DONNA MARIE PROKOP-FETTIG (NPI# 1013153147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013153147 |
| Entity Type | Individual |
| Full Name | DONNA MARIE PROKOP-FETTIG |
| Credential | P.A.-C |
| Practice Address |
1201 Sam Bass Rd Round Rock TX 78681-4137 |
| Mailing Address |
Po Box 268945 Oklahoma City OK 73126-8945 |
| Practice Telephone | 5123881861 |
| Practice Fax Number | 5123880373 |
| Mailing Telephone | 5123881861 |
| Mailing Fax Number | 5123880373 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2009-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06103 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2028235-02 | 05 | |
| TX | 2028235-01 | 05 |
| Street Address |
1201 SAM BASS RD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033166368 | Michael Musgrove | Psychiatry & Neurology | 1201 Sam Bass Rd, Round Rock, TX 78681-4137 | 2006-05-30 |
| 1326554692 | Hill Country Caregivers, Inc. | Technician | 1201 Sam Bass Rd, Round Rock, TX 78681-4137 | 2017-12-21 |
| 1669813283 | Renee Moreland | Physician Assistant | 1201 Sam Bass Rd, Round Rock, TX 78681-4137 | 2013-07-11 |
| 1952427007 | Julie L Williams | Physician Assistant | 1201 Sam Bass Rd, Round Rock, TX 78681-4137 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080685 | Shaina Mccullough | Physician Assistant | 1717 N Interstate 35 Ste 200, Round Rock, TX 78664-2901 | 2019-05-30 |
| 1033510151 | Shobha Mathew David | Physician Assistant | 201 University Blvd., Suite 1260, Round Rock, TX 78665 | 2014-09-08 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1538338306 | Round Rock Mental Health Pa | Physician Assistant | 1717 N Ih 35 Ste 200, Round Rock, TX 78664-2901 | 2008-02-26 |
| 1760412738 | Julie Anne Schueller | Physician Assistant | 117-b Louis Henna Blvd., Suite 200, Round Rock, TX 78664 | 2006-07-04 |
| 1225021058 | Julie Anne Huela | Physician Assistant | 1240 E Palm Valley Blvd, Round Rock, TX 78664-3202 | 2005-08-26 |
| 1255830345 | Stefany Delascurain | Physician Assistant | 302 University Blvd, Round Rock, TX 78665 | 2018-02-05 |
| 1407366230 | Laura Lovins | Physician Assistant | 4681 College Park, Round Rock, TX 78665-1526 | 2017-10-06 |
| 1699217877 | Elinore Marie Schmidt | Physician Assistant | 7200 Wyoming Springs Dr, Ste. 600, Round Rock, TX 78681-4303 | 2016-11-05 |
| 1972961407 | Kaitlyn Wilkins | Physician Assistant | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2016-01-28 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
Please comment or provide details below to improve the information on DONNA MARIE PROKOP-FETTIG.
| 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.