LAUREN NICOLE SEDERHOLM


Address: 901 W 38th St, Suite 200, Austin, TX 78705-1163
Phone: 5124214100

LAUREN NICOLE SEDERHOLM (NPI# 1720370760) 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) 1720370760
Entity Type Individual
Full Name LAUREN NICOLE SEDERHOLM
Credential PA
Practice Address 901 W 38th St
Suite 200
Austin
TX 78705-1163
Mailing Address Po Box 911230
Dallas
TX 75391-1230
Practice Telephone 5124214100
Mailing Telephone 9729978000
Mailing Fax Number 9722342987
Enumeration Date 2011-05-10
Last Update Date 2014-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA07293 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 287558505 05

Office Location

Street Address 901 W 38TH ST
SUITE 200
City AUSTIN
State TX
Zip Code 78705-1163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609861897 Russell A Hayhurst Ophthalmology 901 W 38th St, Ste 303, Austin, TX 78705-1163 2005-09-14
1124598917 Seton Oral & Maxillofacial Surgery Dentist 901 W 38th St, Suite 410, Austin, TX 78705 2018-12-05
1437532850 Wilshire Interventional Pain Center LLC Nurse Anesthetist, Certified Registered 901 W 38th St, Suite 101, Austin, TX 78705-1163 2015-07-02
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1609265891 Abs Spine Partners LLC Clinic/Center 901 W 38th St, Suite 101, Austin, TX 78705-1163 2015-01-12
1972925105 Michelle Kim Dentist 901 W 38th St, Suite 410, Austin, TX 78705-1163 2014-01-07
1457617821 Westlake Interventional Pain Center LLC Clinic/Center 901 W 38th St, Suite 101, Austin, TX 78705-1163 2012-04-10
1992071922 Cristina Salazar Physician Assistant 901 W 38th St, Suite 301, Austin, TX 78705-1163 2012-03-23
1174897870 Rachel Alicia Smith Physician Assistant 901 W 38th St, Suite 200, Austin, TX 78705-1163 2012-02-28
1366744468 Renee L Westwood Physician Assistant 901 W 38th St, Suite 200, Austin, TX 78705-1163 2010-11-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174123111 Stephanie Rae Moench Physician Assistant 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 2020-10-28
1376140400 April L Thepsoumane Physician Assistant 4808 Hale Dr, Austin, TX 78749-3711 2020-10-01
1366050353 Katherine Elizabeth Mankus Physician Assistant 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 2020-07-16
1629695044 Brittany Ho Physician Assistant 12601 Scofield Farms Dr, Austin, TX 78727-4542 2020-07-01
1679197925 Malia Scott Physician Assistant 2217 Park Bend Dr, Austin, TX 78758-5365 2020-06-02
1659992451 Christopher Kent Brown Physician Assistant 2200 W 35th St Bldg 8, Austin, TX 78703-1222 2020-05-03
1982236550 Stephen Young Physician Assistant 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 2020-02-11
1528608908 Megan Paige Sutphin Physician Assistant 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 2020-01-13
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1619528569 Lauren Michelle Feierstein Physician Assistant 4505 Duval St Apt 115, Austin, TX 78751-3225 2019-09-23
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Competitor

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City AUSTIN
Zip Code 78705

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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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