DR. RYAN BOECK (NPI# 1013182955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013182955 |
| Entity Type | Individual |
| Full Name | DR. RYAN BOECK |
| Credential | M.D. |
| Practice Address |
6811 Austin Center Blvd Ste 400 Austin TX 78731-3157 |
| Mailing Address |
5301 Davis Ln Bldg A200 Austin TX 78749-4062 |
| Practice Telephone | (512) 494-4000 |
| Practice Fax Number | 5124944090 |
| Mailing Telephone | 5124944000 |
| Mailing Fax Number | 5124944090 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
P7074 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 326709801 | 05 | |
| TX | 326709802 | 05 |
| Street Address |
6811 AUSTIN CENTER BLVD STE 400 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457729733 | Central Texas Subspecialists for Children Pllc | Psychiatry & Neurology | 6811 Austin Center Blvd Ste 400, Austin, TX 78731-3157 | 2015-09-03 |
| 1831523158 | Cordelia Garcia | Nurse Practitioner | 6811 Austin Center Blvd Ste 400, Austin, TX 78731-3157 | 2013-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801286075 | Pedineuro LLC | Psychiatry & Neurology | 3403 Needles Dr, Austin, TX 78746-1410 | 2015-01-27 |
| 1962821017 | Clifford Calley | Psychiatry & Neurology | 1301 Barbara Jordan Blvd Ste 200g, Austin, TX 78723-3078 | 2014-04-15 |
| 1538147707 | Karen Cecilia Keough | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2006-01-06 |
| 1457729733 | Central Texas Subspecialists for Children Pllc | Psychiatry & Neurology | 6811 Austin Center Blvd Ste 400, Austin, TX 78731-3157 | 2015-09-03 |
| 1205276623 | Sireesha Chinthaparthi | Psychiatry & Neurology | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2013-06-29 |
| 1215217906 | Elizabeth Martin Cross | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2011-08-25 |
| 1861788465 | Katherine Stacy Labiner | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2011-06-22 |
| 1710284864 | Aaron L Cardon | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2011-02-24 |
| 1528371234 | Dawn K Mcelvain | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2010-07-22 |
| 1326239518 | Jinfon Ong | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2007-08-05 |
| Find all providers in AUSTIN | ||||
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| 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.