PEREGRINE VENTURES, LLC (NPI# 1205246220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205246220 |
| Entity Type | Organization |
| Organization Name | PEREGRINE VENTURES, LLC |
| Other Organization Name | PEREGRIN |
| Practice Address |
1900 Scenic Dr Suite 2222 Georgetown TX 78626-7724 |
| Mailing Address |
4500 Williams Dr Ste 212-341 Georgetown TX 78633-1332 |
| Practice Telephone | 5122983901 |
| Practice Fax Number | 5122983901 |
| Mailing Telephone | 5122983901 |
| Mailing Fax Number | 5122983901 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | DR. THEODORE SPINKS (PHYSICIAN) |
| Authorized Official Telephone | 5122983901 |
| 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 |
| Other Name | Type Code |
|---|---|
| Peregrin | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Peregrine Ventures, LLC | 299 Decker Drive, Bayfield, CO 81122 |
| Connecticut Business Registrations | PEREGRINE VENTURES, LLC | C/o H. Franklin Layson, 303 Peachtree Street, Suite 5300, Atlanta, GA 30308 |
| Street Address |
1900 SCENIC DR SUITE 2222 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600995 | David Ward Martin | Surgery | 1900 Scenic Dr, Ste 2208, Georgetown, TX 78626-7724 | 2005-06-23 |
| 1407307051 | Hill Country Ct Surgery Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 Scenic Dr, Suite 2220, Georgetown, TX 78626-7703 | 2016-10-19 |
| 1285076026 | Jana Jones Schrier, Md | Obstetrics & Gynecology | 1900 Scenic Dr, Suite 2214, Georgetown, TX 78626-7724 | 2013-07-22 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1194008375 | Crystal Kelly | Obstetrics & Gynecology | 1900 Scenic Dr, 3326, Georgetown, TX 78626-7724 | 2011-09-23 |
| 1164617627 | Kristy D. Heatly, D.o., P.a. | Family Medicine | 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626-7724 | 2007-09-07 |
| 1437344983 | Florence C. Spitler, D.o., P.a. | Family Medicine | 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626-7724 | 2007-09-07 |
| 1518166354 | Michael Dwayne Henderson | Internal Medicine | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 | 2007-07-12 |
| 1477673804 | Steven Don Mickelson | Physician Assistant | 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 | 2007-03-30 |
| 1033221486 | Mark Lee Jayawant | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 Scenic Dr, Georgetown, TX 78626-7724 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
|---|---|---|---|---|
| 1447869003 | Scott B Phillips Pllc | Neurological Surgery | 1303 Mccullough Ave Ste 166, San Antonio, TX 78212-5603 | 2020-07-29 |
| 1710595996 | Laredo Surgical Center | Neurological Surgery | 10410 Medical Loop Bldg 4a, Laredo, TX 78045-6672 | 2020-07-14 |
| 1710506803 | Houston Texas Neurosurgical Institute. Pllc | Neurological Surgery | 925 Gessner Rd Ste 500, Houston, TX 77024-2644 | 2020-04-09 |
| 1760046080 | Adam Franklin Carlton | Neurological Surgery | 301 University Blvd # Mr 0517, Galveston, TX 77555-0517 | 2019-04-23 |
| 1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
| 1376009951 | Dallas Center for Neuro and Spine Excellence LLP | Neurological Surgery | 4013 Centenary Ave, Dallas, TX 75225-5430 | 2019-02-19 |
| 1679040414 | Advances Istitute for Joint and Spine Disorders | Neurological Surgery | 6160 Windhaven Pkwy Ste 200, Plano, TX 75093-2138 | 2018-10-30 |
| 1891270989 | Alma Diana Garza | Neurological Surgery | 1139 E Sonterra Blvd Ste 301, San Antonio, TX 78258-4348 | 2018-09-25 |
| 1861975922 | Neurosurgical Group of Texas, LLP | Neurological Surgery | 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 | 2018-09-13 |
| 1508347998 | William T Mccullough Md Pa | Neurological Surgery | 1101 Raintree Cir Ste 12o, Allen, TX 75013-4922 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.