TERESA MARIE BOENIG (NPI# 1396016317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396016317 |
| Entity Type | Individual |
| Full Name | TERESA MARIE BOENIG |
| Credential | P.A.-C |
| Practice Address |
3950 N A W Grimes Blvd Suite N102 Round Rock TX 78665-3540 |
| Mailing Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5122389259 |
| Mailing Telephone | 5128681124 |
| Mailing Fax Number | 5128689894 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07583 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2953101-02 | 05 | |
| TX | LICENSE | PA07583 | 01 |
| Street Address |
3950 N A W GRIMES BLVD SUITE N102 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093786394 | Meenu Bhatti | Pediatrics | 3950 N A W Grimes Blvd, Suite N201, Round Rock, TX 78665-3540 | 2006-01-27 |
| 1134573223 | Kristal Rose Garcia De Alba | Social Worker | 3950 N A W Grimes Blvd, Suite N102, Round Rock, TX 78665-3540 | 2016-04-15 |
| 1538538020 | Lisa Ann Stiles Drummond | Nurse Practitioner | 3950 N A W Grimes Blvd, Ste.202, Round Rock, TX 78665-3540 | 2015-09-15 |
| 1124412507 | Emily Bray Wieck | Pediatrics | 3950 N A W Grimes Blvd, Round Rock, TX 78665-3540 | 2015-03-24 |
| 1407105216 | Jennifer Ryan Farmer | Nurse Practitioner | 3950 N A W Grimes Blvd, Ste N301a, Round Rock, TX 78665-3540 | 2012-09-07 |
| 1336464858 | Kimberly N Blankenship | Nurse Practitioner | 3950 N A W Grimes Blvd, Round Rock, TX 78665-3540 | 2010-03-29 |
| 1447586961 | Lone Star Circle of Care | Clinic/Center | 3950 N A W Grimes Blvd, Round Rock, TX 78665-3540 | 2009-10-19 |
| 1588895304 | George A Hill | Psychologist | 3950 N A W Grimes Blvd, Suite N301a, Round Rock, TX 78665-3540 | 2009-07-28 |
| 1952578361 | Pedro Quirino | Counselor | 3950 N A W Grimes Blvd, Suite N102, Round Rock, TX 78665-3540 | 2008-05-14 |
| 1467634667 | Matthew C. Hopkins | Psychiatry & Neurology | 3950 N A W Grimes Blvd, Building 2, Round Rock, TX 78665-3540 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663228 | Stat Surgical Assists, Pllc | Physician Assistant | 2541 S Interstate 35 Ste 200 # 420, Round Rock, TX 78664-7357 | 2019-01-18 |
| 1407218530 | Christopher D Biehl | Physician Assistant | 7201 Wyoming Springs Dr # 400, Round Rock, TX 78681-4311 | 2016-03-28 |
| 1992104285 | Stefan Mcfarland | Physician Assistant | 1780 Round Rock Ave Ste 200, Round Rock, TX 78681 | 2014-08-22 |
| 1801239793 | Rachel Kinsey Lawson | Physician Assistant | 7201 Wyoming Springs Dr Ste 100, Round Rock, TX 78681-4311 | 2013-04-10 |
| 1215275094 | Nidhi Parsotam Dover | Physician Assistant | 300a University Blvd, Round Rock, TX 78665 | 2013-01-29 |
| 1871862946 | Ashley Nichole Mott | Physician Assistant | 16040 Park Valley Dr Ste 111, Round Rock, TX 78681 | 2011-12-20 |
| 1235288002 | Luis Wilmot Jr. | Physician Assistant | 600 Round Rock West Dr Ste 703, Round Rock, TX 78681-5005 | 2007-01-09 |
| 1851457212 | Melanie Louise Mckinley | Physician Assistant | 2000 N Mays St, Suite 109, Round Rock, TX 78664-2166 | 2006-12-29 |
| 1780779140 | Jerry Allen Johnson | Physician Assistant | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | 2006-10-03 |
| 1780787986 | Mandi Glynn Amburn | Physician Assistant | 2000 S Ih 35 Ste N5, Round Rock, TX 78681-6921 | 2006-09-06 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on TERESA MARIE BOENIG.
| 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.