ABILENE DIAGNOSTIC CLINIC, PLLC (NPI# 1346242567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346242567 |
| Entity Type | Organization |
| Organization Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Other Organization Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Practice Address |
1665 Antilley Rd # 200 Abilene TX 79606-5265 |
| Mailing Address |
Po Box 5409 Abilene TX 79608-5409 |
| Practice Telephone | 3257935375 |
| Practice Fax Number | 3257935384 |
| Mailing Telephone | 3254378655 |
| Mailing Fax Number | 3254378647 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | ANDREW KOUBA (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3254378645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1306102-02 | 05 |
| Other Name | Type Code |
|---|---|
| Abilene Diagnostic Clinic | Doing Business As Name - Organization |
| Abilene Diagnostic Clinic, PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725062 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 1665 Antilley Rd Ste 210, Abilene, TX 79606-5276 | 2017-12-13 |
| 1013159854 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 6250 Regional Plz Ste 1016, Abilene, TX 79606-5223 | 2009-03-25 |
| 1760482665 | Abilene Diagnostic Clinic, Pllc | Spec/Tech, Pathology | 1665 Antilley Rd Ste 190, Abilene, TX 79606-5249 | 2005-07-21 |
| 1912149758 | Abilene Diagnostic Clinic, Pllc | Podiatrist | 1665 Antilley Rd Ste 230, Abilene, TX 79606-5291 | 2009-03-25 |
| 1275780744 | Abilene Diagnostic Clinic, Pllc | Clinic/Center | 1665 Antilley Rd, Suite 120, Abilene, TX 79606-5265 | 2008-08-26 |
| 1356341184 | Abilene Diagnostic Clinic, Pllc | Radiologic Technologist | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2005-07-22 |
| 1497755235 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2005-07-22 |
| Street Address |
1665 ANTILLEY RD # 200 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801203203 | Sycamore Home Health Care LLC | Home Health | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2014-07-17 |
| 1780090688 | Amber Taff | Nurse Practitioner | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2014-07-11 |
| 1467863837 | Imperium Consulting, LLC | Clinical Nurse Specialist | 1665 Antilley Rd, 240, Abilene, TX 79606-5265 | 2014-05-19 |
| 1760893606 | Karen Szabo | Physician Assistant | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5265 | 2014-05-14 |
| 1366873671 | Jennifer Abney | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-12-12 |
| 1992143325 | Monica Morris Smola | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-06-07 |
| 1669816591 | Mark B. Reedy, M.d., Pllc | Obstetrics & Gynecology | 1665 Antilley Rd, Suite 250, Abilene, TX 79606-5265 | 2013-04-22 |
| 1114205408 | Integracare Hospice of Abilene, LLC | Hospice Care, Community Based | 1665 Antilley Rd, Ste 300, Abilene, TX 79606-5265 | 2011-08-03 |
| 1184919110 | Vincent Leonard Van Acht | Family Medicine | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2011-06-17 |
| 1457679250 | Abilene Urology, Pllc | Urology | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2010-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| 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 |
|---|---|---|---|---|
| 1033572946 | Larry Smith | Specialist | 5234 Jarman St, Abilene, TX 79601-7002 | 2016-03-30 |
| 1104167055 | Oral & Maxillofacial Surgery of Abilene Pllc | Specialist | 1904 Pine St Ste 1d, Abilene, TX 79601-2450 | 2013-03-01 |
| 1023341567 | Bettie Ann Brower | Specialist | 4702 Spanish Oak Ct, Abilene, TX 79606-3435 | 2009-09-16 |
| 1215057310 | Abilene Cardiovascular Surgery, P.a. | Specialist | 1680 Antilley Rd Ste 260, Abilene, TX 79606-5247 | 2007-03-30 |
| 1912037516 | Abilene Perinatal Associates, P.l.l.c. | Specialist | 1850 Hickory St Fl 2, Abilene, TX 79601-2325 | 2007-03-06 |
| 1215004403 | Gary A Lamb | Specialist | 1742 Hickory St, Abilene, TX 79601-2943 | 2006-11-30 |
| 1891891099 | John H. Judd, Md, Pa | Specialist | 6250 Regional Plaza, Suite 1016, Abilene, TX 79606 | 2006-09-15 |
| 1497860605 | Grady D Yoder | Specialist | 401 Cypress, #110, Abilene, TX 79601-5122 | 2006-08-20 |
| 1447365325 | William Orlan Akin | Specialist | 702 Hickory St Ste B, Abilene, TX 79601-5038 | 2006-08-20 |
| 1003823618 | Photodermic, Inc. | Specialist | 3110 N 1st St, Abilene, TX 79603-7004 | 2006-08-03 |
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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.