PEDIATRIC AND ALLERGY CLINIC OF AUSTIN, PA (NPI# 1760722797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760722797 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND ALLERGY CLINIC OF AUSTIN, PA |
| Practice Address |
2500 W William Cannon Dr 204 Austin TX 78745-5257 |
| Practice Telephone | 5123269500 |
| Practice Fax Number | 5123269502 |
| Mailing Telephone | 5123269500 |
| Mailing Fax Number | 5123269502 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | MRS. JURAIRAT MOLINA (PRESIDENT AND DIRECTOR) |
| Authorized Official Telephone | 5123269500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
659074 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207K00000X | Allergy & Immunology | L2478 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | L2478 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2500 W WILLIAM CANNON DR 204 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761494 | Austin Southwest Orthopaedic Group, P.a. | Surgery | 2500 W William Cannon Dr, Ste 401, Austin, TX 78745-5257 | 2005-09-27 |
| 1811406804 | Adrianne Underwood | Specialist/Technologist | 2500 W William Cannon Dr, 704, Austin, TX 78745-5257 | 2017-09-22 |
| 1659828564 | David Wayne Jackson II | Behavioral Analyst | 2500 W William Cannon Dr, 704, Austin, TX 78745-5257 | 2016-09-08 |
| 1235503012 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 2500 W William Cannon Dr, Suite 206, Austin, TX 78745-5257 | 2015-11-17 |
| 1740699727 | Dhara Virani | Physical Therapist | 2500 W William Cannon Dr, 409, Austin, TX 78745-5257 | 2014-08-04 |
| 1336556422 | Lynn Griffin | Nurse Practitioner | 2500 W William Cannon Dr, Building #503, Austin, TX 78745-5257 | 2014-07-21 |
| 1407279268 | Nicole Elizabeth Lennon | Midwife | 2500 W William Cannon Dr, Bldg. 5 Suite 503, Austin, TX 78745-5257 | 2014-01-30 |
| 1669732947 | Lorelei Holly Noble | Massage Therapist | 2500 W William Cannon Dr, Suite 601, Austin, TX 78745-5257 | 2012-05-21 |
| 1902179393 | Lisa Mcbride | Speech-Language Pathologist | 2500 W William Cannon Dr, Suite 704, Austin, TX 78745-5257 | 2012-02-15 |
| 1679841613 | Sofia Luque, Dds, Pllc | Dentist | 2500 W William Cannon Dr, Austin, TX 78745-5257 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
| 1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
| 1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
| 1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
| 1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
| 1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
| 1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
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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.