DAVID CHARLES CUELLAR (NPI# 1376519330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376519330 |
| Entity Type | Individual |
| Full Name | DAVID CHARLES CUELLAR |
| Credential | M.D. |
| Practice Address |
12201 Renfert Way Suite 230 Austin TX 78758-5354 |
| Mailing Address |
1020 W 34th St Austin TX 78705-2009 |
| Practice Telephone | 5123467150 |
| Practice Fax Number | 5123467148 |
| Mailing Telephone | 5126871950 |
| Mailing Fax Number | 5126871490 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | L6335 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UPIN NUMBER | H57285 | 01 |
| TX | 160137901 | 05 | |
| TX | CLIA NUMBER | 45D0672417 | 01 |
| Street Address |
12201 RENFERT WAY SUITE 230 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858707 | Melanie Alice Collins | Obstetrics & Gynecology | 12201 Renfert Way, Ste 205, Austin, TX 78758-5369 | 2005-06-01 |
| 1285094060 | Amanda Nicole Armond | Nurse Practitioner | 12201 Renfert Way, Ste. 225, Austin, TX 78758-5354 | 2016-03-07 |
| 1316326200 | Rachel Danielle White | Physician Assistant | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2015-05-25 |
| 1902166432 | Erin Lafitte | Occupational Therapist | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2012-05-17 |
| 1861798316 | James Andrew Clark | Physician Assistant | 12201 Renfert Way, Suite 100, Austin, TX 78758-5354 | 2011-02-01 |
| 1548574247 | Capital Obgyn Associates of Texas, Pa | Obstetrics & Gynecology | 12201 Renfert Way, Suite 325, Austin, TX 78758-5354 | 2010-08-05 |
| 1831400464 | Sheridan Nicole Delomel Burman | Dentist | 12201 Renfert Way, Suite Number 345, Austin, TX 78758-5354 | 2010-06-29 |
| 1811210503 | Katherine N Davidson | Nurse Practitioner | 12201 Renfert Way, Suite 220, Austin, TX 78758-5354 | 2010-03-09 |
| 1376876136 | Ginger Elizabeth Truitt | Obstetrics & Gynecology | 12201 Renfert Way, Ste 215, Austin, TX 78758-5354 | 2009-09-11 |
| 1417189390 | Austin Medical Group Pllc | Family Medicine | 12201 Renfert Way, #370, Austin, TX 78758-5354 | 2009-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
| 1457676215 | Kelly Jeanne Nast | Urology | 1301 Barbara Jordan Blvd Ste 302, Austin, TX 78723-3078 | 2010-04-05 |
| 1477795458 | Edward Charles Osterberg IIi | Urology | 1400 North Interstate 35 Frontage Rd, Suite Cl 300, Austin, TX 78701-1996 | 2009-04-06 |
| 1245497387 | Danielle Dienert Sweeney | Urology | 916 Springdale Rd Bldg 5-102, Austin, TX 78702 | 2008-05-16 |
| 1023100492 | J Stuart Wolf Jr. | Urology | 1400 Barbara Jordan Blvd Ste 1.114, Mailcode R1800, Austin, TX 78723-3092 | 2006-09-29 |
| 1982601274 | Jeffrey Neal Kocurek | Urology | 1301 W 38th St, Ste. #200, Austin, TX 78705-1000 | 2005-07-01 |
| 1083618706 | Joy Nielsen | Urology | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2005-06-10 |
| 1548262728 | Jose Carlos Cortez | Urology | 1301 Barbra Jordan Blvd., Suite 302, Austin, TX 78723-3078 | 2005-06-01 |
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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.