DAVID CROCKETT TELLER (NPI# 1154300788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300788 |
| Entity Type | Individual |
| Full Name | DAVID CROCKETT TELLER |
| Credential | MD |
| Practice Address |
7901 Metropolis Dr Austin TX 78744-3111 |
| Practice Telephone | 5128234880 |
| Practice Fax Number | 5128234155 |
| Mailing Telephone | 5128234880 |
| Mailing Fax Number | 5128234155 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
H2828 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689112393 | David Teller | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2017-02-02 |
| Street Address |
7901 METROPOLIS DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865668 | John F. Kaiser | Dermatology | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2005-07-20 |
| 1316565229 | Kyle Robert Mitchell | Psychologist | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-07-07 |
| 1942824396 | Christopher Smith | Physical Therapy Assistant | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-06-02 |
| 1902432651 | Lori Marie Turrell | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-03-13 |
| 1760016661 | Tavares Laron Harris | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-02-28 |
| 1649811068 | Aaron M Mcginniss | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-10-07 |
| 1841846151 | Bryan Gregory Messina | Psychologist | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-08-13 |
| 1750943510 | Leanna Garb | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-07-02 |
| 1639739899 | Chelsea Desimone | Social Worker | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-06-19 |
| 1669932026 | Gwendolyn Gian Malloy | Nurse Practitioner | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2019-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
| Find all providers in zip 78744 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434142 | Edward D Buckingham | Otolaryngology | 2745 Bee Caves Road, Suite 101, Austin, TX 78746 | 2005-11-17 |
| 1316326432 | Marissa Purcelli Lafer | Otolaryngology | 2745 Bee Caves Rd Ste 101, Austin, TX 78746-6009 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033624663 | Texas Center for Facial Plastic & Laser Surgery, LLC | Otolaryngology | 14603 Huebner Rd Ste 102, San Antonio, TX 78230-5469 | 2017-12-05 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| 1124545660 | Cilento Facial Plastic Surgery Pllc | Otolaryngology | 63 Olmstead Row, The Woodlands, TX 77380-2874 | 2017-08-25 |
| 1154717445 | W. Marshall Guy, Md Pllc | Otolaryngology | 128 Vision Park Blvd Ste 150, Shenandoah, TX 77384-3021 | 2015-04-13 |
| 1033414115 | Philip Yosowitz, M.d., P.a. | Otolaryngology | 75515 S. Main, #730, Houston, TX 77030 | 2011-01-20 |
| 1366769937 | Texas Facial Plastic Surgery and Rhinology | Otolaryngology | 503 Medical Center Blvd Ste 120, Conroe, TX 77304-2936 | 2010-04-22 |
| 1659520906 | Robert William Brobst Jr. | Otolaryngology | 4800 Hedgcoxe Rd # 250, Plano, TX 75024-2403 | 2008-09-11 |
| 1336346535 | Charles Walker Guy II | Otolaryngology | 101 Burnett Ct Ste B, Waco, TX 76712-3100 | 2007-06-29 |
| 1003941790 | Hector Martinez Viera | Otolaryngology | 2530 W Holcombe Blvd, Houston, TX 77030-1904 | 2007-02-22 |
| 1194889642 | Russell William Kridel | Otolaryngology | 6655 Travis St Ste 900, Houston, TX 77030-1336 | 2006-12-20 |
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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.