THEODORE WILLIAM NAGEL (NPI# 1124287644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124287644 |
| Entity Type | Individual |
| Full Name | THEODORE WILLIAM NAGEL |
| Credential | MD |
| Practice Address |
3201 S Austin Ave Suite 305 Georgetown TX 78626-7545 |
| Practice Telephone | 5127634545 |
| Practice Fax Number | 5127634546 |
| Mailing Telephone | 5127634545 |
| Mailing Fax Number | 5127634546 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Q6247 | TX | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 35122154 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0092488 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679676696 | Theodore C Nagel | Obstetrics & Gynecology | University of Minnesota Physicians, 420 Delaware St Se Mmc395, Minneapolis, MN 55455 | 2006-09-06 |
| Street Address |
3201 S AUSTIN AVE SUITE 305 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485932 | Mary Jo Hart | Physician Assistant | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2005-05-23 |
| 1023565413 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626 | 2016-09-02 |
| 1003212184 | Melinda Mcclendon | Nurse Practitioner | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2014-11-17 |
| 1851796775 | Samantha A Graef | Physician Assistant | 3201 S Austin Ave, Suite 210, Georgetown, TX 78626-7545 | 2014-11-04 |
| 1497178149 | Shona Noling | Registered Nurse | 3201 S Austin Ave, Suite 370, Georgetown, TX 78626-7545 | 2014-01-31 |
| 1588918551 | Plastic Surgery Associates Pa | Plastic Surgery | 3201 S Austin Ave, Suite 305, Georgetown, TX 78626-7545 | 2012-10-30 |
| 1730430372 | Primary Foot Care | Podiatrist | 3201 S Austin Ave, Suite 225, Georgetown, TX 78626-7545 | 2012-09-23 |
| 1689967010 | Robert P Wills Md Pllc | Counselor | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2011-05-18 |
| 1750670352 | Megan Annette Hanes Fox | Physician Assistant | 3201 S Austin Ave, Suite # 115, Georgetown, TX 78626-7545 | 2011-04-04 |
| 1558593202 | Jayna Elise Adams | Audiologist | 3201 S Austin Ave, #370, Georgetown, TX 78626-7545 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669423018 | Craig Allen Staebel | Plastic Surgery | 950 W University Ave, Building 2, Suite 207, Georgetown, TX 78626-6505 | 2006-05-12 |
| 1396267332 | Mountain West Derm - Austin Pllc | Plastic Surgery | 4513 Williams Dr, Georgetown, TX 78633-1302 | 2017-07-12 |
| 1588918551 | Plastic Surgery Associates Pa | Plastic Surgery | 3201 S Austin Ave, Suite 305, Georgetown, TX 78626-7545 | 2012-10-30 |
| 1578763496 | James H. Boehmler Iv | Plastic Surgery | 3201 S Austin Ave, Suite 305, Georgetown, TX 78626-7545 | 2007-07-19 |
| 1720020878 | Nabil Anton Habash | Plastic Surgery | 3201 S Austin Ave, Suite 305, Georgetown, TX 78626-7545 | 2006-06-12 |
| 1205887585 | Craig Staebel M.d., P.a. | Plastic Surgery | 950 W University Ave, Building 2, Suite 207, Georgetown, TX 78626-6505 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
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| City | GEORGETOWN |
| Zip Code | 78626 |
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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.