M DS CYBER CLINIC PA (NPI# 1780612390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780612390 |
| Entity Type | Organization |
| Organization Name | M DS CYBER CLINIC PA |
| Other Organization Name | NORTHWEST DIAGNOSTIC CLINIC |
| Practice Address |
500 W Whitestone Blvd Suite 100 Cedar Park TX 78613-2245 |
| Practice Telephone | 5122503900 |
| Practice Fax Number | 5122496232 |
| Mailing Telephone | 5122503900 |
| Mailing Fax Number | 5122496232 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-01-04 |
| Authorized Official Name | MICHAEL BRUCE BOGDANOVICH (PRESIDENT) |
| Authorized Official Telephone | 5122503900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H6779 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 00769N | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Diagnostic Clinic | Doing Business As Name - Organization |
| Street Address |
500 W WHITESTONE BLVD SUITE 100 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083677033 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 500 W Whitestone Blvd, Ste 101, Cedar Park, TX 78613-2245 | 2006-04-10 |
| 1104246131 | Wsd Dental Ventures Lllp | Dentist | 500 W Whitestone Blvd, Suite 102, Cedar Park, TX 78613-2245 | 2014-04-17 |
| 1790114569 | Jamie Mcgaha | Occupational Therapist | 500 W Whitestone Blvd, Cedar Park, TX 78613-2245 | 2013-11-02 |
| 1063737617 | Rrcp Medical, Pllc | General Practice | 500 W Whitestone Blvd, Suite 105, Cedar Park, TX 78613-2245 | 2010-04-06 |
| 1225229412 | Joshua Harold Reinhart | Internal Medicine | 500 W Whitestone Blvd, Ste 100, Cedar Park, TX 78613-2271 | 2007-08-05 |
| 1902007768 | Danielle Key | Physician Assistant | 500 W Whitestone Blvd, Ste 100, Cedar Park, TX 78613-2245 | 2007-05-30 |
| 1619097342 | Sara E Emery | Dentist | 500 W Whitestone Blvd, Ste. 102, Cedar Park, TX 78613-2245 | 2007-03-29 |
| 1477663011 | Todd Lewarchick | Physical Therapist | 500 W Whitestone Blvd, Ste 101, Cedar Park, TX 78613-2245 | 2006-08-30 |
| 1386609048 | Michael Bruce Bogdanovich | Family Medicine | 500 W Whitestone Blvd, Ste 100, Cedar Park, TX 78613-2245 | 2006-04-18 |
| 1548225063 | Stephen S Bodi | Physician Assistant | 500 W Whitestone Blvd, Ste. 100, Cedar Park, TX 78613-2245 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1154723427 | Rediclinic Austin, LLC | Clinic/Center | 170 E. Whitestone, Cedar Park, TX 78613 | 2014-09-18 |
| 1467648568 | Horizon Twenty One Medical, Pa | Clinic/Center | 715 Discovery Blvd, Ste. 112, Cedar Park, TX 78613-2287 | 2007-09-21 |
| 1801914130 | Rediclinic LLC | Clinic/Center | 170 E Whitestone Blvd, Cedar Park, TX 78613-6902 | 2007-03-26 |
| 1376579797 | Tillman Physical Therapy & Sports Training Center, Inc | Clinic/Center | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2006-06-25 |
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| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on M DS CYBER CLINIC PA.
| 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.