NEUROTEXAS, PLLC (NPI# 1124214911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124214911 |
| Entity Type | Organization |
| Organization Name | NEUROTEXAS, PLLC |
| Practice Address |
1015 E 32nd St Suite 411 Austin TX 78705-2707 |
| Practice Telephone | 5124741114 |
| Practice Fax Number | 5124741118 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. MARK GORDON BURNETT (PARTNER) |
| Authorized Official Telephone | 4439559803 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1427044924 | 01 | |
| INDIVIDUAL NPI | 1932195427 | 01 | |
| INDIVIDUAL NPI | 1114913605 | 01 |
| Street Address |
1015 E 32ND ST SUITE 411 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164306 | Charles Bruce Malone IIi | Orthopaedic Surgery | 1015 E 32nd St, Ste 101, Austin, TX 78705-2700 | 2005-06-16 |
| 1710413554 | Ditto Surgical, Pllc | Surgery | 1015 E 32nd St, Suite 216, Austin, TX 78705-2707 | 2017-05-11 |
| 1336546282 | Alexandra Dezell | Nurse Practitioner | 1015 E 32nd St, Ste 203, Austin, TX 78705-2707 | 2014-11-20 |
| 1386050094 | New U Plastic Surgery | Plastic Surgery | 1015 E 32nd St, Ste. 205, Austin, TX 78705-2707 | 2014-07-02 |
| 1033552864 | U Gadaria Md Facs Pa | Plastic Surgery | 1015 E 32nd St, Suite 208, Austin, TX 78705-2707 | 2013-04-11 |
| 1942544218 | Bridget Petrowsky | Physician Assistant | 1015 E 32nd St, Ste 411, Austin, TX 78705-2707 | 2012-11-26 |
| 1962753947 | Britney Dann Knowlton | Physician Assistant | 1015 E 32nd St, 300, Austin, TX 78705-2707 | 2012-10-01 |
| 1376838094 | Sarah Ray | Clinical Nurse Specialist | 1015 E 32nd St, Suite 508, Austin, TX 78705-2707 | 2011-06-10 |
| 1902110653 | Adrienne Kathleen Flack | Nurse Practitioner | 1015 E 32nd St, Suite 203, Austin, TX 78705-2707 | 2010-08-04 |
| 1174837827 | Linda Ann Guy | Nurse Practitioner | 1015 E 32nd St, Suite 203, Austin, TX 78705-2707 | 2010-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429923 | Dhruve Satish Jeevan | Neurological Surgery | 12319 N Mopac Expy Ste 150, Austin, TX 78758-2648 | 2014-09-11 |
| 1861783144 | Alexa Bodman | Neurological Surgery | 3000 N Ih 35 Ste 600, Austin, TX 78705-1850 | 2011-04-21 |
| 1245444744 | Capital Neurosurgical Association | Neurological Surgery | 711 West 38th St, Ste D-4, Austin, TX 78705 | 2007-05-10 |
| 1528287851 | Marcella Madera | Neurological Surgery | 5656 Bee Caves Rd Bldg C Ste. 101, Austin, TX 78746 | 2007-04-25 |
| 1568584159 | Vincent Yat-chung Wang | Neurological Surgery | 1601 Trinity St Stop 704, Austin, TX 78712-1865 | 2007-04-04 |
| 1528134228 | Neurosurgical Specialists of Austin, P.a. | Neurological Surgery | 800 W 38th St, Suite 400, Austin, TX 78705-1142 | 2006-11-27 |
| 1225104995 | Ronald J Wilson | Neurological Surgery | 801 W 38th St Ste 400, Austin, TX 78705-1167 | 2006-11-27 |
| 1003834680 | James Rose | Neurological Surgery | 1400 N Ih 35 Ste 300, Austin, TX 78701-1926 | 2006-07-18 |
| 1013983121 | Gordon Leroy White | Neurological Surgery | 1600 W 38th Street, Suite 418, Austin, TX 78731-6407 | 2006-02-28 |
| 1285605196 | William Blaisedale Betts | Neurological Surgery | 3218 Park Hills Dr, Austin, TX 78746-5573 | 2006-01-30 |
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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.