KILLEEN NEUROLOGY, PA (NPI# 1578599924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578599924 |
| Entity Type | Organization |
| Organization Name | KILLEEN NEUROLOGY, PA |
| Practice Address |
2105 S Clear Creek Rd Killeen TX 76549-4110 |
| Mailing Address |
Po Box 938 Killeen TX 76540-0938 |
| Practice Telephone | 2545543377 |
| Practice Fax Number | 2545543389 |
| Mailing Telephone | 2546346999 |
| Mailing Fax Number | 2542004090 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | DR. SHAMSUDDIN KHWAJA (OWNER) |
| Authorized Official Telephone | 2545543377 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L9285 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILRAOD | DC5542 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0003MS | 01 |
| TX | 173994801 | 05 |
| Street Address |
2105 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487619284 | Shamsuddin Khwaja | Neurological Surgery | 2105 S Clear Creek Rd, Killeen, TX 76549-4110 | 2006-04-18 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294635 | Skinful LLC | Specialist | 3921 E Stan Schlueter Loop Ste 102, Killeen, TX 76542-6371 | 2020-10-30 |
| 1245708981 | Sharon T Barber | Specialist | 1705 S Fort Hood St Ste 106, Killeen, TX 76542-1685 | 2018-11-12 |
| 1750540811 | Mlmd Pa | Specialist | 2111 S Clear Creek Rd, Killeen, TX 76549-4110 | 2008-06-04 |
| 1912945551 | Omar Homsi | Specialist | 4102 S Clear Creek Rd, Ste 107, Killeen, TX 76549-5953 | 2006-06-04 |
| 1497997829 | Killeen Digestive Disease Consultants Pa | Specialist | 2301 S Clear Creek Rd, Ste 102, Killeen, TX 76549-4143 | 2009-03-31 |
| 1427212133 | Michael G. Parisi, Do, Pa | Specialist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2008-07-11 |
| 1972772309 | Aesthetic Surgery Associates LLP | Specialist | 2301 S Clear Creek Rd, Suite 106, Killeen, TX 76549-4198 | 2008-02-29 |
| 1780726646 | Arthritis Consultants, Pa | Specialist | 2301 S Clear Creek Rd, Suite 206, Killeen, TX 76549-4143 | 2007-02-13 |
| 1285654491 | Pamela Hornbeck | Specialist | 2301 S Clear Creek Rd, Suite 226, Killeen, TX 76549-4143 | 2006-07-20 |
| 1265470603 | Killeen Pediatric Care Clinic, P.a. | Specialist | 2301 S Clear Creek Rd, Killeen, TX 76549-4143 | 2006-06-04 |
| Find all providers in KILLEEN | ||||
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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.