TRAVIS COUNTY NEUROMONITORING, PLLC (NPI# 1649716531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649716531 |
| Entity Type | Organization |
| Organization Name | TRAVIS COUNTY NEUROMONITORING, PLLC |
| Practice Address |
4301 W William Cannon Dr Suite B-150 #262 Austin TX 78749-1473 |
| Practice Telephone | 5125382179 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Authorized Official Name | DR. GORDON MARSHALL (PRESIDENT) |
| Authorized Official Telephone | 5125382179 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4301 W WILLIAM CANNON DR SUITE B-150 #262 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78749-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215017 | Elizabeth Collin Mcclune | Optometrist | 4301 W William Cannon Dr, Suite B210, Austin, TX 78749 | 2006-04-18 |
| 1740897958 | Stefanie Taing | Optometrist | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2020-09-30 |
| 1831744515 | Yesha Kamlesh Patel | Optometrist | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2019-08-08 |
| 1740700244 | Cinco Ninos, LLC | Counselor | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2017-06-26 |
| 1821530635 | Duchess Dental Pllc | Dentist | 4301 W William Cannon Dr, Suite B240, Austin, TX 78749-1473 | 2016-11-09 |
| 1427433770 | Michelle Marie Thompson | Behavioral Analyst | 4301 W William Cannon Dr, B-150, Austin, TX 78749-1473 | 2015-07-28 |
| 1992199269 | Costco Wholesale Corporation | Hearing Aid Equipment | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2015-03-25 |
| 1225429921 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2015-02-17 |
| 1104235134 | Priyal Desai | Optometrist | 4301 W William Cannon Dr, Ste B210, Austin, TX 78749-1473 | 2014-08-04 |
| 1760814495 | John Butler | Pharmacist | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| 1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
| 1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
| 1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
| 1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
| 1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
| 1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
| 1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
| 1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
| Find all providers in zip 78749 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699878801 | Greater Austin Neurology Clinic Pa | Psychiatry & Neurology | 13915 N Mo Pac Expy, Suite 302, Austin, TX 78728-6517 | 2006-09-06 |
| 1174121586 | Parkinsons Restless Legs & Movement Disorder Specialists Pllc | Psychiatry & Neurology | 6618 Sitio Del Rio Blvd Ste D102, Austin, TX 78730-1148 | 2020-10-16 |
| 1922509983 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-26 |
| 1548769979 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-12 |
| 1699190876 | Neurology Clinic Pa | Psychiatry & Neurology | 601 W 17th St, Austin, TX 78701-1103 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
| 1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
| 1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
| 1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
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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.