TEXAS DIABETES AND ENDOCRINOLOGY PA (NPI# 1083888523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083888523 |
| Entity Type | Organization |
| Organization Name | TEXAS DIABETES AND ENDOCRINOLOGY PA |
| Practice Address |
170 Deepwood Dr Suite 104 Round Rock TX 78681-4944 |
| Mailing Address |
6500 North Mopac Bldg. 3, Suite 200 Austin TX 78731 |
| Practice Telephone | 5124588400 |
| Practice Fax Number | 5124588593 |
| Mailing Telephone | 5124588400 |
| Mailing Fax Number | 5124588593 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-07-18 |
| Authorized Official Name | THOMAS C BLEVINS (PRESIDENT) |
| Authorized Official Telephone | 5124588400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | TX | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
170 DEEPWOOD DR SUITE 104 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558423038 | Matthew Aaron Kaplan | Anesthesiology | 170 Deepwood Dr, Suite 102, Round Rock, TX 78681-4944 | 2006-12-14 |
| 1417364043 | Janet Lee Gruhn | Clinical Nurse Specialist | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2014-07-15 |
| 1033530258 | Heather Nicole Mast | Clinical Nurse Specialist | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2013-12-16 |
| 1750543435 | Kamalpreet Kaur Singh | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-06-25 |
| 1215102199 | Rabih Nour | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-04-23 |
| 1982878617 | Kerem Ozer | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-04-14 |
| 1205009362 | Amanda Marie Bonazzi | Clinical Nurse Specialist | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-04-10 |
| 1275721839 | Amy Louise Sanders Bekanich | Plastic Surgery | 170 Deepwood Dr, Suite 102, Round Rock, TX 78681-4944 | 2007-10-09 |
| 1760687354 | Stephanie Shaw | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2007-06-15 |
| 1679780639 | Jolie C. Sanchez | Clinical Nurse Specialist | 170 Deepwood Dr, Round Rock, TX 78681-4944 | 2007-05-17 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821208786 | Hien Thien-hai Tran | Internal Medicine | 110 Deer Ridge Dr, Round Rock, TX 78681 | 2007-05-22 |
| 1275820904 | Anupama T Reddy | Internal Medicine | 425 University Blvd, Round Rock, TX 78665-1053 | 2011-07-01 |
| 1750543435 | Kamalpreet Kaur Singh | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-06-25 |
| 1215102199 | Rabih Nour | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2008-04-23 |
| 1316118300 | Shema Riaz Ahmad | Internal Medicine | 425 University Blvd, Round Rock, TX 78665-1053 | 2008-03-18 |
| 1033301361 | Dinkar Rupakula | Internal Medicine | 425 University Blvd, Round Rock, TX 78665-1053 | 2007-08-10 |
| 1760687354 | Stephanie Shaw | Internal Medicine | 170 Deepwood Dr, Suite 104, Round Rock, TX 78681-4944 | 2007-06-15 |
| 1942356522 | Tres Barrera | Internal Medicine | 425 University Blvd, Round Rock, TX 78665-1053 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197816 | Diabetes & Endocrinology Clinic of South Texas Pllc | Internal Medicine | 620 N Ed Carey Dr, Harlingen, TX 78550-7912 | 2020-09-05 |
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1093235350 | Endo Telehealth Pllc | Internal Medicine | 12518 Cutten Rd Ste B, Houston, TX 77066-1804 | 2017-06-27 |
| 1851827331 | Texas Associates of Endocrinology & Diabetes Pa | Internal Medicine | 942 Pheasant Dr, Allen, TX 75013-4891 | 2017-05-03 |
| 1366984288 | Kateryna Komarovskiy, Md, Pllc | Internal Medicine | 150 Pine Forest Dr # 103, Shenandoah, TX 77384-5302 | 2016-11-09 |
| 1265894604 | John W. Richard, Md, Pllc | Internal Medicine | 4604 Sebago Trl, Plano, TX 75093-3394 | 2016-03-24 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1649646357 | Southeast Texas Self-management of Diabetes | Internal Medicine | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
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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.