BUTTERCUP CREEK FAMILY MEDICINE PA (NPI# 1598877920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598877920 |
| Entity Type | Organization |
| Organization Name | BUTTERCUP CREEK FAMILY MEDICINE PA |
| Practice Address |
200 Buttercup Creek Blvd Ste 115 Cedar Park TX 78613 |
| Practice Telephone | 5122491400 |
| Practice Fax Number | 5122491800 |
| Mailing Telephone | 5122491400 |
| Mailing Fax Number | 5122491800 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANN ELIZABETH HATHCOCK (PRESIDENT) |
| Authorized Official Telephone | 5122491400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H1869 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P000110J7 | 05 |
| Street Address |
200 BUTTERCUP CREEK BLVD STE 115 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077991 | Affiliated Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 200 Buttercup Creek Blvd, Suite 122, Cedar Park, TX 78613-3708 | 2006-01-17 |
| 1629345913 | Peak Wellness Assiciates | Counselor | 200 Buttercup Creek Blvd, 119, Cedar Park, TX 78613-3708 | 2011-11-30 |
| 1811264286 | Vicki Matthews | Mechanotherapist | 200 Buttercup Creek Blvd, 119, Cedar Park, TX 78613-3708 | 2011-11-29 |
| 1437426632 | D Alex Matthews Dba Advanced Therapeutic Massage | Mechanotherapist | 200 Buttercup Creek Blvd, 119, Cedar Park, TX 78613-3708 | 2011-11-16 |
| 1861665648 | Konopka Chiropractic, Pllc | Chiropractor | 200 Buttercup Creek Blvd, Suite 106, Cedar Park, TX 78613-3708 | 2008-04-11 |
| 1689792061 | Jennie Ann Tanner | Occupational Therapist | 200 Buttercup Creek Blvd, Ste. 122, Cedar Park, TX 78613-3708 | 2007-03-26 |
| 1467531301 | Thomas Joseph Konopka | Chiropractor | 200 Buttercup Creek Blvd, Suite 106, Cedar Park, TX 78613-3708 | 2006-11-02 |
| 1932119930 | Joseph I Cohen | Pediatrics | 200 Buttercup Creek Blvd, Suite # 100, Cedar Park, TX 78613-3708 | 2006-08-09 |
| 1508889718 | Darrell J Park | Dentist | 200 Buttercup Creek Blvd, #111, Cedar Park, TX 78613-3708 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629562087 | Kim Denise Brown | Family Medicine | 2405 Berkshire Way, Cedar Park, TX 78613-5632 | 2018-06-19 |
| 1598195042 | Wiseman Family Practice Pllc | Family Medicine | 2500 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2967 | 2013-11-20 |
| 1881933687 | Seven Oaks Family Medicine, Pa | Family Medicine | 715 Discovery Blvd,ste 112, Cedar Park, TX 78613 | 2013-02-14 |
| 1700107323 | Haley C Overstreet | Family Medicine | 450 Cypress Creek Rd # 5, Cedar Park, TX 78613-4195 | 2010-06-17 |
| 1477780567 | Dr Richard J Wiseman Pa | Family Medicine | 2500 S. Lakeline Blvd., Ste. 100, Cedar Park, TX 78613-2968 | 2009-06-16 |
| 1437383387 | Alicia L. Wooldridge | Family Medicine | 1401 Medical Pkwy Ste 150, Cedar Park, TX 78613-5026 | 2009-05-06 |
| 1295978740 | Gustavo Rodriguez | Family Medicine | 1401 Medical Parkway, Bldg C, Suite 150, Cedar Park, TX 78613 | 2009-04-14 |
| 1679766844 | Howard W Sill | Family Medicine | 1464 E Whitestone Blvd Ste 601, Cedar Park, TX 78613-9066 | 2007-08-21 |
| 1497800304 | Richard John Wiseman | Family Medicine | 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 | 2007-01-24 |
| 1073682472 | Enas L Pruitt | Family Medicine | 801 E Whitestone Blvd Ste B, Cedar Park, TX 78613-9040 | 2006-11-07 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.