JULIA R. DE WETTE (NPI# 1427063585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427063585 |
| Entity Type | Individual |
| Full Name | JULIA R. DE WETTE |
| Credential | MD |
| Practice Address |
1807 W Slaughter Ln #490 Austin TX 78748-6208 |
| Mailing Address |
Po Box 26726 Austin TX 78755-0726 |
| Practice Telephone | 5122828967 |
| Practice Fax Number | 5122925141 |
| Mailing Telephone | 5124078686 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | F6573 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 105847103 | 05 | |
| TX | 105847105 | 05 | |
| TX | 105847104 | 05 | |
| TX | 105847101 | 05 |
| Street Address |
1807 W SLAUGHTER LN #490 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275926941 | Christen Gumbs | Physical Therapist | 1807 W Slaughter Ln, Ste 475, Austin, TX 78748-6230 | 2015-03-05 |
| 1336574466 | Absolute Life Wellness Center, Inc | Chiropractor | 1807 W Slaughter Ln, Suite 450, Austin, TX 78748-6230 | 2013-09-09 |
| 1538429261 | Knema Pascal Rezaei-bazazizad | Pediatrics | 1807 W Slaughter Ln, Suite 490, Austin, TX 78748-6230 | 2012-05-29 |
| 1811263981 | Rudxandra Aguiar | Internal Medicine | 1807 W Slaughter Ln, Suite 490, Austin, TX 78748-6230 | 2012-03-22 |
| 1073818936 | Daniel Albert Shaddock | Chiropractor | 1807 W Slaughter Ln, Suite 450, Austin, TX 78748-6230 | 2011-01-24 |
| 1386821163 | James Edward Werling | Physical Therapist | 1807 W Slaughter Ln, 475, Austin, TX 78748-6230 | 2008-01-24 |
| 1962606525 | James M. Goodman | Pediatrics | 1807 W Slaughter Ln, #490, Austin, TX 78748-6208 | 2007-06-14 |
| 1083838494 | Victoria M Flores | Family Medicine | 1807 W Slaughter Ln, Suite 490, Austin, TX 78748-6230 | 2007-04-13 |
| 1194851394 | Sonia Yousuf | Internal Medicine | 1807 W Slaughter Ln, Suite 490, Austin, TX 78748-6230 | 2007-02-24 |
| 1730195090 | Jennifer C Pannell | Pediatrics | 1807 W Slaughter Ln, #490, Austin, TX 78748-6208 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
| 1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
| 1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
| 1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
| 1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
| 1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
| 1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
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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.