LAKELINE EMERGENCY PHYSICIANS, PLLC (NPI# 1316426505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316426505 |
| Entity Type | Organization |
| Organization Name | LAKELINE EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
1860 S. Lakeline Blvd Cedar Park TX 78613 |
| Mailing Address |
3620 E Whitestone Blvd Cedar Park TX 78613-7441 |
| Practice Telephone | 5122602732 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | LIZA J CASTANO (COO) |
| Authorized Official Telephone | 5124682432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1860 S. LAKELINE BLVD |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 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 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| 1619460102 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1300 E Whitestone Blvd Ste 480, Cedar Park, TX 78613 | 2018-06-11 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified 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 |
|---|---|---|---|---|
| 1770798563 | Nathaniel Greenwood | Emergency Medicine | 3620 E Whitestone Blvd, Cedar Park, TX 78613-7441 | 2007-05-14 |
| 1720045263 | Robert H Emmick Jr. | Emergency Medicine | 900 E Whitestone Blvd, Cedar Park, TX 78613-9093 | 2006-04-27 |
| 1477537926 | Jozef Lizardo Smit | Emergency Medicine | 1510 Colorado Bend Dr, Cedar Park, TX 78613-6958 | 2005-11-29 |
| 1154961191 | Shelley Katherine Cogdell | Emergency Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2020-01-07 |
| 1154775740 | Harrison Lobdell Iv | Emergency Medicine | 3620 E Whitestone Blvd, Cedar Park, TX 78613-7441 | 2016-04-20 |
| 1821483827 | Adam Haushalter | Emergency Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2015-04-06 |
| 1841611126 | Common Sense Care LLC | Emergency Medicine | 3620 E Whitestone Blvd, Cedar Park, TX 78613-7441 | 2014-01-03 |
| 1871933788 | Nathaniel Alex Lafleur | Emergency Medicine | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 2013-06-25 |
| 1538394317 | Brandon Keith Zinn | Emergency Medicine | 801 E Whitestone Blvd, Bldg B, Cedar Park, TX 78613-5028 | 2009-05-21 |
| 1528219573 | Joseph Okpe Onuh | Emergency Medicine | 1401 Medical Pkwy, Suite B220, Cedar Park, TX 78613-7763 | 2008-10-08 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on LAKELINE EMERGENCY PHYSICIANS, PLLC.
| 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.