EDGAR BACARES (NPI# 1225021256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225021256 |
| Entity Type | Individual |
| Full Name | EDGAR BACARES |
| Credential | MD |
| Practice Address |
2120 N Mays St Round Rock TX 78664-2192 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5122571763 |
| Mailing Telephone | 8778005722 |
| Mailing Fax Number | 5122571763 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2014-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M9827 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 209528 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01971448 | 05 |
| Street Address |
2120 N MAYS ST |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336498534 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2120 N Mays St, Ste 230, Round Rock, TX 78664-2192 | 2012-09-04 |
| 1164778601 | Demetria J Mccann | Counselor | 2120 N Mays St, Suite 490, Round Rock, TX 78664 | 2012-08-02 |
| 1205120037 | Vanessa Medina | Social Worker | 2120 N Mays St, Suite 490, Round Rock, TX 78664-2192 | 2011-06-09 |
| 1104099514 | Juan S. Laremont Jr. | Physician Assistant | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2008-04-07 |
| 1417130063 | Rapid Care Clinic Pa | Family Medicine | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2007-12-06 |
| 1760692370 | Anna Regina Jessup | Nurse Practitioner | 2120 N Mays St, Suite 450, Round Rock, TX 78664-2192 | 2007-05-23 |
| 1932237542 | Texas Orthopedics Sports & Rehabilitation Associates Pa | Orthopaedic Surgery | 2120 N Mays St, Suite 100, Round Rock, TX 78664-2107 | 2007-03-02 |
| 1710027859 | Lone Star Circle of Care | Clinic/Center | 2120 N Mays St, Suite 430, Round Rock, TX 78664-2192 | 2007-02-07 |
| 1710936307 | Natacha Pankratz | Pediatrics | 2120 N Mays St, Ste 430, Round Rock, TX 78664-2192 | 2006-05-09 |
| 1083673214 | Building A Stronger Community Tomorrow Through The Children of Today | Clinic/Center | 2120 N Mays St, #430, Round Rock, TX 78664-2108 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528620150 | Tch Pediatrics Inc | Pediatrics | 1050 Meadows Dr Ste 307, Round Rock, TX 78681-4259 | 2019-07-03 |
| 1194264416 | Glenn Wood Md Pa | Pediatrics | 1201 S Interstate 35 Ste 303, Round Rock, TX 78664-6651 | 2017-02-20 |
| 1114238870 | Amani Qasem | Pediatrics | 2108 Asbury Park Dr, Round Rock, TX 78665-5014 | 2010-06-28 |
| 1407078561 | Melissa Delario | Pediatrics | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2007-05-02 |
| 1558452961 | Wade Travis | Pediatrics | 1001 Little Oak Way, Round Rock, TX 78681-5516 | 2006-09-28 |
| 1396859435 | Bernadette M Brown | Pediatrics | 894 Summit St, Suite 108, Round Rock, TX 78664-4322 | 2006-08-18 |
| 1083727259 | Rafael A De Haro | Pediatrics | 7200 Wyoming Spgs Ste 200, Round Rock, TX 78681-4304 | 2006-08-15 |
| 1851349096 | Cuong Ta Nguyen | Pediatrics | 1505 Greenside Dr, Round Rock, TX 78665-1259 | 2006-05-04 |
| 1093786394 | Meenu Bhatti | Pediatrics | 3950 N A W Grimes Blvd, Suite N201, Round Rock, TX 78665-3540 | 2006-01-27 |
| 1841291911 | Thu Thi Nguyen | Pediatrics | 1025 Sendero Springs Dr Ste 120, Round Rock, TX 78681-1154 | 2005-08-10 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on EDGAR BACARES.
| 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.