CENTRAL RIVER HEALTHCARE GROUP, PLLC (NPI# 1295813764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295813764 |
| Entity Type | Organization |
| Organization Name | CENTRAL RIVER HEALTHCARE GROUP, PLLC |
| Practice Address |
1918 E Riverside Dr South Austin Medical & Health Clinic Austin TX 78741-1323 |
| Mailing Address |
8557 Research Blvd Ste 128 Austin TX 78758-7855 |
| Practice Telephone | 5123269200 |
| Mailing Telephone | 5123269200 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | LOANN THE TRINH (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5123269200 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | L1765 | TX | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
L1765 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M7463 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M5120 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | H4396 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | M2793 | TX | Allopathic & Osteopathic Physicians |
| N | 111N00000X | Chiropractor | 8016 | TX | Chiropractic Providers |
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
L1765 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161008101 | 05 | |
| TX | BCBS OF TEXAS | 00553V | 01 |
| Street Address |
1918 E RIVERSIDE DR SOUTH AUSTIN MEDICAL & HEALTH CLINIC |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457898314 | Tara Boyd | Emergency Medicine | 150 Pap Paw Pl, Austin, AR 72007-9020 | 2017-01-30 |
| 1205346236 | Pablo Daniel Riera | Emergency Medicine | 4103 W Slaughter Ln, Austin, TX 78749-6953 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799238 | Jerry George Greeson | Emergency Medicine | 2239 Walker Ave Bldg 5570, Jbsa Lackland, TX 78236-5632 | 2020-10-27 |
| 1235755315 | Morgan Tharp | Emergency Medicine | 4401 Park Springs Blvd, Arlington, TX 76017-2016 | 2020-06-24 |
| 1639146079 | Chad Bergman | Emergency Medicine | 1 Spurs Ln, San Antonio, TX 78240-1634 | 2006-03-03 |
| 1457324782 | James S Distefano | Emergency Medicine | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2006-02-08 |
| 1124626825 | Chay Shalise Nersesian | Emergency Medicine | 301 Rivercrest Blvd, Allen, TX 75002-2100 | 2020-10-14 |
| 1609493543 | Brazos Valley Physicians Alliance | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2020-06-26 |
| 1932697752 | Tyler Glynn Nugent | Emergency Medicine | 16811 Southwest Fwy Ste 200, Sugar Land, TX 77479-4728 | 2018-04-26 |
| 1407368111 | Stephan Ryan Fisher | Emergency Medicine | 601 University Dr, San Marcos, TX 78666-4684 | 2017-11-03 |
| 1427594597 | Mobility Sports Therapy | Emergency Medicine | 25420 Kuykendahl Rd, Suite D500, The Woodlands, TX 77375-3405 | 2017-01-13 |
| 1720472418 | Emily Young | Emergency Medicine | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2015-03-20 |
| 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.