AUSTIN DERM ASSOCIATES (NPI# 1700053683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700053683 |
| Entity Type | Organization |
| Organization Name | AUSTIN DERM ASSOCIATES |
| Practice Address |
3705 Medical Pkwy Ste 340 Austin TX 78705-1023 |
| Practice Telephone | 5124543781 |
| Practice Fax Number | 5124544058 |
| Mailing Telephone | 5124543781 |
| Mailing Fax Number | 5124544058 |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2008-05-10 |
| Authorized Official Name | DR. DANIEL A CARRASCO (OWNER) |
| Authorized Official Telephone | 5124543781 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | M2276 | TX | Ambulatory Health Care Facilities |
| Street Address |
3705 MEDICAL PKWY STE 340 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093764664 | Candace Thrash | Dermatology | 3705 Medical Pkwy Ste 340, Austin, TX 78705-1023 | 2006-05-09 |
| 1407274996 | Melanie Pickett | Dermatology | 3705 Medical Pkwy Ste 340, Austin, TX 78705-1023 | 2014-04-01 |
| 1043478761 | Aron Jeffrey Gewirtzman | Dermatology | 3705 Medical Pkwy Ste 340, Austin, TX 78705-1023 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1588280515 | Pilsun LLC | Clinic/Center | 206 E 9th St Ste 1300, Austin, TX 78701-4411 | 2020-06-25 |
| 1447874334 | Dose Management Pa | Clinic/Center | 2111 Kramer Ln, Austin, TX 78758-4069 | 2020-06-05 |
| 1326686494 | Code 1 Concierge Care | Clinic/Center | 14101 Us 290 W, Suite 400b, Austin, TX 78737-2445 | 2019-12-19 |
| 1649748476 | Greenbrook Tms Austin Central LLC | Clinic/Center | 3705 Medical Pkwy Ste 450, Austin, TX 78705-1024 | 2018-11-09 |
| 1497283865 | Federal Comp and Wellness Pa | Clinic/Center | 5920 W William Cannon Dr Ste 140, Austin, TX 78749-1902 | 2017-05-31 |
| 1720525348 | Neurology Solutions Consultants, P.a. | Clinic/Center | 12345 N. Lamar Blvd, Suite 260, Austin, TX 78753-1306 | 2017-01-20 |
| 1700328606 | Everlywell | Clinic/Center | 800 W Cesar Chavez St, Austin, TX 78701-4008 | 2016-11-08 |
| 1679029862 | Two Hands Chiropractic, Inc. | Clinic/Center | 1602 E Riverside Dr, Austin, TX 78741-1006 | 2016-08-29 |
| 1235594821 | Rediclinic Austin, LLC | Clinic/Center | 14028 N Highway 183, Bldg. A, Austin, TX 78717-5992 | 2015-12-23 |
| 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.