SUNDANCE PHYSICIAN SERVICES, INC (NPI# 1326490889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326490889 |
| Entity Type | Organization |
| Organization Name | SUNDANCE PHYSICIAN SERVICES, INC |
| Practice Address |
7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 |
| Practice Telephone | 5127303060 |
| Practice Fax Number | 8887301925 |
| Mailing Telephone | 5127303060 |
| Mailing Fax Number | 8887301925 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | SCOTT KLOSTERMAN (CAO) |
| Authorized Official Telephone | 5127303056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 36756901 | 05 |
| Street Address |
7500 RIALTO BLVD STE 1-140 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711515 | Julia Helena Cosma | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2005-09-21 |
| 1538729744 | Hni Physician Services of Texas, Inc | Physician Assistant | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1124688338 | Hni Medical Services of Tennessee, Pllc | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1194385302 | Hni Hospital Services of Ohio, LLC | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1265092498 | Hni Hospital Services of Louisiana, LLC | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1063072296 | Hni Medical Services of Indiana, PC | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1295395499 | Sundance Medical Services, Inc | Family Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1245890441 | Hni Hospital Services of Tennessee, Pllc | Physician Assistant | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2019-06-19 |
| 1124590047 | Sherekia Lajuan Hales | Nurse Practitioner | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 | 2018-12-18 |
| 1861991937 | Jacksonville Lung Clinic LLC | Internal Medicine | 7500 Rialto Blvd Ste 1-140, Austin, TX 78735 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| 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 |
|---|---|---|---|---|
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1942864590 | Mitchell Warren | Emergency Medicine | The University of Texas At Austin Dell Medical School, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2019-04-30 |
| 1871056820 | Erin Lincoln | Emergency Medicine | Ut Austin Dell Med School Em Residency Program, 1400 N I-35, Suite 2.230, Austin, TX 78701 | 2019-04-08 |
| 1194213686 | William Aufricht | Emergency Medicine | University of Texas At Austin Dell Medical School, 1400 N. I-35 Suite 2.230, Austin, TX 78701 | 2018-04-30 |
| 1609383660 | Amelia Southwest Health | Emergency Medicine | 5903 Long Ct, Austin, TX 78730-4920 | 2017-12-29 |
| 1669908471 | Tea Jonsson | Emergency Medicine | 6836 Bee Caves Rd Ste 112, Austin, TX 78746-5059 | 2017-05-11 |
| 1851754642 | John Donahoe | Emergency Medicine | 7202 Crandower Ct, Austin, TX 78741-6662 | 2016-03-30 |
| 1972977833 | Remedy Urgent Care Pllc | Emergency Medicine | 5901 Vega Aveneu, Suite 100, Austin, TX 78735 | 2015-11-16 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on SUNDANCE PHYSICIAN SERVICES, INC.
| 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.