AUSTIN DIAGNOSTIC CLINIC, PA


Address: 12221 N Mo Pac Expy, Austin, TX 78758-2401
Phone: 5129011111

AUSTIN DIAGNOSTIC CLINIC, PA (NPI# 1104153592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104153592
Entity Type Organization
Organization Name AUSTIN DIAGNOSTIC CLINIC, PA
Other Organization Name HEMATOLOGY/ONCOLOGY DEPARTMENT
Practice Address 12221 N Mo Pac Expy
Austin
TX 78758-2401
Practice Telephone 5129011111
Practice Fax Number 5129013945
Mailing Telephone 5129011111
Mailing Fax Number 5129013945
Enumeration Date 2009-11-06
Last Update Date 2009-11-06
Authorized Official Name MR. ROBERT SPURCK JR. (CEO)
Authorized Official Telephone 5129011111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
HEMATOLOGY/ONCOLOGY DEPARTMENT Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619923950 Austin Diagnostic Clinic, Pa Clinic/Center 7600 N Capital of Texas Hwy, Ambulatory Surgery Center, Austin, TX 78731-1181 2006-05-26
1922231810 Austin Diagnostic Clinic, Pa Optometrist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-08-26
1194790451 Austin Diagnostic Clinic, Pa Radiologic Technologist 12221 Mopac Expressway North, Dept of Imaging Services, Austin, TX 78758-2483 2006-02-21
1588638548 Austin Diagnostic Clinic, Pa Orthopaedic Surgery 12221 Mopac Expressway N, Dept of Orthopaedic Surgery, Austin, TX 78758-2483 2006-02-15
1013981182 Austin Diagnostic Clinic, Pa Occupational Therapist 12221 Mo Pac Expwy North, Dept of Physical Therapy, Austin, TX 78758-2483 2006-02-15
1487632618 Austin Diagnostic Clinic, Pa Physician Assistant 12221 N Mo Pac Expy, Dept of Hematology/oncology, Austin, TX 78758-2483 2006-01-06

Office Location

Street Address 12221 N MO PAC EXPY
City AUSTIN
State TX
Zip Code 78758-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083618706 Joy Nielsen Urology 12221 N Mo Pac Expy, Austin, TX 78758-2401 2005-06-10
1790129161 Amanda R Morstad Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2013-04-29
1528325586 Matthew Richard Middaugh Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2012-04-16
1922231810 Austin Diagnostic Clinic, Pa Optometrist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-08-26
1255571477 Carmela K Hubler Registered Nurse 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-02-27
1598923914 Karol L Babyak-moore Audiologist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2008-06-02
1568637452 Janet L Davila Audiologist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2008-04-23
1346434511 Neelu Kohli Dietitian, Registered 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-08-30
1477744266 Jeffrey Michael Boos Dermatology 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-08-06
1902096555 Joseph Imsais Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644065 Seton Family of Doctors Internal Medicine 3001 Palm Way, D1 : 134-138, Austin, TX 78758 2020-09-17
1083243661 Donna Bella Laurel Portillo Pharmacist 12221 N Mopac Expwy, Austin, TX 78758 2020-04-05
1881249092 Elizabeth Logan Anderson Behavioral Analyst 2100 Kramer Ln., Suite 150, Austin, TX 78758 2019-08-05
1295388502 Bridget Sue Morgan Behavioral Analyst 2100 Kramer Ln #150, Austin, TX 78758 2019-07-17
1508326885 Jonathan James Runnels Anesthesiologist Assistant 12221n Mopac, Austin, TX 78758 2019-03-22
1427527324 Nayely Gutierrez Dietitian, Registered 8606 Delaware Ct, Austin, TX 78758 2018-11-20
1720569635 Shari Wright Licensed Vocational Nurse 12349 Metric Blvs # 425, Austin, TX 78758 2018-08-28
1528545456 Alexis N Bongiorno Registered Nurse 11901 Hobby Horse Court, 1516, Austin, TX 78758 2018-07-24
1679072573 Lori Scott Counselor 1600 Payton Gin Road, Austin, TX 78758 2018-02-06
1003322488 Lisa Robyn Lee Behavior Technician 2018 W Rundberg Ln, #13d, Austin, TX 78758 2017-12-20
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205079373 Andrae Lavon Vandross Internal Medicine 12221 Renfert Way, Suite 120 and 300, Austin, TX 78758 2009-04-19
1982661674 Shubhada S. Shrikhande Internal Medicine 12221 Renfert Way Ste 300, Austin, TX 78758-5453 2006-04-27
1134186166 Rene Castillo Internal Medicine 901 West 38th St., Suite 200, Austin, TX 78705-1165 2006-04-26
1124089412 Christopher Owen Ruud Internal Medicine 901 W 38th St Ste 200, Austin, TX 78705-1165 2006-03-28
1215912076 Uri M Mintz Internal Medicine 11044 Research Blvd, D400, Austin, TX 78759-5263 2005-12-14
1477815249 Tara Kaufmann Internal Medicine 1601 Trinity St, Austin, TX 78712-1765 2012-06-08
1972770303 Texas Oncology Pa Internal Medicine 4101 James Casey St, Suite 100, Austin, TX 78745-3325 2008-05-14
1164502423 Mamta Kalidas Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2006-10-17
1467548628 Allison Elaine Gorrebeeck Internal Medicine 12221 Renfert Way Ste 300, Austin, TX 78758 2006-10-05
1003839820 Debra Ann Patt Internal Medicine 6204 Balcones Dr, Austin, TX 78731 2006-07-25
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City AUSTIN
Zip Code 78758

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Dataset Information

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.

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