DR. EDWARD ANTHONY STYDUHAR JR. (NPI# 1710042320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710042320 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ANTHONY STYDUHAR JR. |
| Credential | D.O. |
| Practice Address |
A P Beutel Health Ctr Texas A&m University, Ms-1264 College Station TX 77843-1264 |
| Practice Telephone | 9794588267 |
| Practice Fax Number | 9794588352 |
| Mailing Telephone | 9794588267 |
| Mailing Fax Number | 9794588352 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E5953 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
A P BEUTEL HEALTH CTR TEXAS A&M UNIVERSITY, MS-1264 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77843-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922160902 | Martha Carolyn Dannenbaum | Obstetrics & Gynecology | A P Beutel Health Ctr, Tamu 1264, College Station, TX 77843-1264 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588030241 | Texas A&m University | Preventive Medicine | 12 John David Crow Blvd, College Station, TX 77843 | 2015-08-18 |
| 1699024919 | Elizabeth Arnell Harrison | Nurse Practitioner | Tamu 1264, College Station, TX 77843 | 2012-08-31 |
| 1801457981 | Emma Marie Themel | Specialist/Technologist | 801 Harrington Tower, College Station, TX 77843-0001 | 2019-06-27 |
| 1730664335 | Allison Laree Andrews | Nurse Practitioner | 311 Houston Street, College Station, TX 77843-0001 | 2018-09-28 |
| 1770064727 | Kourtney Shey Higgins | Student in an Organized Health Care Education/Training Program | 400 Bizzel, College Station, TX 77843-0001 | 2018-08-28 |
| 1730684770 | Daniel Jacobi | Specialist/Technologist | 756 Houston St, College Station, TX 77843-0001 | 2018-03-29 |
| 1548774540 | Tonya Spradlin | Specialist/Technologist | 400 Bizzell Street, College Station, TX 77843-0001 | 2017-11-29 |
| 1477067536 | Kaitlyn Elizabeth Carter | Specialist/Technologist | Rudder Tower 401 Joe Routt Blvd, College Station, TX 77843-0001 | 2017-11-28 |
| 1003328212 | Cross Donald Klemko | Specialist/Technologist | 400 Bizzell St, College Station, TX 77843-0001 | 2017-10-27 |
| 1215449780 | Sonia Barrad | Specialist/Technologist | 1228 Texas A&m University, College Station, TX 77843-0001 | 2017-10-24 |
| Find all providers in zip 77843 | ||||
| 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 |
|---|---|---|---|---|
| 1013362573 | Laura Muehr | Family Medicine | 1700 University Dr E Ste 100, College Station, TX 77840-2661 | 2016-05-03 |
| 1235521121 | Texas A&m University | Family Medicine | 161 Wellborn Roard, Bright Complex, College Station, TX 77843-0001 | 2015-03-02 |
| 1558628149 | Thomas B Campbell | Family Medicine | 4007 Victoria Ave, College Station, TX 77845-4795 | 2012-04-19 |
| 1619257995 | Asritha Srireddy | Family Medicine | 4202 Conway Ct, College Station, TX 77845-4305 | 2011-08-18 |
| 1902050230 | Catherine Locke | Family Medicine | 4401 State Highway 6 S, College Station, TX 77845-4428 | 2008-11-13 |
| 1316127749 | Clint Chi Cheng | Family Medicine | 4007 Victoria Ave., College Station, TX 77845 | 2007-11-14 |
| 1902966443 | Latha M. Ravichandran | Family Medicine | 1602 Rock Prairie Rd Ste 230, College Station, TX 77845-8307 | 2006-12-12 |
| 1184705741 | Russell Bryan Bacak | Family Medicine | 2911 Texas Ave S Ste 202, College Station, TX 77845-5388 | 2006-10-18 |
| 1689755266 | Bcs Abundant Life Family Practice | Family Medicine | 2803 Earl Rudder Freeway South, Suite 201, College Station, TX 77845 | 2006-10-18 |
| 1013007939 | Bo Xuan | Family Medicine | A P Beutel Health Center, Texas A&m University, College Station, TX 77843-1264 | 2006-10-13 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77843 |
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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.