AUSTIN OTOLOGY ASSOCIATES PA (NPI# 1659349009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659349009 |
| Entity Type | Organization |
| Organization Name | AUSTIN OTOLOGY ASSOCIATES PA |
| Other Organization Name | AUSTIN EAR CLINIC |
| Practice Address |
12319 N Mopac Expy Bldg C, Suite 300 Austin TX 78758-2403 |
| Practice Telephone | 5124540341 |
| Practice Fax Number | 5124549915 |
| Mailing Telephone | 5124540341 |
| Mailing Fax Number | 5124549915 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | DR. PATRICK W. SLATER II (PRESIDENT) |
| Authorized Official Telephone | 5124540341 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
K5006 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 079793801 | 05 | |
| TX | BSBC SLATER IND# | 87991G | 01 |
| TX | MEDICAID IND. TPI | 047540201 | 01 |
| TX | ERIN REHBERG IND. NPI | 1780691030 | 01 |
| TX | KRISTIN ARMSTRONG IND. NPI | 1942201579 | 01 |
| TX | AMY GENSLER IND. NPI | 1821275504 | 01 |
| TX | BCBS GROUP# | 0010CP | 01 |
| TX | SLATER IND. NPI | 1467440180 | 01 |
| Other Name | Type Code |
|---|---|
| Austin Ear Clinic | Doing Business As Name - Organization |
| Street Address |
12319 N MOPAC EXPY BLDG C, SUITE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467440180 | Patrick W Slater | Otolaryngology | 12319 N Mopac Expy, Bldg. C, Sutie 300, Austin, TX 78758-2403 | 2005-10-06 |
| 1285160234 | Kaylene Ball | Audiologist | 12319 N Mopac Expy, Building C #300, Austin, TX 78758-2414 | 2017-05-11 |
| 1356703243 | Teresa R Kroeker Md Pa | Surgery | 12319 N Mopac Expy, 260, Austin, TX 78758-2414 | 2016-03-22 |
| 1649635442 | Tmc Provider Group Pllc | Family Medicine | 12319 N Mopac Expy, Austin, TX 78758-2414 | 2015-12-21 |
| 1568836351 | Alecia Michelle Zuehlke | Nurse Practitioner | 12319 N Mopac Expy, #200, Austin, TX 78758-2414 | 2015-11-17 |
| 1720479033 | Iom Monitoring, Pllc | Specialist/Technologist, Other | 12319 N Mopac Expy, Bldg C, Ste 300, Austin, TX 78758-2414 | 2015-02-09 |
| 1851796171 | Rose Imaging Specialists, Pa | Radiology | 12319 N Mopac Expy, Suite 320, Austin, TX 78758-2414 | 2014-10-29 |
| 1710317516 | Neurogen Therapeutics, LLC | Chiropractor | 12319 N Mopac Expy, Suite 260, Austin, TX 78758-2414 | 2013-11-15 |
| 1104258565 | Preferred Spine and Pain Pllc | Anesthesiology | 12319 N Mopac Expy, Suite 350, Austin, TX 78758-2414 | 2013-08-07 |
| 1407101132 | Sheila Shung Md Pllc Internal Medicine | Internal Medicine | 12319 N Mopac Expy, Suite 240, Austin, TX 78758-2403 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
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| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467440180 | Patrick W Slater | Otolaryngology | 12319 N Mopac Expy, Bldg. C, Sutie 300, Austin, TX 78758-2403 | 2005-10-06 |
| 1114138484 | Ear Specialists of Austin, Pllc | Otolaryngology | 5750 Balcones Dr, Ste 200, Austin, TX 78731-4252 | 2007-05-25 |
| 1457310534 | Ears and Hearing, P.a. | Otolaryngology | 12319 N Mopac Expy, Bldg C, Suite 300, Austin, TX 78758-2403 | 2006-03-20 |
| 1568450948 | James Vardaman Kemper | Otolaryngology | 5750 Balcones Dr, Suite 200, Austin, TX 78731-4252 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851710032 | Wesley W.o. Krueger M.d. Pllc | Otolaryngology | 2632 Broadway St Ste 201, San Antonio, TX 78215-1137 | 2014-04-15 |
| 1538506498 | Eric Nicholas Appelbaum | Otolaryngology | 6501 Fannin St Ste Nb302, Houston, TX 77030-2703 | 2013-05-31 |
| 1700069838 | Claude A Mclelland Md | Otolaryngology | 3301 S Alameda, #506, Corpus Christi, TX 78411 | 2007-12-12 |
| 1003096819 | Cherie L. Booth | Otolaryngology | 4104 Junius St, Dallas, TX 75246-1427 | 2007-11-08 |
| 1225115876 | Kendal Lance Stewart | Otolaryngology | 11719 Bee Cave Rd. #204, Bee Cave, TX 78738-5543 | 2006-11-01 |
| 1194792739 | Robert M Owens | Otolaryngology | 6509 W Plano Pkwy, Plano, TX 75093-8209 | 2006-03-02 |
| 1093236325 | Chenxi You | Otolaryngology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2017-06-27 |
| 1306180781 | Marc-elie Nader | Otolaryngology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-11-25 |
| 1932497443 | Total Senior Ear Care, Corp | Otolaryngology | 9535 Forest Lane, Suite 123, Dallas, TX 75243 | 2011-07-18 |
| 1124337936 | Mark M Altenau Md Pa | Otolaryngology | 7777 Forest Ln, #b434, Dallas, TX 75230-2505 | 2010-09-28 |
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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.