SHAUN PATRICK MCKENZIE (NPI# 1114189933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114189933 |
| Entity Type | Individual |
| Full Name | SHAUN PATRICK MCKENZIE |
| Credential | MD |
| Practice Address |
4101 James Casey St Ste 100 Austin TX 78745-1145 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 5124214250 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
P6220 | TX | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
43479 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 330383605 | 05 | |
| TX | 330383602 | 05 | |
| TX | 330383603 | 05 | |
| TX | 330383604 | 05 | |
| TX | RAILROAD | P01867717 | 01 |
| Street Address |
4101 JAMES CASEY ST STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124060256 | Laurence Kevin Tokaz | Internal Medicine | 4101 James Casey St Ste 100, Austin, TX 78745-3325 | 2006-06-12 |
| 1720624703 | Leigh Taylor Wolfe | Nurse Practitioner | 4101 James Casey St Ste 100, Austin, TX 78745-1145 | 2019-11-25 |
| 1235687260 | Ashley Leon | Nurse Practitioner | 4101 James Casey St Ste 100, Austin, TX 78745-1145 | 2016-09-20 |
| 1003269341 | Susanne Morris | Clinical Nurse Specialist | 4101 James Casey St Ste 100, Austin, TX 78745-1145 | 2016-07-21 |
| 1568624831 | Jennifer Anne Wright | Internal Medicine | 4101 James Casey St Ste 100, Austin, TX 78745-1145 | 2008-06-27 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019571 | Kimberly M Brown | Surgery | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-01-27 |
| 1790096543 | Sangeeth Lakshmi Kolluri | Surgery | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2010-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134662125 | Lakhbir Sandhu | Surgery | 1400 Pressler Suite, Unit 1484, Houston, TX 77030 | 2016-11-23 |
| 1104191667 | John C. O'brien, Jr., Md, Pa | Surgery | 8223 Forest Hills Blvd, Dallas, TX 75218-4410 | 2012-03-16 |
| 1245462852 | Ali Abdalla Maawy | Surgery | 6133 Parkway Dr, Corpus Christi, TX 78414 | 2009-08-14 |
| 1720235427 | William Francis Mcnamara | Surgery | 7777 Forest Ln Ste C585, Dallas, TX 75230-6871 | 2008-08-25 |
| 1336343235 | Loren L Rourke | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2007-06-13 |
| 1942309075 | Steven A. Curley | Surgery | 910 E Houston St Ste 270, Tyler, TX 75702-8367 | 2006-09-22 |
| 1649387713 | Morton S Kahlenberg | Surgery | 8711 Village Dr Ste 325, San Antonio, TX 78217-5403 | 2006-08-24 |
| 1124131628 | East Houston Surgical Associates | Surgery | 4140 Southwest Freeway #425, Houston, TX 77027 | 2006-08-17 |
| 1457392839 | Bay Area Cancer Surgery, P.a. | Surgery | 4021 Garth Rd, #105, Baytown, TX 77521-3160 | 2006-06-09 |
| 1174513527 | Thomas Eugene Le Voyer | Surgery | 4001 W 15th Street Ste 425, Plano, TX 75093-5841 | 2005-10-26 |
| 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.