JEFFREY W JUNDT (NPI# 1548364649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548364649 |
| Entity Type | Individual |
| Full Name | JEFFREY W JUNDT |
| Credential | MD |
| Practice Address |
2301 S Clear Creek Rd Suite 226 Killeen TX 76549-4143 |
| Practice Telephone | 2546285454 |
| Practice Fax Number | 2546282729 |
| Mailing Telephone | 2546285454 |
| Mailing Fax Number | 2546282729 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G9128 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRSTCARE | 116313102 | 01 | |
| AETNA | 4476262 | 01 | |
| RR MEDICARE | P00026945 | 01 | |
| USA MANAGED CARE | 823320 | 01 | |
| BC/BS | 8J3366 | 01 | |
| UNITED HEALTHCARE | 2323869 | 01 | |
| TX | 159942501 | 05 |
| Street Address |
2301 S CLEAR CREEK RD SUITE 226 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536781 | Arturo Romero | Obstetrics & Gynecology | 2301 S Clear Creek Rd, Ste 208, Killeen, TX 76549-4143 | 2005-05-30 |
| 1194258251 | Elenita Benitezpenuelas | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 226, Killeen, TX 76549-4143 | 2017-04-06 |
| 1891166161 | Sandra Brown | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 216, Killeen, TX 76549-4143 | 2015-10-13 |
| 1356751267 | Valerie Elise Marten-ellis | Optometrist | 2301 S Clear Creek Rd, Suite 116, Killeen, TX 76549-4143 | 2014-04-30 |
| 1164763082 | Raeshel Leanne Smith | Nurse Practitioner | 2301 S Clear Creek Rd, Ste 112, Killeen, TX 76549-4143 | 2013-03-04 |
| 1902142870 | Robert H Hansen IIi | Orthopaedic Surgery | 2301 S Clear Creek Rd, Suite 204, Killeen, TX 76549-4119 | 2012-12-21 |
| 1689939183 | Sukumar Mht Pllc | Internal Medicine | 2301 S Clear Creek Rd, Suite 112, Killeen, TX 76549-4143 | 2012-07-10 |
| 1598027880 | Ernesto Malave Md Pa | Family Medicine | 2301 S Clear Creek Rd, Suite 108, Killeen, TX 76549-4143 | 2012-06-12 |
| 1417227075 | Reba Ann Grovijohn | Physician Assistant | 2301 S Clear Creek Rd, Suite 206, Killeen, TX 76549-4143 | 2012-01-12 |
| 1154633071 | Gabriel Orlando Colon-atencio | Technician, Other | 2301 S Clear Creek Rd, Ste. 126, Killeen, TX 76549-4143 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335648 | Stelis, Pllc | Internal Medicine | 630 Lakewood Dr, Allen, TX 75002-4700 | 2020-04-23 |
| 1326605924 | Rheumatology of The Woodlands Pllc | Internal Medicine | 9201 Pinecroft Dr Ste 285, Shenandoah, TX 77380-3888 | 2019-05-20 |
| 1720541410 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3218, Texarkana, TX 75503-9766 | 2019-04-09 |
| 1295293108 | Ryan Hall | Internal Medicine | 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666-7791 | 2019-03-10 |
| 1386123461 | Physicians Choice Infusion Clinic Pllc | Internal Medicine | 2700 Tibbets Dr # 301-1, Bedford, TX 76022-5928 | 2018-08-09 |
| 1811483803 | Memorial Advanced Rheumatology Inc | Internal Medicine | 902 Frostwood Dr Ste 208, Houston, TX 77024-2426 | 2018-07-02 |
| 1952812109 | Mpp Infusion Center of Tyler LLC | Internal Medicine | 6115 New Copeland Rd Ste 120.130, Tyler, TX 75703-6369 | 2017-10-16 |
| 1619347671 | Rheumatology Care of North Houston, Pllc | Internal Medicine | 13325 Hargrave Rd Ste 230, Houston, TX 77070-4540 | 2015-10-03 |
| 1083097620 | Advanced Infusions, Pa | Internal Medicine | 11233 Shadow Creek Parkway, Suite 123, Pearland, TX 77584-7345 | 2015-07-01 |
| 1982081915 | Kanika Monga | Internal Medicine | 4191 Bellaire Blvd Ste 250, Houston, TX 77025-1003 | 2015-04-28 |
| Find all providers with the same taxonomy | ||||
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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.