MR. JESUS ROLANDO IBARRA (NPI# 1194325266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194325266 |
| Entity Type | Individual |
| Full Name | MR. JESUS ROLANDO IBARRA |
| Credential | PA-C |
| Practice Address |
1455 E Whitestone Blvd Ste G128 Cedar Park TX 78613-5032 |
| Mailing Address |
179 S Holly St Apt 303 Georgetown TX 78626-5131 |
| Practice Telephone | 5129867211 |
| Mailing Telephone | 8502919591 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA14007 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1455 E WHITESTONE BLVD STE G128 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922512839 | Slade Braswell | Nurse Practitioner | 1455 E Whitestone Blvd Ste G128, Cedar Park, TX 78613-5032 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043659493 | Lauren Upton | Physician Assistant | 103 N Bell Blvd Ste A2, Cedar Park, TX 78613-2971 | 2013-06-19 |
| 1851530976 | Jason Scott Jordan | Physician Assistant | 2213 Manada Trl, Cedar Park, TX 78641-2740 | 2009-02-12 |
| 1902903966 | Elizabeth E Blankenship | Physician Assistant | 2612 Orsobello Pl, Cedar Park, TX 78613-4320 | 2006-09-20 |
| 1447748272 | Elizabeth Tram | Physician Assistant | 170 E Whitestone Blvd, Cedar Park, TX 78613-1900 | 2018-04-26 |
| 1255852539 | Marissa Lamoure | Physician Assistant | 910 E Whitestone Blvd, Cedar Park, TX 78613-9093 | 2017-06-27 |
| 1235507948 | Amanda Jane Murdoch | Physician Assistant | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2015-09-11 |
| 1134511694 | Kristin Michelle Collins | Physician Assistant | 801 E Whitestone Blvd, Suite 201, Cedar Park, TX 78613-5028 | 2015-02-20 |
| 1619230760 | Obichukwu Joshua Okoye | Physician Assistant | 1401 Medical Pkwy, Bldg. B, Suite 220, Cedar Park, TX 78613-7763 | 2012-06-22 |
| 1306122775 | Sandra L. Sears | Physician Assistant | 351 Cypress Creek Rd, Suite 201, Cedar Park, TX 78613-4528 | 2011-10-28 |
| 1184928772 | Shilpa N Bhavsar | Physician Assistant | 170 E Whitestone Blvd, Cedar Park, TX 78613-1900 | 2010-12-22 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on MR. JESUS ROLANDO IBARRA.
| 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.