HANS M SANDER MD PA (NPI# 1821185190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821185190 |
| Entity Type | Organization |
| Organization Name | HANS M SANDER MD PA |
| Other Organization Name | CAPITOL DERMATOLOGY ASSOCIATES |
| Practice Address |
11410 Jollyville Rd Suite 2101 Austin TX 78759-4097 |
| Practice Telephone | 5123458688 |
| Practice Fax Number | 5123452253 |
| Mailing Telephone | 5123458688 |
| Mailing Fax Number | 5123452253 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | DR. HANS M SANDER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5123458688 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G5567 | TX | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CAPITOL DERMATOLOGY ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
11410 JOLLYVILLE RD SUITE 2101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061439 | Richard Thomas Chopp | Urology | 11410 Jollyville Rd, Ste 1101, Austin, TX 78759-4093 | 2005-05-24 |
| 1013380591 | Gordon Lang | Nurse Practitioner | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2015-11-05 |
| 1609188259 | Candace Lauren Bruno | Dentist | 11410 Jollyville Rd, 3102, Austin, TX 78759-4097 | 2010-07-12 |
| 1073842696 | Danielle Bagaley Manes | Physician Assistant | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2009-12-10 |
| 1881847960 | Elizabeth Marie Mobley | Urology | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2008-11-03 |
| 1992907349 | Steven & Donna Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2007-06-05 |
| 1265473631 | Bryan Todd Kansas | Urology | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2006-06-09 |
| 1154394997 | Melody Ann Denson | Urology | 11410 Jollyville Rd, Austin, TX 78759-4097 | 2006-02-10 |
| 1043209612 | Donna G Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2005-10-17 |
| 1861481434 | Steven K Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2005-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
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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.