Tim L Faulkenberry (NPI# 1114906070, PAC ID# 4880662808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1114906070 |
| PAC ID by PECOS | 4880662808 |
| Professional Enrollment ID | I20040920000252 |
| Full Name | Tim L Faulkenberry |
| Organization Legal Name | SOUTHWEST BARIATRIC SURGEONS, PLLC |
| Address |
3705 Medical Pkwy Suite 210 Austin TX 78705-1027 |
| Phone Number | 5123385024 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1974 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4385612308 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450431 | ST DAVID'S MEDICAL CENTER |
| 450056 | SETON MEDICAL CENTER AUSTIN |
| Address | Phone | Organization |
|---|---|---|
| 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 | 5123385024 | SOUTHWEST BARIATRIC SURGEONS, PLLC |
| 3705 Medical Pkwy, Suite 250, Austin, TX 78705-1022 | 5123021210 | CAPITAL SURGEONS GROUP, PLLC |
| 5625 Eiger Rd, Suite 230, Austin, TX 78735-8983 | 5124417755 | CAPITAL SURGEONS GROUP, PLLC |
| Organization Legal Name | SOUTHWEST BARIATRIC SURGEONS, PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankur Prakash Bhakta | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Erik G Lough | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Romeo A Lainez | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Vishwanath Raju Danthuluri | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Eric M Acheson | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Gabriel J Salinas Jr. | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Nancy G Marquez | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Isabell M Bacot | Physician Assistant | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Steven M Fass | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Mark R Sherrod | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Street Address |
3705 MEDICAL PKWY SUITE 210 |
| City | AUSTIN |
| State | TX |
| Zip | 78705-1027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aron J Gewirtzman | Dermatology | Sanova Dermatology Pllc | 3705 Medical Pkwy, Suite 340, Austin, TX 78705-1023 |
| Jack Lee Walzel | General Surgery | Capital Surgeons Group, Pllc | 3705 Medical Pkwy, Suite 250, Austin, TX 78705-1022 |
| Alexandra Elizabeth Baker | Physician Assistant | Butler and Burns Ear Nose and Throat Associates | 3705 Medical Pkwy, Suite 515, Austin, TX 78705-1024 |
| Ankur Prakash Bhakta | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Sharon Richardson | Qualified Audiologist | Butler and Burns Ear Nose and Throat Associates | 3705 Medical Pkwy, Suite 320, Austin, TX 78705-1075 |
| Aliza Epstein | Ophthalmology | Texas Oculoplastic Consultants Pllc | 3705 Medical Pkwy, Suite 120, Austin, TX 78705-1022 |
| Erik G Lough | General Surgery | Southwest Bariatric Surgeons, Pllc | 3705 Medical Pkwy, Suite 210, Austin, TX 78705-1027 |
| Chad W Whited | Otolaryngology | Butler and Burns Ear Nose and Throat Associates | 3705 Medical Pkwy, Suite 320, Austin, TX 78705-1075 |
| Scott R Elkin | Psychiatry | 3705 Medical Pkwy, Suite 450, Austin, TX 78705-1024 | |
| Zachary Lynn Crislip | General Surgery | Capital Surgeons Group, Pllc | 3705 Medical Pkwy, Suite 250, Austin, TX 78705-1022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula C Wilson | Clinical Nurse Specialist | Austin Neurological Clinic | 711 F W, 38th, Austin, TX 78705 |
| Lillian Butler | Psychologist, Clinical | 3705 Medical Pywy, Suite 360, Austin, TX 78705 | |
| Belissa Zamora | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Jocelyn Ybarra | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Shannon Rene Perez Vazquez | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Benjamin Oheim | Certified Clinical Nurse Specialist (cns) | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Natasha D Wegesa | Certified Clinical Nurse Specialist (cns) | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Carrie M. Moschitto | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Ernestine J Jimenez | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Samuel J Collier | Psychiatry | Tri-county Clinical | 1201 W 38th St Seton Medical Ctr Austin, Austin, TX 78705-1006 |
| Find all physicians in zip 78705 | |||
| City | AUSTIN |
| Zip Code | 78705 |
| Specialty | GENERAL SURGERY |
| City + Specialty | AUSTIN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Tim L Faulkenberry.
| 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.