SOUTHWESTERN UNIVERSITY


Address: 1001 E University Ave, Prothro Center, Suite 200, Georgetown, TX 78626-6100
Phone: 5128631252

SOUTHWESTERN UNIVERSITY (NPI# 1699014779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699014779
Entity Type Organization
Organization Name SOUTHWESTERN UNIVERSITY
Other Organization Name SOUTHWESTERN UNIVERSITY HEALTH SERVICES
Practice Address 1001 E University Ave
Prothro Center, Suite 200
Georgetown
TX 78626-6100
Practice Telephone 5128631252
Practice Fax Number 5128631814
Mailing Telephone 5128631252
Mailing Fax Number 5128631814
Enumeration Date 2013-02-08
Last Update Date 2013-02-08
Authorized Official Name RICHARD ANDERSON (VP FOR FISCAL AFFAIRS)
Authorized Official Telephone 5128631475
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southwestern University Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770912388 Southwestern University Clinic/Center 1001 E University Ave, Suite 200, Georgetown, TX 78626-6100 2013-11-04

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities SOUTHWESTERN UNIVERSITY LC 115 College Drive, Lawrenceville, Virginia 23868

Office Location

Street Address 1001 E UNIVERSITY AVE
PROTHRO CENTER, SUITE 200
City GEORGETOWN
State TX
Zip Code 78626-6100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215067723 Shawna Leigh Hein Specialist/Technologist 1001 E University Ave, Georgetown, TX 78626-6100 2007-03-06
1063019743 Veronica Rubalcava Filer Nurse Practitioner 1001 E University Ave, Georgetown, TX 78626-6107 2020-10-06
1114541299 Jena Whitley Specialist/Technologist 1001 E University Ave, Georgetown, TX 78626-6100 2020-06-03
1124516232 Cari Ann Zubke Physical Medicine & Rehabilitation 1001 E University Ave, Georgetown, TX 78626-6100 2018-04-24
1215442116 Glenn R Schwab Specialist/Technologist 1001 E University Ave, Georgetown, TX 78626-6100 2017-12-13
1255871232 Marie Worsham Psychologist 1001 E University Ave, Protho Ctr., Ste 200, Georgetown, TX 78626-6100 2017-02-24
1215366562 Kimberly Willhoite Registered Nurse 1001 E University Ave, Georgetown, TX 78626-6100 2013-11-07
1770912388 Southwestern University Clinic/Center 1001 E University Ave, Suite 200, Georgetown, TX 78626-6100 2013-11-04
1528497229 Laura Cook Bredt Registered Nurse 1001 E University Ave, Georgetown, TX 78626-6100 2013-11-04
1922350818 Jennifer Christine Spiller Registered Nurse 1001 E University Ave, Prothro Suite 200, Georgetown, TX 78626-6100 2012-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932603230 Danietra Mcgrue Home Health Aide 108 Blue Waterleaf Ln, Georgetown, TX 78626 2018-03-21
1588175673 Kristin Marie Alaniz Nurse Practitioner 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 2017-10-17
1669865275 Stephen Harris Counselor 101 W Cooperative Way Ste 100, Georgetown, TX 78626 2015-03-07
1356739080 Craig Crossman Physical Therapy Assistant 705 E 13th St, Georgetown, TX 78626 2015-01-05
1679977318 Nancy Krenek Physical Therapist 2050 Rockride Ln., Georgetown, TX 78626 2014-10-09
1275956807 Georgetown Behavioral Health Institute, LLC Psychiatric Hospital 3101 S. Austin Avenue, Georgetown, TX 78626 2014-02-03
1184056954 Rock Springs, LLC Psychiatric Hospital 700 Southeast Inner Loop, Georgetown, TX 78626 2013-08-05
1447691936 Brandon Michael Hoffman Dentist 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 2013-07-11
1235422932 Erica Marie Edgington Nurse Anesthetist, Certified Registered Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 2011-05-27
1356570907 Grace Salone Optometrist 950 W University Ave Ste 108, Georgetown, TX 78626 2009-07-03
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770912388 Southwestern University Clinic/Center 1001 E University Ave, Suite 200, Georgetown, TX 78626-6100 2013-11-04
1124375241 Beebe Physicians Network, Inc. Clinic/Center 26026 Patriots Way, Georgetown, DE 19947 2012-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801447669 Wayne Williams Clinic/Center 244 Flightline, Spring Branch, TX 78070-6241 2019-09-24
1528454675 University of Houston Health Center Clinic/Center 100 Uh Health Ctr, Houston, TX 77204-3019 2015-04-15
1114361250 Stephen F. Austin State University Clinic/Center 2106 Raquet St, Nacogdoches, TX 75962-0001 2013-04-19
1669716205 Campbell University Inc Clinic/Center 5050 Spring Valley Rd, Dallas, TX 75244-3995 2012-11-20
1477807121 Stephen F. Austin State University Clinic/Center 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 2012-11-02
1811283294 Aledo Isd Clinic/Center 1008 Bailey Ranch Rd, Aledo, TX 76008-3110 2011-06-23
1316231228 Desoto Isd Clinic/Center 600 Eagle Dr, Desoto, TX 75115-6006 2011-06-08
1952695538 The University of Texas At El Paso Clinic/Center 550 W University Ave, Union Complex East #100, El Paso, TX 79968-8900 2011-06-01
1649579533 Owens Franklin Health Center, Prairie View A&m University Clinic/Center Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 2011-03-18
1346551959 University of North Texas Clinic/Center 1800 Chestnut St, Denton, TX 76201 2010-06-29
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Competitor

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City GEORGETOWN
Zip Code 78626

Improve Information

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Dataset Information

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.

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