AUSTIN REGIONAL CLINIC, PA (NPI# 1659858454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659858454 |
Entity Type | Organization |
Organization Name | AUSTIN REGIONAL CLINIC, PA |
Other Organization Name | ARC - FAR WEST MEDICAL TOWER |
Practice Address |
6811 Austin Center Blvd Ste 300 Austin TX 78731-3166 |
Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723-1098 |
Practice Telephone | 5123468888 |
Practice Fax Number | 5124067321 |
Mailing Telephone | 5123383802 |
Mailing Fax Number | 5124066216 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2019-02-20 |
Authorized Official Name | ANAS DAGHESTANI (CEO/PRESIDENT) |
Authorized Official Telephone | 5122315500 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1333940-03 | 05 |
Other Name | Type Code |
---|---|
ARC - Far West Medical Tower | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
1528694999 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 940 W University Ave, Suite 101, Georgetown, TX 78626-6503 | 2020-03-18 |
1639713282 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 27600 Ranch Road 12, Bldg 1, Dripping Springs, TX 78620-5612 | 2019-11-06 |
1538726542 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 15801 W Highway 71, Bldg 1, Bee Cave, TX 78738-2708 | 2019-05-24 |
1295291789 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 11300 E Hwy 390, Bldg 2, Ste 230, Manor, TX 78653-0397 | 2019-02-20 |
1568930584 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 901 Crystal Falls Pkwy Ste 103, Leander, TX 78641-1931 | 2018-11-07 |
1124323845 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 3828 S. 1st St, Austin, TX 78704-7048 | 2011-01-12 |
1679878391 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 1807 Slaughter Ln, Suite 490, Austin, TX 78748-6237 | 2011-01-12 |
1821157579 | Austin Regional Clinic, Pa | Allergy & Immunology | 6210 E Us Hwy 290, Suite 420 - Credentialing, Austin, TX 78723-1098 | 2006-12-08 |
1053963025 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2019-07-10 |
Street Address |
6811 AUSTIN CENTER BLVD STE 300 |
City | AUSTIN |
State | TX |
Zip Code | 78731-3166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487646667 | George P Rodgers | Internal Medicine | 6811 Austin Center Blvd, Suite 410, Austin, TX 78731-3146 | 2005-08-16 |
1841744158 | Brian Watabe | Physician Assistant | 6811 Austin Center Blvd, Suite 300, Austin, TX 78731-3146 | 2016-08-04 |
1316336829 | Honey Nagakura | Genetic Counselor, MS | 6811 Austin Center Blvd, Ste. 400, Austin, TX 78731-3146 | 2015-01-21 |
1689080624 | Jill Harris | Genetic Counselor, MS | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2014-07-10 |
1609214501 | Maria Eziafa Chiejina | Internal Medicine | 6811 Austin Center Blvd, Austin, TX 78731-3146 | 2013-06-13 |
1659637981 | Elva Brewster | Physical Therapist | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2012-04-11 |
1639444540 | Jessica Abel Chonis | Genetic Counselor, MS | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2012-03-12 |
1962774240 | Larina H Lin | Occupational Therapist | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2012-02-02 |
1902178189 | Margaret Garwood | Physical Therapist | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2012-02-02 |
1558633735 | Emily E Rasco | Occupational Therapist | 6811 Austin Center Blvd, Suite 400, Austin, TX 78731-3146 | 2012-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
Find all providers in zip 78731 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
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.