CENTRAL TEXAS PAIN INSTITUTE PLLC (NPI# 1316956832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316956832 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN INSTITUTE PLLC |
| Practice Address |
4100 N Duval Rd Bldg IIi Suite 200 Austin TX 78759-4275 |
| Practice Telephone | 5124857200 |
| Practice Fax Number | 5124857220 |
| Mailing Telephone | 5124857200 |
| Mailing Fax Number | 5124857220 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | ELENA FUENTES (VP) |
| Authorized Official Telephone | 5124857200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J7566 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DAWN PTAN | 8K5001 | 01 |
| TX | SATURDAY PTAN | 8K4516 | 01 |
| TX | HEATHER PTAN | 8K5000 | 01 |
| TX | PAUL PTAN | 8K2271 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588038368 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 1401 Medical Pkwy Ste 345, Cedar Park, TX 78613-7763 | 2015-11-17 |
| 1235503012 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 2500 W William Cannon Dr, Suite 206, Austin, TX 78745-5257 | 2015-11-17 |
| 1932573714 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 10252 W Adams Ave, Temple, TX 76502-5848 | 2015-11-17 |
| Street Address |
4100 N DUVAL RD BLDG III SUITE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
| 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.