Stephen T Ingram (NPI# 1659780146, PAC ID# 7719109883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1659780146 |
| PAC ID by PECOS | 7719109883 |
| Professional Enrollment ID | I20170403001108 |
| Full Name | Stephen T Ingram |
| Organization Legal Name | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| Address |
1401 Medical Pkwy Cedar Park TX 78613-7763 |
| Phone Number | 5125287000 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870577729 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450431 | ST DAVID'S MEDICAL CENTER |
| 450713 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| 450056 | SETON MEDICAL CENTER AUSTIN |
| 670056 | SETON MEDICAL CENTER HAYS |
| Address | Phone | Organization |
|---|---|---|
| 11113 Research Blvd, Austin, TX 78759-5236 | 5129011000 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 1201 W 38th St, Austin, TX 78705-1006 | 5123241000 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 3801 N Lamar Blvd, Austin, TX 78756-4080 | 5124077000 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 901 N Ben White Blvd, Austin, TX 78704-6903 | 5124472211 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 919 E 32nd St, Austin, TX 78705-2703 | 5124767111 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 1401 Medical Pkwy, Cedar Park, TX 78613-7763 | 5125287000 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| 6001 Kyle Pkwy, Kyle, TX 78640-6112 | 5125045000 | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| Organization Legal Name | CARDIOTHORACIC AND VASCULAR SURGEONS,PA |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Boone | Vascular Surgery | Cardiothoracic and Vascular Surgeons,pa | 3201 S Austin Svenue, Suite 325, Georgetown, TX 78626-7642 |
| William F Kessler | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1010 W 40th St, Austin, TX 78756-4010 |
| Barbara Lynn Geller | Nurse Practitioner | Cardiothoracic and Vascular Surgeons,pa | 5103 Kyle Ctr Dr, Suite 104, Kyle, TX 78640-6164 |
| Jeffrey D Mcneil | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Daniel L Fortes | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Jeffrey S Jobe | Vascular Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Brendan P Dewan | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Erin M Mitchell | Physician Assistant | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Sarah J Iragorri | Physician Assistant | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Stephen J Dewan | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Street Address |
1401 MEDICAL PKWY |
| City | CEDAR PARK |
| State | TX |
| Zip | 78613-7763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Preeti Venkatraman | Internal Medicine | Usacs Integrated Acute Care Services of Texas, Pllc | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Debra Ann Patt | Hematology/oncology | Texas Oncology Pa | 1401 Medical Pkwy, Suite 412, Cedar Park, TX 78613-5015 |
| Genevieve L Woolsey | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Joseph H Snowden | Podiatry | Texas Orthopedics Sports and Rehabilitation Associates Pa | 1401 Medical Pkwy, Suite 120, Cedar Park, TX 78613-5012 |
| Carlos-nicholas L Lee | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Andrew E Grimes | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Bradley Brenner | Diagnostic Radiology | Austin Radiological Association | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Jeffrey D Mcneil | Thoracic Surgery | Cardiothoracic and Vascular Surgeons,pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Mustasim Rumi | Orthopedic Surgery | Orthopaedic Associates of Central Tx Pa | 1401 Medical Pkwy, Suite 100, Cedar Park, TX 78613-7642 |
| Jefferey P Klein | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1401 Medical Pkwy, Cedar Park, TX 78613-7763 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samira F Alejos | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Brenda Katz Cohen | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Natalia Temboni Caraballo | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Jonathan G Smedley | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Jeffrey Raymond Cohen | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Ryan Patrick Shock | Podiatry | Precision Podiatry PC | 1103 Cypress Creek, Suite 101, Cedar Park, TX 78613 |
| Quang D Nguyen | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Angela M Adkins | Optometry | 1335 E Whitestone Blvd, E150, Cedar Park, TX 78613-0011 | |
| Matthew Cody Lubeck | Optometry | Lakeline Eyecare Pllc | 11200 Lakeline Mall Dr, Suite E5, Cedar Park, TX 78613-1504 |
| Christie J Powell | Physical Therapy | Champion Performance Physical Therapy, PC | 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 |
| Find all physicians in zip 78613 | |||
| City | CEDAR PARK |
| Zip Code | 78613 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CEDAR PARK + 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.