EDGERTON HEALTH LTD LLP (NPI# 1518250497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518250497 |
| Entity Type | Organization |
| Organization Name | EDGERTON HEALTH LTD LLP |
| Other Organization Name | PREMIER HEALTH & WELLNESS |
| Practice Address |
1010 W 9th St Austin TX 78703-4924 |
| Practice Telephone | 5124594405 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | SCREVEN T EDGERTON (OWNER) |
| Authorized Official Telephone | 5124594405 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Premier Health & Wellness | Doing Business As Name - Organization |
| Street Address |
1010 W 9TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578791828 | Bio-identix, Pllc | Preventive Medicine | 1010 W 9th St, Austin, TX 78703-4924 | 2009-06-25 |
| 1215204540 | Premier Gynecology of Austin | Obstetrics & Gynecology | 1010 W 9th St, Austin, TX 78703-4924 | 2011-12-01 |
| 1902119639 | Premier Gynecology of Austin | Obstetrics & Gynecology | 1010 W 9th St, Austin, TX 78703-4924 | 2010-07-22 |
| 1548499056 | Holly J Stanger | Nurse Practitioner | 1010 W 9th St, Austin, TX 78703-4924 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659682045 | Urogyn Diagnostics, LLC | Obstetrics & Gynecology | 2502 Oestrick Ln, Austin, TX 78733-2121 | 2010-06-30 |
| 1043450430 | Van Van Nguyen Md Pa | Obstetrics & Gynecology | 8741 N Lamar Blvd, Austin, TX 78753-5423 | 2009-02-25 |
| 1902986276 | Lester J Minto | Obstetrics & Gynecology | 8401 N I H 35, Suite 200, Austin, TX 78753-5751 | 2006-10-17 |
| 1679561922 | Gary Hideo Urano | Obstetrics & Gynecology | 3016 Guadalupe St, Suite B100, Austin, TX 78705-2862 | 2005-10-11 |
| 1861493751 | Edward Allen Morgan | Obstetrics & Gynecology | 1910 W 35th St, Austin, TX 78703-1324 | 2005-08-02 |
| 1255336855 | Lendol L. 'tad' Davis | Obstetrics & Gynecology | 1902 S Ih 35, Austin, TX 78704-3628 | 2005-06-20 |
| 1861992497 | Lotus Wellness and Health Pllc | Obstetrics & Gynecology | 3407 Glenview Ave, Austin, TX 78703-1448 | 2018-02-20 |
| 1699273557 | Natalie Baldwin | Obstetrics & Gynecology | 1007 E 41st St, Austin, TX 78751-4809 | 2018-01-25 |
| 1215204540 | Premier Gynecology of Austin | Obstetrics & Gynecology | 1010 W 9th St, Austin, TX 78703-4924 | 2011-12-01 |
| 1083902068 | Christina Alicia Salazar | Obstetrics & Gynecology | 1601 Trinity St, Austin, TX 78712-1765 | 2011-07-12 |
| Find all providers in AUSTIN | ||||
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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.