TRAVIS WADE AUSTIN (NPI# 1003250440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003250440 |
| Entity Type | Individual |
| Full Name | TRAVIS WADE AUSTIN |
| Credential | M.D. |
| Practice Address |
4951 S White Mountain Rd Bldg A Show Low AZ 85901-7801 |
| Mailing Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Practice Telephone | 9285376700 |
| Practice Fax Number | 9285379581 |
| Mailing Telephone | 9285376393 |
| Mailing Fax Number | 9285322131 |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
58272 | AZ | Allopathic & Osteopathic Physicians |
| N | 207PH0002X |
Emergency Medicine Specialization: Hospice and Palliative Medicine |
58272 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670550 | Travis James Austin | Dentist | Bldg 38801 Academic Dr Ste B,c, Usa Dentac, Ft Gordon, GA 30905 | 2007-01-03 |
| 1043818198 | Travis Austin | Community Health Worker | 162 N 400 E Ste A105, St George, UT 84770-7192 | 2020-10-12 |
| 1417575994 | Travis Austin | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2020-07-10 |
| Street Address |
4951 S WHITE MOUNTAIN RD BLDG A |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329129 | Elizabeth Wild Bierer | Family Medicine | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7801 | 2010-01-26 |
| 1942701693 | Summit Healthcare Medical Associates | Clinic/Center | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7801 | 2018-02-27 |
| 1952793416 | Brittany Sara Greenbaum | Otolaryngology | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7827 | 2015-02-20 |
| 1548577695 | Lu Ann Penchuk | Nurse Practitioner | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7827 | 2010-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821262 | U.S. Healthworks Medical Group of Arizona, Inc. | Preventive Medicine | 2301 N Forbes Blvd, Tucson, AZ 85745-1455 | 2016-10-06 |
| 1154728954 | Healthstat On-site Clinic Polsinelli Phoenix Az | Preventive Medicine | One East Way Washington, Suite 1200, Phoenix, AZ 85004 | 2014-11-24 |
| 1295038990 | James Louis Schamadan | Preventive Medicine | 24350 N Whispering Ridge Way, Unit 49, Scottsdale, AZ 85255-5728 | 2010-12-19 |
| 1467774042 | Samurdhi Jayaweera Roberts | Preventive Medicine | 409 S 104th Ave, Tolleson, AZ 85353-9236 | 2010-02-23 |
| 1982934881 | Philip G Glennie | Preventive Medicine | 888 S Craycroft Rd Ste 150, Tucson, AZ 85711-7177 | 2009-12-28 |
| 1053548081 | Andrew Chad Yorgason | Preventive Medicine | 5801 S Wintersburg Rd, Tonopah, AZ 85354-7529 | 2009-06-17 |
| 1275670242 | Keith David Mosienko | Preventive Medicine | 6865 W Briles Rd, Peoria, AZ 85383-7015 | 2007-01-31 |
| 1891880829 | Thomas M Ronan | Preventive Medicine | 4730 E Indian School Rd Ste 211, Phoenix, AZ 85018-5410 | 2006-10-04 |
| 1932117041 | Robert Lewis Levitin | Preventive Medicine | 15150 N Hayden Rd Ste 110, Scottsdale, AZ 85260-2514 | 2006-08-04 |
| 1053861658 | U.S. Healthworks Medical Group of Arizona, Inc. | Preventive Medicine | 1626 S Priest Dr, Suite 101, Tempe, AZ 85281-6204 | 2016-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.