SRIDHAR P. REDDY, MD PA (NPI# 1386846582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386846582 |
| Entity Type | Organization |
| Organization Name | SRIDHAR P. REDDY, MD PA |
| Practice Address |
2911 Medical Arts St Ste 9b Austin TX 78705-3302 |
| Practice Telephone | 5124746321 |
| Practice Fax Number | 5124746324 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | SRIDHAR P. REDDY (PRESIDENT) |
| Authorized Official Telephone | 5124746321 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J7639 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GREAT WEST HLTHCARE ID | 10659947533 | 01 |
| TX | BCBS OF MICHIGAN PROVI.ID | 710200TX78705 | 01 |
| TX | AMERIGROUP PROVIDER ID | 10011874 | 01 |
| TX | MCARE RR GROUP ID | DA2621 | 01 |
| TX | AETNA PROVIDER ID | 2669771 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0032QS | 01 |
| TX | MCARE RAILRD PROVID ID | P00042032 | 01 |
| Street Address |
2911 MEDICAL ARTS ST STE 9B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119020 | Crossover Health Medical Group | Specialist | 10801 Giles Ln Bldg 30, Austin, TX 78754-9702 | 2019-02-07 |
| 1134602840 | Paula Gayle Collins | Specialist | 4619 S Congress Ave Ste A, Austin, TX 78745-2342 | 2018-09-09 |
| 1366977050 | Crossover Health Medical Group | Specialist | 6300 Bee Caves Rd, Austin, TX 78746-5832 | 2017-05-01 |
| 1356791313 | Coraly Serrano | Specialist | 805 Stark St, Austin, TX 78756-1508 | 2016-06-20 |
| 1255789442 | Bruce Simmons | Specialist | 507 1st St Nw, Austin, MN 55912-3019 | 2016-05-27 |
| 1871951343 | Antse Atanga | Specialist | 3324 Rr 620 S, Austin, TX 78738-6804 | 2016-01-29 |
| 1952793572 | Michaela Rose Tierney | Specialist | 2900 S 1st St Apt 713, Austin, TX 78704-6372 | 2015-02-19 |
| 1194123562 | Allyse Kramer | Specialist | 2139 San Jacinto Blvd, Nez B1.024a, Austin, TX 78712-1753 | 2014-12-16 |
| 1477953347 | Shonna Skarda | Specialist | 12591 Research Blvd, Ste 201, Austin, TX 78759-2248 | 2014-08-28 |
| 1598173833 | Karrie Eubank Marks | Specialist | 12129 Ranch Road 620 N Ste 540, Austin, TX 78750-1096 | 2014-07-31 |
| Find all providers in AUSTIN | ||||
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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.