SOUTH AUSTIN ORTHOPAEDIC CLINIC PA (NPI# 1073611992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073611992 |
| Entity Type | Organization |
| Organization Name | SOUTH AUSTIN ORTHOPAEDIC CLINIC PA |
| Practice Address |
4534 W Gate Blvd Suite 110 Austin TX 78745-1485 |
| Practice Telephone | 5128921220 |
| Mailing Telephone | 5128921220 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | DR. CLARK RACE (PRESIDENT) |
| Authorized Official Telephone | 5128921220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 141613301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639386543 | South Austin Orthopaedic Clinic Pa | Specialist | 1348 N State Highway 123, Suite A, San Marcos, TX 78666-7836 | 2007-05-17 |
| Street Address |
4534 W GATE BLVD SUITE 110 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811952203 | Kathryn A Smathers | Physical Therapist | 4534 W Gate Blvd, Town and Country Pt Ste 104, Austin, TX 78745-1485 | 2006-04-19 |
| 1326590001 | Abri Intergrated Health, Pllc | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2016-10-28 |
| 1356798334 | Erin Elizabeth Nightingale | Nurse Practitioner | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2016-05-19 |
| 1841660990 | Eden Elizabeth Davisson | Social Worker | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-10-01 |
| 1104203660 | Kelli Foulkrod | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-05-04 |
| 1629468798 | Lise Nicole Smith | Hearing Instrument Specialist | 4534 W Gate Blvd, Suite 106, Austin, TX 78745-1485 | 2015-01-28 |
| 1063801702 | Lauren Reed | Nurse Practitioner | 4534 W Gate Blvd, Ste 108, Austin, TX 78745-1485 | 2015-01-19 |
| 1861804965 | Greg Marchand Family Medicine Pa | Family Medicine | 4534 W Gate Blvd, Suite113, Austin, TX 78745-1485 | 2014-05-22 |
| 1043563869 | Tekton Research, Inc. | Specialist | 4534 W Gate Blvd, Suite 110, Austin, TX 78745-1485 | 2012-10-17 |
| 1538471974 | Melissa Ann Cereceres | Marriage & Family Therapist | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
| 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.