MICHAEL F. VANDEWALLE P.C. (NPI# 1154514313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154514313 |
| Entity Type | Organization |
| Organization Name | MICHAEL F. VANDEWALLE P.C. |
| Practice Address |
11824 Jollyville Rd Suite 500 Austin TX 78759-2322 |
| Practice Telephone | 5123430700 |
| Practice Fax Number | 5123430775 |
| Mailing Telephone | 5123430700 |
| Mailing Fax Number | 5123430775 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DR. MICHAEL F VANDEWALLE (DR./OWNER) |
| Authorized Official Telephone | 5123430700 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 11404 | TX | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2771 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 2771 | 01 |
| TX | BCBS | 8P0221 | 01 |
| TX | CHIROPRACTIC LICENSE | 11404 | 01 |
| TX | C06060612 | 05 |
| Street Address |
11824 JOLLYVILLE RD SUITE 500 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925007 | Michael F Vandewalle | Chiropractor | 11824 Jollyville Rd, Suite 500, Austin, TX 78759-2322 | 2006-08-04 |
| 1003237025 | Heather Dawn King | Chiropractor | 11824 Jollyville Rd, Suite 500, Austin, TX 78759-2322 | 2013-12-17 |
| 1831412014 | Audrey A Vandewalle | Chiropractor | 11824 Jollyville Rd, Ste 500, Austin, TX 78759-2322 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| 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.