CENTRAL TEXAS MEDICAL SPECIALISTS, PLLC (NPI# 1174936074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174936074 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS MEDICAL SPECIALISTS, PLLC |
| Other Organization Name | AUSTIN CANCER CENTERS |
| Practice Address |
1180 Seton Pkwy Ste 150 Kyle TX 78640-6178 |
| Mailing Address |
9715 Burnet Rd Bld 7 Ste. 200 Austin TX 78758-5215 |
| Practice Telephone | 5125055500 |
| Practice Fax Number | 5123342702 |
| Mailing Telephone | 5123342866 |
| Mailing Fax Number | 5123342702 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | JANINE RICCI (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 5123342654 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1578957-04 | 05 |
| Other Name | Type Code |
|---|---|
| Austin Cancer Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871945691 | Central Texas Medical Specialists, Pllc | Pharmacy | 9715 Burnet Rd, Bldg 7, Ste 200, Austin, TX 78758-5215 | 2016-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Central Texas Medical Specialists, PLLC | 9715 Burnet Road, Bldg 7 Ste 200, Austin, TX 78758 |
| Street Address |
1180 SETON PKWY STE 150 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-6178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487474 | John Feldmeier | Radiology | 1180 Seton Pkwy, Kyle, TX 78640 | 2005-06-17 |
| 1598113953 | Kids Dental Works | Dentist | 1180 Seton Pkwy, Suite 425, Kyle, TX 78640-6178 | 2016-05-26 |
| 1346583531 | Christina Lee Russell | Pharmacy Technician | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6178 | 2013-04-05 |
| 1629316930 | Mary Grace Gloria | Physician Assistant | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2013-01-21 |
| 1144597402 | Tiphany Price | Nurse Practitioner | 1180 Seton Pkwy, Suite 450, Kyle, TX 78640-6178 | 2011-11-30 |
| 1598050841 | Ent Associates of Central Texas | Otolaryngology | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2011-06-15 |
| 1992007728 | Katherine Joy Kaut | Nurse Practitioner | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-11-30 |
| 1720398266 | Austin Southwest Orthopaedic Group, P.a. | Orthopaedic Surgery | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2010-10-18 |
| 1497062194 | Urology Associates of Central Texas Pa | Urology | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6179 | 2010-09-02 |
| 1811203516 | Sai Mula Md Pa | Psychiatry & Neurology | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-08-19 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487474 | John Feldmeier | Radiology | 1180 Seton Pkwy, Kyle, TX 78640 | 2005-06-17 |
| 1003068347 | Matthew R. Mccurdy | Radiology | 1180 Seton Pkwy, Ste 150, Kyle, TX 78640-6178 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| 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.