LEE C CROCKER (NPI# 1255347530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255347530 |
| Entity Type | Individual |
| Full Name | LEE C CROCKER |
| Credential | PA |
| Practice Address |
1807 W Slaughter Ln #490 Austin TX 78748-6208 |
| Mailing Address |
Po Box 26726 Austin TX 78755-0726 |
| Practice Telephone | 5122828967 |
| Practice Fax Number | 5122925143 |
| Mailing Telephone | 5124078686 |
| Mailing Fax Number | 5124214489 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00233 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183275001 | 05 | |
| TX | 183275002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073698726 | Lee Crocker | Anesthesiology | 814 S Washington Ave, Titusville, FL 32780-2406 | 2006-10-25 |
| Street Address |
1807 W SLAUGHTER LN #490 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285701 | Deepti G Kapadia | Family Medicine | 1807 W Slaughter Ln #490, Austin, TX 78748-6208 | 2006-07-29 |
| 1205842564 | Gregory S Sheff | Family Medicine | 1807 W Slaughter Ln #490, Austin, TX 78748-6208 | 2006-07-31 |
| 1114932282 | Rawah Tannous | Internal Medicine | 1807 W Slaughter Ln #490, Austin, TX 78748-6208 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| 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 |
|---|---|---|---|---|
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
| 1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
| 1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
| 1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
| 1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
| 1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
| 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.