GEORGETOWN FAMILY & GERIATRIC MEDICINE PLLC (NPI# 1851538565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851538565 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN FAMILY & GERIATRIC MEDICINE PLLC |
| Practice Address |
103 Thousand Oaks Blvd Georgetown TX 78628-8757 |
| Practice Telephone | 5128694800 |
| Practice Fax Number | 5128694807 |
| Mailing Telephone | 5128694800 |
| Mailing Fax Number | 5128694807 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2010-01-18 |
| Authorized Official Name | ROGELIO TREVINO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5128694800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
TX | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX GROUP # | 0010SA | 01 |
| TX | 201407801 | 05 |
| Street Address |
103 THOUSAND OAKS BLVD |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-8757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477682938 | Rogelio Trevino | Family Medicine | 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 | 2007-03-02 |
| 1497294987 | Nadia Gutierrez | Nurse Practitioner | 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 | 2017-02-16 |
| 1114105574 | Pediatric Associates of Georgetown, Pa | Pediatrics | 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 | 2008-02-07 |
| 1447441068 | Aparna Vallabhaneni | Internal Medicine | 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966885 | Carehere LLC | Family Medicine | 1745 N Fraser St, Georgetown, SC 29440-6407 | 2019-11-18 |
| 1528628773 | Donohoo Primary Care LLC | Family Medicine | 5160 State Route 125, Georgetown, OH 45121-9518 | 2019-06-19 |
| 1356864938 | The Healthy Hedgehog Wellness Coach, LLC | Family Medicine | 137 S Hamilton St, Georgetown, KY 40324-1671 | 2017-07-25 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1073876306 | Kathryn Drake Hart | Family Medicine | 603 W University Ave, Georgetown, TX 78626-6684 | 2012-06-21 |
| 1649582032 | Matilda Serwaa Malm | Family Medicine | 422 N Fraser St, Georgetown, SC 29440-3260 | 2010-07-14 |
| 1487881264 | Cody D Mead | Family Medicine | 6517 N Lakewood Dr, Georgetown, TX 78633-9530 | 2009-06-18 |
| 1134377849 | Katherine Marie Vega | Family Medicine | 4749 Williams Dr Ste 304, Georgetown, TX 78633-3700 | 2008-09-05 |
| 1790957090 | Physician Longevity Institute, Inc | Family Medicine | 1221 Leander Rd, Georgetown, TX 78628-8707 | 2008-03-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on GEORGETOWN FAMILY & GERIATRIC MEDICINE PLLC.
| 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.