DELL CHILDREN'S MEDICAL GROUP (NPI# 1790103869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790103869 |
| Entity Type | Organization |
| Organization Name | DELL CHILDREN'S MEDICAL GROUP |
| Other Organization Name | 'SPECIALLY FOR CHILDREN CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL |
| Practice Address |
1000 Hesters Crossing Rd Round Rock TX 78681-8020 |
| Mailing Address |
1301 Barbara Jordan Blvd Suite 200 Austin TX 78723-3077 |
| Practice Telephone | 5126281800 |
| Practice Fax Number | 5126281801 |
| Mailing Telephone | 5126281800 |
| Mailing Fax Number | 5126281801 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | CLAYTON CARSNER (VP/COO) |
| Authorized Official Telephone | 5123245846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| 'Specially for Children Children's Hospital Subspecialists of Central | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326072943 | Dell Children's Medical Group | Medical Genetics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2006-07-10 |
| Street Address |
1000 HESTERS CROSSING RD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-8020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871535195 | Atsushi Matsubara | Family Medicine | 1000 Hesters Crossing Rd, Suite 100, Round Rock, TX 78681 | 2006-06-12 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537550 | Wenly Ruan | Pediatrics | 6701 Fannin St # D1010.00, Houston, TX 77030-2608 | 2014-04-01 |
| 1336566611 | Savini Lanka Britto | Pediatrics | 6621 Fannin Steet, Mark Wallace Tower 1010.00, Houston, TX 77030 | 2014-03-25 |
| 1609122860 | Huyen Nguyen | Pediatrics | 2350 N Stemmons Fwy Ste 4500, Dallas, TX 75207-2700 | 2012-07-25 |
| 1871736504 | Vera Ajuma Okwu | Pediatrics | 225 E Sonterra Blvd Ste 213, San Antonio, TX 78258-3992 | 2009-04-10 |
| 1770749947 | Gi Care for Kids Pa | Pediatrics | 1810 Hale Ave, Suite 9, Harlingen, TX 78550-7541 | 2008-08-06 |
| 1306009436 | Robert Simek | Pediatrics | 3502 9th St Ste 320, Lubbock, TX 79415-3368 | 2008-07-09 |
| 1679771117 | Lillienne Yoon Chan | Pediatrics | 7777 Forest Ln Ste B304, Dallas, TX 75230-6818 | 2007-07-05 |
| 1578639340 | Nelson Jesus Spinetti | Pediatrics | 2707 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2006-11-25 |
| 1598845836 | Bryan S. Vartabedian | Pediatrics | 17580 Interstate 45 South, The Woodlands, TX 77384 | 2006-10-17 |
| 1831109909 | Ben Joseph Elizondo | Pediatrics | 109 Gallery Circle, Suite 127, San Antonio, TX 78258 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
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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.