AUSTIN CHILDREN'S CLINIC, PA (NPI# 1508080516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508080516 |
| Entity Type | Organization |
| Organization Name | AUSTIN CHILDREN'S CLINIC, PA |
| Practice Address |
11673 Jollyville Rd Suite 104 Austin TX 78759-3933 |
| Practice Telephone | 5123385130 |
| Practice Fax Number | 5123385112 |
| Mailing Telephone | 5123385130 |
| Mailing Fax Number | 5123385112 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MRS. REBECCA PAULINE MYERS (OFFICE MANAGER) |
| Authorized Official Telephone | 5123385130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11673 JOLLYVILLE RD SUITE 104 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821034661 | Amy Jean Mccaffrey | Obstetrics & Gynecology | 11673 Jollyville Rd, Suite 205, Austin, TX 78759-3933 | 2006-06-21 |
| 1477935310 | Stacy Ruse Counseling Pllc | Counselor | 11673 Jollyville Rd, B204, Austin, TX 78759-4200 | 2015-06-27 |
| 1639584527 | Danny Do | Nurse Practitioner | 11673 Jollyville Rd, Suite B-101, Austin, TX 78759-4200 | 2014-06-30 |
| 1265735302 | Candi L. Gadison-stoglin | Social Worker | 11673 Jollyville Rd, Suite B202, Austin, TX 78759-4200 | 2010-12-13 |
| 1447584479 | Anna Maria Krol | Chiropractor | 11673 Jollyville Rd, Suite 202, Austin, TX 78759-4200 | 2009-09-23 |
| 1033359534 | Heart Clinic of Austin, Pa | Internal Medicine | 11673 Jollyville Rd, Ste 205 B, Austin, TX 78759-4200 | 2009-02-24 |
| 1326299157 | Amy Kreydin | Reflexologist | 11673 Jollyville Rd, Suite 201, Austin, TX 78759-4200 | 2008-10-10 |
| 1225296320 | Alicia Grossmann | Internal Medicine | 11673 Jollyville Rd, Suite 205, Austin, TX 78759-4200 | 2008-05-27 |
| 1821112244 | Angela Shih Md Pa | Internal Medicine | 11673 Jollyville Rd, Suite B 101, Austin, TX 78759-4200 | 2007-03-19 |
| 1477601003 | Dee Ann Newbold | Acupuncturist | 11673 Jollyville Rd, Suite 201, Austin, TX 78759-3933 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1477545408 | Jeffrey Wade Hutchinson | Pediatrics | 1101 Camino La Costa, Austin, TX 78752-3930 | 2005-08-16 |
| 1467716621 | Salina Mostajabian | Pediatrics | 1101 Camino La Costa, Austin, TX 78752 | 2012-07-02 |
| 1821068347 | Mary Johnson | Pediatrics | 4700 Seton Center Pkwy, 125, Austin, TX 78759-5295 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
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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.