THEOPHILUS S PAINTER JR MD PA


Address: 800 W 34th St, Austin, TX 78705-1143
Phone: 5124545821

THEOPHILUS S PAINTER JR MD PA (NPI# 1104000983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104000983
Entity Type Organization
Organization Name THEOPHILUS S PAINTER JR MD PA
Practice Address 800 W 34th St
Austin
TX 78705-1143
Mailing Address Po Box 302186
Austin
TX 78703-0037
Practice Telephone 5124545821
Practice Fax Number 5122608831
Mailing Telephone 5124545821
Mailing Fax Number 5122608831
Enumeration Date 2007-12-28
Last Update Date 2007-12-28
Authorized Official Name JANE GATLIN (BILLING MGR)
Authorized Official Telephone 5122599595
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology B9692 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 127396303 05

Office Location

Street Address 800 W 34TH ST
City AUSTIN
State TX
Zip Code 78705-1143

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1497718175 Moncrief Dialysis Center-total Renal Care Limited Partnership Clinic/Center 800 W 34th St, Ste 101, Austin, TX 78705 2006-04-11
1518250844 John P. Dice, M.d., Pa Allergy & Immunology 800 W 34th St, Suite 201, Austin, TX 78705-1143 2011-05-19
1225237688 Stacey Haydel Speech-Language Pathologist 800 W 34th St, Ste. 250, Austin, TX 78705-1143 2007-07-16
1912110487 Tina Hatcher Occupational Therapy Assistant 800 W 34th St, Suite 250, Austin, TX 78705-1143 2007-05-08
1033322235 Mary Azele Reeves Occupational Therapist 800 W 34th St, Suite 250, Austin, TX 78705-1143 2007-05-07
1225259302 David Williams Cardwell Psychiatry & Neurology 800 W 34th St, Suite #210, Austin, TX 78705-1143 2007-05-02
1386760767 Renee L. Johnson Occupational Therapist 800 W 34th St, Austin, TX 78705-1143 2007-03-21
1902922057 Amy Villarreal Specialist/Technologist 800 W 34th St, Austin, TX 78705-1143 2007-03-21
1043344039 Jennifer Nanzer Speech-Language Pathologist 800 W 34th St, Suite 250, Austin, TX 78705-1143 2007-03-14
1518063817 Paul Vigo Allergy & Immunology 800 W 34th St, Suite 201, Austin, TX 78705-1143 2006-09-15
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NPI Name Taxonomy Address Enumeration
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1033767637 Olivia May Neel Specialist/Technologist 620 West 24th Street, 208a, Austin, TX 78705 2019-08-28
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1124502794 Joan Margaret Carroll Physician Assistant 3000 N, I-35, Suite 600, Austin, TX 78705 2018-09-19
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

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1154506673 Maria G Gutierrez Md Pa Allergy & Immunology 720 W 34th St Ste 201, Ste. 200, Austin, TX 78705-1205 2008-01-03
1669654158 Hetu Parekh Allergy & Immunology 10801-2 N Mopac Expy, Ste 150, Austin, TX 78759-5973 2007-11-27
1578625190 Austin Family Allergy & Asthma Pa Allergy & Immunology 10801-2 North Mopac Expwy, Ste 150, Austin, TX 78759-5973 2006-12-14
1821157579 Austin Regional Clinic, Pa Allergy & Immunology 6210 E Us Hwy 290, Suite 420 - Credentialing, Austin, TX 78723-1098 2006-12-08
1417976788 Manda L Hall Allergy & Immunology 17064 Conway Springs Ct, Austin, TX 78717-2989 2006-07-18
1932125945 Russell R Roby Md Pa Allergy & Immunology 4407 Beecaves Rd #122, Austin, TX 78746 2006-07-14
1831142918 Ronald L Cox Md, Inc Allergy & Immunology 6611 River Place Blvd Ste 301, Austin, TX 78730-1162 2006-05-18
1770550535 William Charles Howland IIi Allergy & Immunology 11645 Angus Rd # A1, Austin, TX 78759-4100 2006-03-01
1922075787 Allen Keith Lieberman Allergy & Immunology 10801 North Md Pac Expressway, Building II Suite 150, Austin, TX 78759 2006-03-01
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City AUSTIN
Zip Code 78705

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Dataset Information

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.

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