ASCENSION SETON (NPI# 1205263134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205263134 |
| Entity Type | Organization |
| Organization Name | ASCENSION SETON |
| Other Organization Name | SETON KINGSLAND HEALTHCARE CENTER |
| Practice Address |
525 Rr 2900 Kingsland TX 78639-6000 |
| Mailing Address |
Po Box 204229 Dallas TX 75320-4229 |
| Practice Telephone | 3253886912 |
| Mailing Telephone | 3253886912 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | CRAIG CORDOLA (PRESIDENT CEO) |
| Authorized Official Telephone | 5123241867 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
00559 | TX | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ascension Kingsland Health Center | Doing Business As Name - Organization |
| SETON KINGSLAND HEALTHCARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1942795133 | Ascension Seton | Special Hospital | 630 Highway 71 W, Bastrop, TX 78602-4234 | 2018-06-29 |
| 1700392602 | Ascension Seton | Clinic/Center | 630 Highway 71 W Ste E, Bastrop, TX 78602-4234 | 2017-12-14 |
| 1679787642 | Ascension Seton | Pharmacy | 4900 Mueller Blvd # 4c024, Austin, TX 78723-3079 | 2007-05-09 |
| 1124137054 | Ascension Seton | Clinic/Center | 11113 Research, Austin, TX 78759-5236 | 2006-08-30 |
| 1871512228 | Ascension Seton | Clinic/Center | 160 N Lampasas St, Bertram, TX 78605-4323 | 2006-07-18 |
| 1265459242 | Ascension Seton | Clinic/Center | 1800 Mormon Mill Rd, Bldg B, Marble Falls, TX 78654-4175 | 2006-07-16 |
| 1437714987 | Ascension Seton | Clinic/Center | 200 Roy Rivers Rd, Elgin, TX 78621 | 2019-05-09 |
| 1730695594 | Ascension Seton | Clinic/Center | 1201a Hill Rd, Smithville, TX 78957-9533 | 2017-12-15 |
| 1912425000 | Ascension Seton | Clinic/Center | 209 S Church St Ste B, Lockhart, TX 78644-2756 | 2017-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASCENSION SETON | 1345 Philomena St, Austin, TX 78723-3210 |
| Street Address |
525 RR 2900 |
| City | KINGSLAND |
| State | TX |
| Zip Code | 78639-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700988714 | Alan E. Leifeste II | Family Medicine | 525 Rr 2900, Kingsland, TX 78639-6000 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404039 | Carol Lynne Winter | Massage Therapist | 1020 Altman, Kingsland, TX 78639 | 2018-04-06 |
| 1487865820 | Central Tx Chiropractic & Rehabilitation Clinics, Inc | Chiropractor | 1333 W. Hwy 1431, Kingsland, TX 78639 | 2007-05-25 |
| 1942330360 | Shawn Ray Scott | Chiropractor | 1333 West Hwy 1431, Kingsland, TX 78639 | 2007-03-06 |
| 1659418416 | John J Johnson IIi | Dentist | 1117 Ranch Road 1431, Kingsland, TX 78639 | 2007-01-31 |
| 1811427453 | Kirstyn Hailey Grote | Physical Therapist | 105 Fm 2342, Kingsland, TX 78639 | 2017-06-15 |
| 1053328195 | Adrienne Van Erp Cowan | Occupational Therapist | 105 Fm 2342, Kingsland, TX 78639 | 2006-08-02 |
| 1447232368 | Phpm Mission Care Centers - New Covenant | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2005-11-16 |
| 1265046809 | Fannin County Hospital Authority | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2020-09-01 |
| 1629610100 | Concho County Hospital | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2019-10-16 |
| 1649322819 | Jan Alice Morris | Dentist | 4012 W Ranch Road 1431, Kingsland, TX 78639-3253 | 2007-01-17 |
| Find all providers in zip 78639 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1710143128 | Petrenia Davis-jenkins | Family Medicine | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2008-08-05 |
| 1003076043 | Gerald Terrence O'donoghue | Family Medicine | 108 Meridian Dr, Kingsland, GA 31548-7102 | 2008-06-12 |
| 1326244435 | Noel N Chua | Family Medicine | 125 Andrews Way Ste B, Kingsland, GA 31548-6854 | 2007-06-25 |
| 1851482681 | Martha Patricia Sanchez-silva | Family Medicine | 1375 E King Ave Ste A, Kingsland, GA 31548-6831 | 2006-09-27 |
| 1700988714 | Alan E. Leifeste II | Family Medicine | 525 Rr 2900, Kingsland, TX 78639-6000 | 2006-09-01 |
| 1710927405 | Camden Healthcare Assoc Inc | Family Medicine | 130 N Gross Rd, Suite 201, Kingsland, GA 31548 | 2006-06-08 |
| 1154303725 | Grady F Miller | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2005-11-18 |
| 1407206527 | Ryan P Allen | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2016-06-20 |
| 1376735597 | Abc Pediatrics and Family Care Center, P.C. | Family Medicine | 39 Andrews Way, Kingsland, GA 31548-6833 | 2007-08-11 |
| Find all providers in KINGSLAND | ||||
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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.