DIANE DEWAN (NPI# 1124076427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124076427 |
| Entity Type | Individual |
| Full Name | DIANE DEWAN |
| Practice Address |
900 W 38th St Suite 400 Austin TX 78705-1127 |
| Practice Telephone | 5124549426 |
| Practice Fax Number | 5124547294 |
| Mailing Telephone | 5124549426 |
| Mailing Fax Number | 5124547294 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01347 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 W 38TH ST SUITE 400 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104577 | Central Austin Ambulatory Surgery Center L.p. | Clinic/Center | 900 W 38th St, Ste 200, Austin, TX 78705-1129 | 2005-06-20 |
| 1326430448 | Urology Specialty Imaging LLC | Radiologic Technologist | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2015-02-26 |
| 1447679287 | Central Park Associates of Radiology LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2014-04-09 |
| 1861749301 | Capitol Imaging Partners,llc | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2012-08-14 |
| 1205108180 | Austin Southwest Orthopaedic Group Imaging LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2012-02-07 |
| 1528339447 | Cp Surgery Center, LLC | Clinic/Center | 900 W 38th St, Suite 200, Austin, TX 78705-1127 | 2012-01-24 |
| 1689954885 | Ent Imaging Partners LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2011-08-19 |
| 1437442027 | Pain Imaging Partners LLC | Clinic/Center | 900 W 38th St, Suite 100, Austin, TX 78705-1127 | 2011-05-16 |
| 1457642662 | Neurology Imaging Partners LLC | Clinic/Center | 900 W 38th St, 100, Austin, TX 78705-1127 | 2011-04-21 |
| 1518268606 | Austin Imaging Partners LLC | Clinic/Center | 900 W 38th St, Austin, TX 78705-1127 | 2010-11-05 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| 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.