MICHAL KLYSIK (NPI# 1386806362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386806362 |
| Entity Type | Individual |
| Full Name | MICHAL KLYSIK |
| Credential | M.D. |
| Practice Address |
12554 Riata Vista Cir Austin TX 78727-6431 |
| Practice Telephone | (512) 795-5100 |
| Practice Fax Number | 5127955122 |
| Mailing Telephone | (512) 795-5100 |
| Mailing Fax Number | 5127955122 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Q7725 | TX | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
49163 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
12554 RIATA VISTA CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233519 | Gregory C Karnaze | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-05-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1902240914 | Kellan Michael Schallert | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-21 |
| 1497098925 | Richard William Ahn | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2013-04-03 |
| 1578822979 | Ryan M. Durel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-05-07 |
| 1790059921 | Daniel G Bloom | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-03-06 |
| 1841587474 | Nimisha Doshi Khanna | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-07-04 |
| 1295021616 | Stanislav I. Spiridonov | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-06-23 |
| 1760775134 | Aditi A Desai | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-05-18 |
| 1134412653 | Arthy Saravanan | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
| 1821029224 | Central Tx Radiology & Spine Consultants Pa | Radiology | 4316 James Casey St Ste E1, Austin, TX 78745-1157 | 2006-07-05 |
| 1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
| 1295739092 | Barry L Horowitz | Radiology | 10900 Stonelake Blvd, Ste 250, Austin, TX 78759-5873 | 2005-06-09 |
| 1659823128 | Lodespoto Medical, Pllc | Radiology | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2016-10-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1386840940 | Ryan W Vancura | Radiology | 12554 Riata Vista Circle, Austin, TX 78727-6431 | 2007-06-21 |
| 1346453313 | Bhairav N Patel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2007-05-07 |
| 1649353509 | Mark A. Auler | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-10-23 |
| 1609884089 | Nabeel Farhataziz | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 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.