DIAB MEDICAL GROUP (NPI# 1750896395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750896395 |
| Entity Type | Organization |
| Organization Name | DIAB MEDICAL GROUP |
| Practice Address |
108 Wild Basin Rd Ste 250 West Lake Hills TX 78746-3468 |
| Mailing Address |
13492 Research Blvd Ste 120-176 Austin TX 78750-2252 |
| Practice Telephone | 4156448466 |
| Mailing Telephone | 4156448466 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-04-30 |
| NPI Deactivation Date | 04/01/2019 |
| NPI Reactivation Date | 2019-04-10 |
| Authorized Official Name | CARISA QUINTANA (ADMINISTRATOR) |
| Authorized Official Telephone | 4156448466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Lawson Ln, Burlington, VT 054018445 | 4156448466 | |
| 13492 Research Blvd Ste 120-176, Austin, TX 78750 | 4156448466 | 5129572060 |
| 1515 Market St Ste 1200, Philadelphia, PA 191021932 | 4156448466 | |
| 4000 Eagle Point Corporate Dr, Birmingham, AL 352421900 | 4156448466 | |
| 5200 Meadows Rd Ste 200, Lake Oswego, OR 970350086 | 4156448466 | |
| 8101 College Blvd, Overland Park, KS 662101978 | 4156448466 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DIAB Medical Group | 108 Wild Basin South, Suite 250, Austin, TX 78746 |
| Virginia Business Entities | DIAB Medical Group P.A. P.C. | 13492 N Research Blvd Ste 120-176, Austin, Texas 78750 |
| Washington State Corporations | DIAB MEDICAL GROUP, P.A. | 108 Wild Basin Rd Ste 250, W Lake Hills, TX 78746-3468 |
| Oregon Corporations, Companies and Business Names | DIAB MEDICAL GROUP, P.A. | 108 Wild Basin South, Ste 250, Austin, TX 78746 |
| Street Address |
108 WILD BASIN RD STE 250 |
| City | WEST LAKE HILLS |
| State | TX |
| Zip Code | 78746-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351534 | Lahana Vigliano | Nutritionist | 108 Wild Basin Rd Ste 250, West Lake Hills, TX 78746-3468 | 2020-06-23 |
| 1609401165 | Jonathan David Richard | Counselor | 108 Wild Basin Rd Ste 250, West Lake Hills, TX 78746-3468 | 2020-03-05 |
| 1356984231 | Thrival Nutrition, LLC | Nutritionist | 108 Wild Basin Rd Ste 250, West Lake Hills, TX 78746-3468 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| 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 |
|---|---|---|---|---|
| 1851958144 | Austin Complete Health, Pllc | Family Medicine | 4201 Bee Caves Rd Ste B112, West Lake Hills, TX 78746-6458 | 2019-05-22 |
| 1619214061 | Errol Edward Erlandson | Family Medicine | 23 Hull Circle Dr, West Lake Hills, TX 78746-3709 | 2013-01-04 |
| 1790048411 | Myra Alejandra Pena-delgado | Family Medicine | 1001 Westbank Dr, West Lake Hills, TX 78746-6669 | 2012-06-18 |
| 1104944875 | James Ray Brown | Family Medicine | 452 Spiller Ln, West Lake Hills, TX 78746-4437 | 2007-03-27 |
| 1346337490 | Sarita H Prajapati | Family Medicine | 3811 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-5398 | 2006-10-09 |
| 1275547515 | Frances Kruse Killebrew | Family Medicine | 5656 Bee Cave Rd Ste E200, West Lake Hills, TX 78746-5035 | 2006-07-29 |
| 1982628293 | Jim Davis | Family Medicine | 3839 Bee Cave Rd, Suite 202, West Lake Hills, TX 78746-6401 | 2006-07-27 |
| 1124025390 | Robina N Poonawala | Family Medicine | 912 S Capital of Texas Hwy Ste 100, West Lake Hills, TX 78746 | 2005-07-04 |
| 1639571052 | Little River Medical Group | Family Medicine | 5656 Bee Caves Rd, Suite M 300, West Lake Hills, TX 78746-5280 | 2014-09-17 |
| 1851701213 | Samuel Deliberato | Family Medicine | 1001 Westbank Dr, West Lake Hills, TX 78746-6669 | 2014-05-06 |
| Find all providers in WEST LAKE HILLS | ||||
| City | WEST LAKE HILLS |
| Zip Code | 78746 |
Please comment or provide details below to improve the information on DIAB MEDICAL GROUP.
| 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.