GEREMY L SANDERS MD PA (NPI# 1013292317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013292317 |
| Entity Type | Organization |
| Organization Name | GEREMY L SANDERS MD PA |
| Practice Address |
911 W 38th St Ste 303 Austin TX 78705-1188 |
| Practice Telephone | 5123295705 |
| Practice Fax Number | 5123295720 |
| Mailing Telephone | 5123295705 |
| Mailing Fax Number | 5123295720 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | GEREMY L SANDERS (OWNER OF PA) |
| Authorized Official Telephone | 5123295705 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0011XC | BCBS OF TEXAS | 01 |
| Street Address |
911 W 38TH ST STE 303 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472265 | Premiere Pain Specialists LLC | Pain Medicine | 12309 N Mopac Expy Ste 125, Austin, TX 78758-2577 | 2019-02-01 |
| 1871970871 | Gregory Nicholas Yanez | Pain Medicine | 4316 James Casey St Building B Suite 200, Austin, TX 78745 | 2015-04-29 |
| 1578567459 | Integrative Pain Services Pa | Pain Medicine | 4807 Spicewood Springs Rd, Ste 1235, Austin, TX 78759-8478 | 2005-06-09 |
| 1487196614 | Alan D Silberberg, Md Pa | Pain Medicine | 5625 Eiger Rd, Suite 160, Austin, TX 78735-8977 | 2016-11-04 |
| 1235514704 | Central Texas Pain Center North, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2015-07-27 |
| 1821484031 | Jamal Hasoon | Pain Medicine | 4316 James Casey St Ste 200, Austin, TX 78745-1116 | 2015-04-14 |
| 1295130912 | Central Texas Pain Center, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2014-10-23 |
| 1184987174 | Rahul Sarna | Pain Medicine | 4100 Duval Rd, Bldg IIi Ste 200, Austin, TX 78759 | 2012-06-25 |
| 1336416510 | Robert P Wills Md Pllc | Pain Medicine | 2200 Park Bend Dr, Bldg 1, Suite 201, Austin, TX 78758-5387 | 2011-11-16 |
| 1306124912 | Derrick Wansom | Pain Medicine | 4100 Duval Rd, Bldg 3 Ste 200, Austin, TX 78759-4275 | 2011-07-31 |
| Find all providers in AUSTIN | ||||
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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.