SOUTH CENTRAL WELLNESS LLC (NPI# 1154805828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154805828 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL WELLNESS LLC |
| Other Organization Name | SOUTH LAND UROLOGY |
| Practice Address |
1180 Seton Pkwy Ste 320 Kyle TX 78640 |
| Mailing Address |
5859 Fergus Kyle TX 78640-8627 |
| Practice Telephone | 5126510702 |
| Practice Fax Number | 5126510702 |
| Mailing Telephone | 5126510702 |
| Mailing Fax Number | 5126510702 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | DR. ROBYN LIANE ROBERTS (MD/ OWNER) |
| Authorized Official Telephone | 5126510702 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Land Urology | Doing Business As Name - Organization |
| Street Address |
1180 SETON PKWY STE 320 |
| City | KYLE |
| State | TX |
| Zip Code | 78640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427377001 | Robyn Liane Roberts | Urology | 1180 Seton Pkwy Ste 320, Kyle, TX 78640-6179 | 2010-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427377001 | Robyn Liane Roberts | Urology | 1180 Seton Pkwy Ste 320, Kyle, TX 78640-6179 | 2010-05-22 |
| 1497062194 | Urology Associates of Central Texas Pa | Urology | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6179 | 2010-09-02 |
| 1306823463 | Robert Benjamin Dickinson | Urology | 1180 Seton Pkwy, Ste 125, Kyle, TX 78640-4076 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
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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.