DELL CHILDREN'S MEDICAL GROUP (NPI# 1326072943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326072943 |
| Entity Type | Organization |
| Organization Name | DELL CHILDREN'S MEDICAL GROUP |
| Other Organization Name | 'SPECIALLY FOR CHILDREN CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL |
| Practice Address |
1301 Barbara Jordan Blvd Ste 200 Austin TX 78723-3078 |
| Practice Telephone | 5126281800 |
| Practice Fax Number | 5126281801 |
| Mailing Telephone | 5126281800 |
| Mailing Fax Number | 5126281801 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | CLAYTON CARSNER (VP/COO) |
| Authorized Official Telephone | 5123245846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 080052604 | 01 |
| Other Name | Type Code |
|---|---|
| 'Specially for Children Children's Hospital Subspecialists of Central | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790103869 | Dell Children's Medical Group | Dermatology | 1000 Hesters Crossing Rd, Round Rock, TX 78681-8020 | 2014-04-04 |
| Street Address |
1301 BARBARA JORDAN BLVD STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781676 | Elizabeth Christine Tyler-kabara | Specialist | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2006-02-24 |
| 1134765480 | Laura Kerr | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-11-21 |
| 1215588975 | Courtney Capri Conlon | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-09-24 |
| 1700440179 | Hadyn Noelle Standish | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-04-30 |
| 1538562178 | Eleonor April Jones | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2014-09-26 |
| 1205276623 | Sireesha Chinthaparthi | Psychiatry & Neurology | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2013-06-29 |
| 1265781496 | Chantal Lucia Casadonte | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2012-09-04 |
| 1144588799 | Janet Ellen Orrock | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723 | 2012-05-01 |
| 1558659060 | Dianna Evelyn Yip | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2011-07-18 |
| 1982992038 | Olivia Martino | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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.