DR. TRAVIS MICHAEL AVERITT (NPI# 1083094593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083094593 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS MICHAEL AVERITT |
| Credential | D.O. |
| Practice Address |
2100 Autumn Slate Dr Ste 150 Pflugerville TX 78660-6034 |
| Mailing Address |
6210 E Highway 290 Ste 420 Austin TX 78723-1142 |
| Practice Telephone | 7372207200 |
| Practice Fax Number | 5124067339 |
| Mailing Telephone | 5124839569 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0060533 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 403149401 | 05 | |
| TX | 403149402 | 05 |
| Street Address |
2100 AUTUMN SLATE DR STE 150 |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386829 | Jerett Aaron Zipin | Neuromusculoskeletal Medicine, Sports Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 | 2006-04-18 |
| 1053963025 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2019-07-10 |
| 1265879332 | Noreen Valla | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-05-30 |
| 1598109480 | Ryan Paul Peterson | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-04-22 |
| 1992711261 | Judith W Enders | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| 1619983954 | Anna E Holliman | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780841817 | Madhuri Madabhushi | Family Medicine | 15803 Windermere Dr. #103, Pflugerville, TX 78660-2482 | 2008-05-16 |
| 1528076056 | Gwendolyn Miller, Md, P.a. | Family Medicine | 1615 Grand Avenue Pkwy, 112, Pflugerville, TX 78660-2059 | 2006-08-03 |
| 1730144403 | Wei-ann Lin | Family Medicine | 1420 Wells Branch Pkwy, Ste. 450, Pflugerville, TX 78660-3101 | 2006-04-18 |
| 1902899636 | Everest Austin Whited | Family Medicine | 103 12th St, Ste 101, Pflugerville, TX 78660-3960 | 2005-08-29 |
| 1174522296 | John Reagan Boyd | Family Medicine | 200 Heatherwilde Blvd, Pflugerville, TX 78660-3530 | 2005-07-20 |
| 1356751341 | Leah Marie Hernandez | Family Medicine | 1701 E Pflugerville Pkwy, Pflugerville, TX 78660-8990 | 2014-04-30 |
| 1528409711 | Kendrick Watkins | Family Medicine | 1701 E Pflugerville Pkwy, Pflugerville, TX 78660-8990 | 2013-07-16 |
| 1265879332 | Noreen Valla | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-05-30 |
| 1083962450 | Cristiana Lavinia Angelelli I | Family Medicine | 1701 E Pflugerville Pkwy, Pflugerville, TX 78660-8990 | 2012-08-16 |
| 1427305242 | Wais Alemi | Family Medicine | 15822 Foothill Farms Loop, Pflugerville, TX 78660-3422 | 2012-08-10 |
| Find all providers in PFLUGERVILLE | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
Please comment or provide details below to improve the information on DR. TRAVIS MICHAEL AVERITT.
| 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.