GEORGETOWN MEDICAL CENTER P A (NPI# 1376610469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376610469 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN MEDICAL CENTER P A |
| Other Organization Name | GEORGETOWN MEDICAL CLINIC |
| Practice Address |
3201 S Austin Ave Ste 210 Georgetown TX 78626-7537 |
| Practice Telephone | 5129304593 |
| Mailing Telephone | 5129304593 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-01-11 |
| Authorized Official Name | MR. JOHN GUZZINO (ADMINISTRATOR) |
| Authorized Official Telephone | 5129304593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127132201 | 05 | |
| TX | 127132202 | 05 | |
| TX | 127132203 | 05 |
| Other Name | Type Code |
|---|---|
| Georgetown Medical Clinic | Doing Business As Name - Organization |
| Street Address |
3201 S AUSTIN AVE STE 210 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952381071 | Florence C Spitler | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2006-01-17 |
| 1336423797 | Elise Mason | Nurse Practitioner | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2011-10-04 |
| 1760713432 | Wendi Suzanne Wagner Kleppinger | Physician Assistant | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2010-01-20 |
| 1265644975 | Kwang-il In | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2007-05-04 |
| 1639259625 | Daniel Stephen Voss | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2006-10-16 |
| 1194805176 | Richard Wiley Pearce | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7537 | 2006-10-16 |
| 1730269721 | John Greg Willis | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2006-10-16 |
| 1083794077 | Thomas Charles Bohmfalk | Family Medicine | 3201 S Austin Ave Ste 210, Georgetown, TX 78626-7639 | 2006-10-16 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598818098 | Georgetown Health Group | Clinic/Center | 1530 High Market St, Georgetown, SC 29440 | 2007-01-19 |
| 1346226693 | Marshall Medical Center | Clinic/Center | 6065 State Hwy 193, Georgetown, CA 95634-9623 | 2005-12-19 |
| 1629628920 | Adams County Regional Medical Center | Clinic/Center | 900 Mount Orab Pike, Georgetown, OH 45121-8815 | 2019-09-18 |
| 1972158475 | Baptist Health Medical Group Inc | Clinic/Center | 210 Bevins Ln, Georgetown, KY 40324-6120 | 2019-08-02 |
| 1013334200 | Georgetown Pediatric Center | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-03-25 |
| 1669654224 | Family Practice Medical Center Ltd | Clinic/Center | 302 N Main St, Georgetown, IL 61846-1728 | 2007-12-05 |
| 1841364007 | Georgetown Physician Associates, LLC | Clinic/Center | 1075 N Fraser St, Georgetown, SC 29440-2848 | 2006-11-20 |
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| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on GEORGETOWN MEDICAL CENTER P A.
| 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.