KATHERINE ELIZABETH THALLER (NPI# 1144632530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144632530 |
| Entity Type | Individual |
| Full Name | KATHERINE ELIZABETH THALLER |
| Credential | M.D. |
| Practice Address |
120 Hillcrest Medical Blvd Ste 100 Waco TX 76712-8949 |
| Mailing Address |
Po Box 848476 Dallas TX 75284-8476 |
| Practice Telephone | 2542026100 |
| Practice Fax Number | 2542026195 |
| Mailing Telephone | 2542024655 |
| Mailing Fax Number | 2542024697 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L4145 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
120 HILLCREST MEDICAL BLVD STE 100 |
| City | WACO |
| State | TX |
| Zip Code | 76712-8949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346211893 | Jacquelin Dawn Dewbre | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2006-01-31 |
| 1093158388 | Brian Edward Barkley | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2013-04-17 |
| 1558658286 | Britni Rene Eklund | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2011-07-01 |
| 1306040415 | Celeste Hecox | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2007-06-13 |
| 1588625990 | Vicki Vrana Popejoy | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2006-03-28 |
| 1720050081 | Andrew Whitfield Mcdonald | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067303 | Mark A Lorenzen | Pediatrics | 301b Richland West Cir, Waco, TX 76712-7919 | 2006-05-06 |
| 1740246909 | Sue E. Stanko | Pediatrics | 1201 Hewitt Dr Ste 204, Waco, TX 76712-8834 | 2006-04-25 |
| 1750340568 | Matthew Brian Bierwirth | Pediatrics | 2201 Macarthur Dr Ste 103, Waco, TX 76708 | 2006-03-21 |
| 1720059272 | Charles Edward Gamble | Pediatrics | 2201 Macarthur, Ste 103, Waco, TX 76708 | 2006-01-31 |
| 1689645236 | Karen Cervenka Kemper | Pediatrics | 2201 Macarthur Dr, Suite 103, Waco, TX 76708-3161 | 2006-01-31 |
| 1346211893 | Jacquelin Dawn Dewbre | Pediatrics | 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | 2006-01-31 |
| 1649257429 | Floyd Lee Barry | Pediatrics | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1962485516 | William R Nesmith | Pediatrics | 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1770566333 | Stephen Chakmakjian | Pediatrics | 601 W State Highway 6, Suite 102, Waco, TX 76710-5591 | 2005-11-28 |
| 1255867057 | Suzanne Jacob | Pediatrics | 2201 Macarthur Dr Ste 103, Waco, TX 76708-3159 | 2017-05-11 |
| Find all providers in WACO | ||||
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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.