CENTRAL TEXAS PEDIATRIC ENDOCRINOLOGY AND DIABETES, P.A. (NPI# 1104973171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104973171 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PEDIATRIC ENDOCRINOLOGY AND DIABETES, P.A. |
| Other Organization Name | THE WHOLE CHILD CLINIC |
| Practice Address |
3303 Northland Dr Suite 308 Austin TX 78731-4945 |
| Mailing Address |
Po Box 140494 Austin TX 78714-0494 |
| Practice Telephone | 5124679444 |
| Practice Fax Number | 5124679550 |
| Mailing Telephone | 5124679444 |
| Mailing Fax Number | 5124679550 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY JANE WRAY (PRESIDENT) |
| Authorized Official Telephone | 5124679444 |
| Authorized Official Credential | M.D., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G4757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS ID | 0074KV | 01 |
| Other Name | Type Code |
|---|---|
| The Whole Child Clinic | Doing Business As Name - Organization |
| Street Address |
3303 NORTHLAND DR SUITE 308 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409793 | Patricia Beth Rosen | Emergency Medicine | 3303 Northland Dr, Suite 310, Austin, TX 78731-4945 | 2005-12-23 |
| 1730799404 | Maura Brown | Speech-Language Pathologist | 3303 Northland Dr, Austin, TX 78731-4945 | 2020-08-06 |
| 1437685641 | Kathleen N Snyder | Occupational Therapy Assistant | 3303 Northland Dr, Ste. 312, Austin, TX 78731-4945 | 2017-05-08 |
| 1306372040 | Quantum Physical Therapy, Inc. | Clinic/Center | 3303 Northland Dr, Suite 300, Austin, TX 78731-4945 | 2017-05-01 |
| 1750824702 | Rachel Benson | Chiropractor | 3303 Northland Dr, 216, Austin, TX 78731-4945 | 2016-11-23 |
| 1992155816 | Rocio Camusso | Occupational Therapist | 3303 Northland Dr, Suite 312, Austin, TX 78731-4945 | 2016-06-21 |
| 1811362734 | Donald Levin | Chiropractor | 3303 Northland Dr, #210, Austin, TX 78731-4945 | 2015-12-03 |
| 1598190282 | Ellen Carol Thomas | Speech-Language Pathologist | 3303 Northland Dr, Austin, TX 78731-4945 | 2013-09-12 |
| 1528314630 | Kimberly Michelle Coulter | Physical Therapist | 3303 Northland Dr, Suite 214, Austin, TX 78731-4945 | 2012-07-25 |
| 1629358155 | Jordan Pellien | Chiropractor | 3303 Northland Dr, #216, Austin, TX 78731-4945 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205136389 | Texmar Services Inc | Internal Medicine | 2002 Guadalupe St Ste A, Suite 316, Austin, TX 78705-6656 | 2010-10-23 |
| 1902122823 | Padma K. Horvit, Md, Pa | Internal Medicine | 12501 Hymeadow Dr Ste 1c, Austin, TX 78750-1831 | 2010-04-16 |
| 1649245697 | Valerie Diane Espinosa | Internal Medicine | 6500 North Mo Pac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2006-02-22 |
| 1467741132 | Jean Chen | Internal Medicine | 6500 N Mo Pac Expy, #200, Austin, TX 78731-3282 | 2011-04-04 |
| 1699064766 | Dustyn Erik Williams | Internal Medicine | 2111 Kramer Ln Ste 100, Austin, TX 78758-4032 | 2011-03-29 |
| 1225363153 | Jesslyn Jiaen Lu | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2009-10-09 |
| 1720212426 | Sherwin S Yen | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2009-05-08 |
| 1548434756 | Tira Chaicha-brom | Internal Medicine | 6500 N Mopac, Bldg 3, Ste 200, Austin, TX 78731-4309 | 2008-04-17 |
| 1831397793 | Linda Maidment Meyers | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2007-07-03 |
| 1912108366 | Farheen Yousuf | Internal Medicine | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2007-05-31 |
| 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.