AUSTIN FIVE STAR ER, P.A. (NPI# 1477959815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477959815 |
| Entity Type | Organization |
| Organization Name | AUSTIN FIVE STAR ER, P.A. |
| Practice Address |
1700 Round Rock Avenue Round Rock TX 78681 |
| Mailing Address |
6300 La Calma Dr Suite 200 Austin TX 78752-3843 |
| Practice Telephone | 2812098921 |
| Practice Fax Number | 2812098930 |
| Mailing Telephone | 2812098921 |
| Mailing Fax Number | 2812098930 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | CHERYL CONNER (CEO) |
| Authorized Official Telephone | 2812098921 |
| 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 | BLUE CROSS BLUE SHIELD OF TEXAS | 00M5M7 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225407760 | Austin Five Star Er, P.a. | Emergency Medicine | 21315 N. Sh 130, Bldg. 4, Pflugerville, TX 78660 | 2015-09-15 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1427439181 | Austin Five Star Er, P.a. | Emergency Medicine | 333 E Highway 290, Dripping Springs, TX 78620-5300 | 2015-06-17 |
| Street Address |
1700 ROUND ROCK AVENUE |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245636349 | Five Star Er LLC | Clinic/Center | 1700 Round Rock Avenue, Round Rock, TX 78681 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| 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 |
|---|---|---|---|---|
| 1104180470 | Kristen Faye Walker | Emergency Medicine | 3341 Winding River Trl, Round Rock, TX 78681-1136 | 2012-07-01 |
| 1285835926 | Bruce J Chen | Emergency Medicine | 2410 Round Rock Ave Ste 110, Round Rock, TX 78681-4019 | 2007-05-30 |
| 1962428482 | William Joseph Meiser | Emergency Medicine | 16906 Bar Harbor Bnd, Round Rock, TX 78681-3408 | 2006-07-15 |
| 1962440875 | Donatus M. Egbonim | Emergency Medicine | 4309 Greatview Dr, Round Rock, TX 78665-1245 | 2006-06-03 |
| 1083678072 | Shannon Lee Casey | Emergency Medicine | 3402 Inwood Cv, Round Rock, TX 78681 | 2006-04-14 |
| 1215933718 | Sherard T. Houston | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2005-06-21 |
| 1730617788 | Andrew Shayne Outlaw | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-06-02 |
| 1861845323 | Benjamin Reed | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2016-07-20 |
| 1073969978 | Jaismeen Nijjar | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2016-05-10 |
| 1295189587 | Cliffe Khillip Kwon | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2016-04-22 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
Please comment or provide details below to improve the information on AUSTIN FIVE STAR ER, P.A..
| 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.