ST DAVID'S SOUTH AUSTIN MEDICAL CENTER (NPI# 1184072605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184072605 |
| Entity Type | Organization |
| Organization Name | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| Practice Address |
901 W Ben White Blvd Austin TX 78704-6903 |
| Practice Telephone | 5124472211 |
| Mailing Telephone | 5124472211 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | DR. ERNEST GONZALEZ (TRAUMA MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5128168037 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AP130967 | TX | Hospitals |
| Street Address |
901 W BEN WHITE BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647022 | Leslie W Dalton IIi | Pathology | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2005-05-26 |
| 1578160214 | Landry Ross Tucker | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-10-06 |
| 1326657636 | Madeline Louise Kalenits | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-07-23 |
| 1841817129 | Connie Suen | Pharmacist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-07-02 |
| 1346861606 | Questcare Intensivists Pllc | Hospitalist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-04-28 |
| 1669009163 | Denise Hendlmyer | Occupational Therapist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-03-25 |
| 1629608021 | Briana Filomena Tafuto | Registered Nurse | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-01-24 |
| 1922647247 | Christina Byrne | Nurse Anesthetist, Certified Registered | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-01-03 |
| 1275184541 | Cydney Palmer Rana | Nurse Practitioner | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2019-09-26 |
| 1396393351 | Alexandra Yost | Physician Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2019-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
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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.