DR. AJAY K GUPTA (NPI# 1629026067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629026067 |
| Entity Type | Individual |
| Full Name | DR. AJAY K GUPTA |
| Credential | M.D. |
| Practice Address |
4515 Seton Center Pkwy Ste 220 Austin TX 78759 |
| Mailing Address |
6210 E Us Hwy 290 Ste. 420 - Credentialing Austin TX 78759-5785 |
| Practice Telephone | 5123388388 |
| Practice Fax Number | 5124066274 |
| Mailing Telephone | 5123383826 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J8562 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124005308 | 05 | |
| TX | 124005307 | 05 | |
| TX | BCBSTX PROVIDER NUMB | 82T248 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 E 41st St, Suite 925, Austin, TX 787514810 | 5129789940 | 5129019702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927733 | Ajay Gupta | Pharmacist | 7777 E 23rd Ave, #1405, Denver, CO 80238-2741 | 2012-10-25 |
| 1316049265 | Ajay K Gupta | Ophthalmology | 2414 Kohler Memorial Dr Ste 230, Sheboygan, WI 53081-3129 | 2006-09-02 |
| 1215974225 | Ajay Gupta | Internal Medicine | 401 Hamburg Tpke Ste 109, Wayne, NJ 07470-2139 | 2006-05-31 |
| 1821575424 | Ajay Gupta | Pharmacist | 2001 Neuse Blvd, New Bern, NC 28560-3470 | 2018-07-26 |
| 1710321914 | Ajay Gupta | Pediatrics | Elm and Carlton Streets, Buffalo, NY 14263 | 2013-04-18 |
| 1598052318 | Ajay Gupta | Hospitalist | 301 Yadkin St, Albemarle, NC 28001-3441 | 2011-06-30 |
| 1902058829 | Ajay Gupta | Radiology | 525 E 68th St, Box 141, New York, NY 10065-4885 | 2008-10-22 |
| 1487803466 | Ajay Gupta | Speech-Language Pathologist | 25865 W 12 Mile Rd, Southfield, MI 48034-1817 | 2008-09-15 |
| 1043492341 | Ajay Gupta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5325 Elliott Dr, Suite Number 102, Ypsilanti, MI 48197-8633 | 2007-11-29 |
| 1629294855 | Ajay Gupta | Pharmacist | 45 High St, Nashua, NH 03060-3312 | 2007-04-17 |
| Street Address |
4515 SETON CENTER PKWY STE 220 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518478395 | Jennifer Treadaway Foster | Nurse Practitioner | 4515 Seton Center Pkwy Ste 220, Austin, TX 78759-5784 | 2017-10-19 |
| 1457887481 | Victoria I Chen | Family Medicine | 4515 Seton Center Pkwy Ste 220, Austin, TX 78759-5784 | 2017-05-11 |
| 1841645181 | Kumari K Godigamuwa | Family Medicine | 4515 Seton Center Pkwy Ste 220, Austin, TX 78759-5784 | 2016-04-23 |
| 1528253739 | Robin Meadows | Clinical Nurse Specialist | 4515 Seton Center Pkwy Ste 220, Austin, TX 78759-5784 | 2007-09-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| 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.