Lucas Tanner Thornton (NPI# 1285943878, PAC ID# 2860688140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285943878 |
| PAC ID by PECOS | 2860688140 |
| Professional Enrollment ID | I20101129000765 |
| Full Name | Lucas Tanner Thornton |
| Organization Legal Name | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| Address |
1904 Railroad St Suite 100 Georgetown TX 78626-7718 |
| Phone Number | 5128634563 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799948857 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450431 | ST DAVID'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4101 James Casey St, Suite 340, Austin, TX 78745-1145 | 5123061323 | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| 919 E 32nd St, Austin, TX 78705-2703 | 5124767111 | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| 1904 Railroad St, Suite 100, Georgetown, TX 78626-7718 | 5128634563 | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| 2000 Scenic Dr, Georgetown, TX 78626-7726 | 5129433000 | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| Organization Legal Name | ST. DAVID'S ORTHO NEURO AND REHAB PLLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Quitta | Physician Assistant | St. David's Ortho Neuro and Rehab Pllc | 901 N Ben White Blvd, Austin, TX 78704-6903 |
| Craig M Kemper | Neurosurgery | St. David's Ortho Neuro and Rehab Pllc | 801 W 38th St, Suite 400, Austin, TX 78705-1103 |
| Polo A Banuelos | Neurology | St. David's Ortho Neuro and Rehab Pllc | 3000 N Ih, 35 Suite 610, Austin, TX 78705-1850 |
| Alison M Collins | Physician Assistant | St. David's Ortho Neuro and Rehab Pllc | 3000 N Ih 35, 600 Austin Rehabilitation Specialists, Austin, TX 78705-1815 |
| Robert Kun-hua Lee | Physical Medicine and Rehabilitation | St. David's Ortho Neuro and Rehab Pllc | 3000 N Ih, 35 Suite 660, Austin, TX 78705-1851 |
| Jacob B Manuel | Orthopedic Surgery | St. David's Ortho Neuro and Rehab Pllc | 3000 N Ih, 35 Suite 500, Austin, TX 78705-1815 |
| Heidi Z Simmons | Nurse Practitioner | St. David's Ortho Neuro and Rehab Pllc | 901 N Ben White Blvd, Austin, TX 78704-6903 |
| Christina L Saldivar | Neurology | St. David's Ortho Neuro and Rehab Pllc | 901 N Ben White Blvd, Austin, TX 78704-6903 |
| Monika E Strand | Physician Assistant | St. David's Ortho Neuro and Rehab Pllc | 3000 N Ih, 35 Suite 610, Austin, TX 78705-1850 |
| Aravind Ramakrishnan | Internal Medicine | St. David's Ortho Neuro and Rehab Pllc | 901 N Ben White Blvd, Austin, TX 78704-6903 |
| Street Address |
1904 RAILROAD ST SUITE 100 |
| City | GEORGETOWN |
| State | TX |
| Zip | 78626-7718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S English | Orthopedic Surgery | St. David's Ortho Neuro and Rehab Pllc | 1904 Railroad St, Suite 100, Georgetown, TX 78626-7718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dewayne M Mirtsching | Chiropractic | 3780 Fm, Suite 972, Georgetown, TX 78626-1501 | |
| Jamie L Jones | Nurse Practitioner | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Julie A Huela | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Amanda Lindo | Nurse Practitioner | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Clifford F Porter | Family Medicine | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Ariel L Rennspies | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Dorian Shevitz | Physician Assistant | Ucp Physicians of Central Texas, Pllc | 900 N Austin Ave, Suite 105, Georgetown, TX 78626-4349 |
| Lori D Palmer | Optometry | 900 N Austin Ave, Suite 605, Georgetown, TX 78626-4356 | |
| Olaf Russell Garcia | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Mary Okiomah | Nurse Practitioner | Jason Martin Medical Consulting LLC | 121 Fm, Suite 971, Georgetown, TX 78626-4546 |
| Find all physicians in zip 78626 | |||
| City | GEORGETOWN |
| Zip Code | 78626 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GEORGETOWN + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.