LARRY EDMONDSON (NPI# 1689753824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689753824 |
| Entity Type | Individual |
| Full Name | LARRY EDMONDSON |
| Credential | MD |
| Practice Address |
7800 Shoal Creek Blvd Ste 130w Austin TX 78757-1098 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 7138740012 |
| Practice Fax Number | 7135325756 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L4828 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7800 SHOAL CREEK BLVD STE 130W |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144738 | Nurses To Go, Inc. | Hospice Care, Community Based | 7800 Shoal Creek Blvd, Suite 145s, Austin, TX 78757-1098 | 2005-12-09 |
| 1538578943 | Adrian De La Rosa | Pharmacist | 7800 Shoal Creek Blvd, Austin, TX 78757-1098 | 2014-08-11 |
| 1326487497 | Jorah Murray | Nurse Practitioner | 7800 Shoal Creek Blvd, Suite 120w, Austin, TX 78757-1098 | 2013-06-21 |
| 1780913079 | Leakesia Jenkins | Pharmacist | 7800 Shoal Creek Blvd, 100, Austin, TX 78757-1098 | 2009-12-15 |
| 1689816894 | Vpa of Texas Pllc | Radiology | 7800 Shoal Creek Blvd, Ste 120w, Austin, TX 78757-1098 | 2009-04-02 |
| 1962666321 | Vpa of Texas, Pllc | Radiology | 7800 Shoal Creek Blvd, Austin, TX 78757-1098 | 2008-07-15 |
| 1760603591 | Nurses To Go, Inc. | Hospice Care, Community Based | 7800 Shoal Creek Blvd, Suite 242 South, Austin, TX 78757-1098 | 2007-05-01 |
| 1871665430 | Warren Thamarus | Family Medicine | 7800 Shoal Creek Blvd, Suite 120w, Austin, TX 78757-1098 | 2006-11-15 |
| 1457431090 | Lisa Louise Houy | Registered Nurse | 7800 Shoal Creek Blvd, 205n, Austin, TX 78757-1098 | 2006-10-17 |
| 1730287343 | Robert Gower | Clinical Nurse Specialist | 7800 Shoal Creek Blvd, Ste130w, Austin, TX 78757-1098 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on LARRY EDMONDSON.
| 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.