SETON ORAL & MAXILLOFACIAL SURGERY (NPI# 1124598917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124598917 |
Entity Type | Organization |
Organization Name | SETON ORAL & MAXILLOFACIAL SURGERY |
Practice Address |
901 W 38th St Suite 410 Austin TX 78705 |
Mailing Address |
1345 Philomena St Ste 410.3 Austin TX 78723 |
Practice Telephone | 5129921378 |
Practice Fax Number | 5129921379 |
Mailing Telephone | 5129921378 |
Mailing Fax Number | 5129921379 |
Enumeration Date | 2018-12-05 |
Last Update Date | 2019-07-22 |
Authorized Official Name | CLAYTON CARSNER (VP/COO) |
Authorized Official Telephone | 5123245846 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
Street Address |
901 W 38TH ST SUITE 410 |
City | AUSTIN |
State | TX |
Zip Code | 78705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609861897 | Russell A Hayhurst | Ophthalmology | 901 W 38th St, Ste 303, Austin, TX 78705-1163 | 2005-09-14 |
1437532850 | Wilshire Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-07-02 |
1336522754 | Sc Spine Partners LLC | Nurse Anesthetist, Certified Registered | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-07-02 |
1609265891 | Abs Spine Partners LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-01-12 |
1972925105 | Michelle Kim | Dentist | 901 W 38th St, Suite 410, Austin, TX 78705-1163 | 2014-01-07 |
1457617821 | Westlake Interventional Pain Center LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2012-04-10 |
1992071922 | Cristina Salazar | Physician Assistant | 901 W 38th St, Suite 301, Austin, TX 78705-1163 | 2012-03-23 |
1174897870 | Rachel Alicia Smith | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2012-02-28 |
1720370760 | Lauren Nicole Sederholm | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2011-05-10 |
1366744468 | Renee L Westwood | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2010-11-22 |
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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 |
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Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083806954 | Austin Surgical Arts | Oral & Maxillofacial Surgery | 6012 W. William Cannon, B101, Austin, TX 78749 | 2007-08-15 |
1679799431 | Ann H Kristovich | Oral & Maxillofacial Surgery | 901 W 38th St Ste 410, Austin, TX 78705 | 2007-04-18 |
1659306348 | Patrick Kelley | Oral & Maxillofacial Surgery | 1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078 | 2006-07-11 |
1992826820 | Robert Michael Patton | Oral & Maxillofacial Surgery | 6012 W William Cannon Dr, B101, Austin, TX 78749-1980 | 2007-04-02 |
1023185261 | William L Buchanan | Oral & Maxillofacial Surgery | 6012 W William Cannon Dr, B101, Austin, TX 78749-1980 | 2006-11-30 |
1811927130 | Seton Healthcare | Oral & Maxillofacial Surgery | 601 E 15th St, Austin, TX 78701-1930 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477101053 | College Station Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414 | 2019-08-28 |
1922579473 | Christopher M. King, Dds, Md, Pllc | Oral & Maxillofacial Surgery | 5209 Heritage Ave Ste 220, Colleyville, TX 76034-5997 | 2018-12-10 |
1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
1508375965 | Dioms, Pllc | Oral & Maxillofacial Surgery | 9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 | 2017-09-28 |
1730625740 | Facial Head & Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2317 Coit Rd Ste A, Plano, TX 75075-3774 | 2017-01-13 |
1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
1225398456 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1 South, El Paso, TX 79912 | 2012-05-22 |
1437419652 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1-south, El Paso, TX 79912 | 2012-05-22 |
1689954562 | Roderick Youngdo Kim | Oral & Maxillofacial Surgery | 1500 S Main St Dept Of, Fort Worth, TX 76104-4917 | 2011-08-23 |
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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.