CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA (NPI# 1821029224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821029224 |
| Entity Type | Organization |
| Organization Name | CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA |
| Practice Address |
4316 James Casey St Ste E1 Austin TX 78745-1157 |
| Mailing Address |
Po Box 164326 Austin TX 78716-4326 |
| Practice Telephone | 5123060648 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. SCOTT EUGENE CAMPBELL (RADIOLOGIST) |
| Authorized Official Telephone | 5123060648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0029KD | 01 |
| Street Address |
4316 JAMES CASEY ST STE E1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1157 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
| 1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
| 1295739092 | Barry L Horowitz | Radiology | 10900 Stonelake Blvd, Ste 250, Austin, TX 78759-5873 | 2005-06-09 |
| 1659823128 | Lodespoto Medical, Pllc | Radiology | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2016-10-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1386806362 | Michal Klysik | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2008-06-30 |
| 1386840940 | Ryan W Vancura | Radiology | 12554 Riata Vista Circle, Austin, TX 78727-6431 | 2007-06-21 |
| 1346453313 | Bhairav N Patel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2007-05-07 |
| 1649353509 | Mark A. Auler | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-10-23 |
| 1609884089 | Nabeel Farhataziz | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-08-03 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on CENTRAL TX RADIOLOGY & SPINE CONSULTANTS 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.