CONCORDIA UNIVERSITY TEXAS (NPI# 1205488483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205488483 |
Entity Type | Organization |
Organization Name | CONCORDIA UNIVERSITY TEXAS |
Practice Address |
11400 Concordia University Dr Austin TX 78726-1887 |
Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
Practice Telephone | 5123134524 |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-07-09 |
Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CUTX Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CONCORDIA UNIVERSITY TEXAS | 11400 Concordia University Dr, Austin, TX 78726-1887 |
Street Address |
11400 CONCORDIA UNIVERSITY DR |
City | AUSTIN |
State | TX |
Zip Code | 78726-1887 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003224957 | Brian Smith | Specialist/Technologist | 11400 Concordia University Dr, Austin, TX 78726-1887 | 2014-07-23 |
1235673823 | Raiza Aguilar | Specialist/Technologist | 11400 Concordia University Dr, Austin, TX 78726-1887 | 2016-12-15 |
1851834113 | Donald Peers | Specialist/Technologist | 11400 Concordia University Dr, Austin, TX 78726-1887 | 2016-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104385152 | Meridian Preferred Network, LLC | Durable Medical Equipment & Medical Supplies | 11512 Tibee Drive, Austin, TX 78726 | 2019-03-19 |
1356709083 | Britex | Dentist | 10200 Boulder Lane, #300, Austin, TX 78726 | 2016-02-09 |
1205224490 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7300 N Fm 620, Austin, TX 78726 | 2014-12-23 |
1881933372 | Judy Ann Adan | Dentist | 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 | 2013-02-04 |
1295974236 | Brendan Booker Loehr | Dentist | Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 | 2009-02-16 |
1174730980 | David Eugene Helms | Counselor | 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 | 2007-05-17 |
1013037480 | Four Points Dental Pa | Dentist | 7301 North Fm 620, Suite 150, Austin, TX 78726 | 2007-03-30 |
1043329469 | H-e-b, Lp | Clinical Medical Laboratory | 7301 N Fm 620, Austin, TX 78726 | 2006-08-30 |
1063521037 | H-e-b, Lp | Clinical Medical Laboratory | 11521 North Fm 620 Building A, Austin, TX 78726 | 2006-08-30 |
1518934413 | Thomas Gretzinger | Dermatology | 12211 Fm 2769, Austin, TX 78726 | 2006-03-01 |
Find all providers in zip 78726 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356455604 | Ted D Spears | Orthopaedic Surgery | 9737 Great Hills Trl Ste 240, Austin, TX 78759-6418 | 2006-08-17 |
1326029497 | Darryl Brian Thomas | Orthopaedic Surgery | 3110 Guadalupe St Ste 100, Austin, TX 78705-2858 | 2005-11-07 |
1043217276 | Scott Andrew Welsh | Orthopaedic Surgery | 401 W Slaughter Ln, Austin, TX 78748-1715 | 2005-07-01 |
1023011889 | Eugene P Schoch IIi | Orthopaedic Surgery | 1015 East 32nd St, Suite 101, Austin, TX 78705 | 2005-05-24 |
1073148300 | Isabel Mantooth | Orthopaedic Surgery | 3110 Guadalupe St Ste 100, Austin, TX 78705-2858 | 2020-03-06 |
1538525928 | F Kelly Cunningham Md, Pa | Orthopaedic Surgery | 6836 Bee Caves Rd, Suite 103, Austin, TX 78746-5059 | 2016-01-14 |
1275912776 | F Kelly Cunningham Md, Pa | Orthopaedic Surgery | 911 W 38th St Ste 101, Austin, TX 78705-9918 | 2015-05-29 |
1952475212 | Texas Bone & Joint Institute | Orthopaedic Surgery | 5656 Bee Caves Rd, Suite F200, Austin, TX 78746-5280 | 2006-11-20 |
1295849693 | Ted D Spears, Md, Pa | Orthopaedic Surgery | 9737 Great Hills Trl Ste 240, Austin, TX 78759-6418 | 2006-08-19 |
1790794592 | Greg L Westmoreland | Orthopaedic Surgery | 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-4107 | 2006-08-08 |
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.