name | Rachel Hannah Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447973730 PECOS PAC ID: 9739608738 Enrollment ID: I20250522001742 |
| Provider Name | Ivan Edgardo Lozada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649976309 PECOS PAC ID: 3779092036 Enrollment ID: I20250529004149 |
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 |