MANDI GLYNN AMBURN (NPI# 1780787986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780787986 |
| Entity Type | Individual |
| Full Name | MANDI GLYNN AMBURN |
| Credential | PA-C |
| Practice Address |
2000 S Ih 35 Ste N5 Round Rock TX 78681-6921 |
| Mailing Address |
2805 Dallas Pkwy Ste 640 Plano TX 75093-8724 |
| Practice Telephone | 5125999180 |
| Mailing Telephone | 2149830303 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 10227 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA04670 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8N9216 | 01 |
| MN | RAILROAD MEDICARE | P00408065 | 01 |
| MN | 517690000 | 05 |
| Street Address |
2000 S IH 35 STE N5 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326515479 | Colby Courville | Physical Therapist | 2000 S Ih 35 Ste N5, Round Rock, TX 78681 | 2018-10-26 |
| 1912176165 | University Orthopaedic and Sports Medicine Clinic, Pa | Orthopaedic Surgery | 2000 S Ih 35 Ste N5, Round Rock, TX 78681 | 2008-02-21 |
| 1528243698 | University Orthopaedic and Sports Medicine Clinic, Pa | Orthopaedic Surgery | 2000 S Ih 35 Ste N5, Round Rock, TX 78681 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083816276 | Bobby John Winner | Physician Assistant | 2815 Saint Paul Rivera, Round Rock, TX 78665-5708 | 2007-06-01 |
| 1679089866 | Keren Aviv Stick | Physician Assistant | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-12-25 |
| 1982974762 | Hannah Elizabeth Vassaur | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2012-01-10 |
| 1922115005 | Dianna C Martin | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-08-24 |
| 1548376247 | Terrance R. Smith | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681 | 2006-08-23 |
| 1831206267 | Gregg A. Langston | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2006-08-23 |
| 1598779472 | Anthony P Perardi | Physician Assistant | 2000 South Mays Street, Suite 201, Round Rock, TX 78664-7580 | 2006-07-28 |
| 1912961897 | John W Merrell | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2006-04-17 |
| 1457315582 | Douglas W Walker | Physician Assistant | 300 University Blvd, Round Rock, TX 78665 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
Please comment or provide details below to improve the information on MANDI GLYNN AMBURN.
| 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.