MASON FREDERICK BEAUDRY


Address: 50 Hillcrest Medical Blvd, Ste 208, 303 & 304, Waco, TX 76712-8952
Phone: 2542022000

MASON FREDERICK BEAUDRY (NPI# 1396303301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396303301
Entity Type Individual
Full Name MASON FREDERICK BEAUDRY
Credential PA-C
Practice Address 50 Hillcrest Medical Blvd
Ste 208, 303 & 304
Waco
TX 76712-8952
Mailing Address Po Box 848491
Dallas
TX 75284-8491
Practice Telephone 2542022000
Enumeration Date 2019-06-04
Last Update Date 2019-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA12948 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50 HILLCREST MEDICAL BLVD
STE 208, 303 & 304
City WACO
State TX
Zip Code 76712-8952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700882511 Melissa J. Carranza Nurse Practitioner 50 Hillcrest Medical Blvd, Medical Office Building 1, Suite 105, Waco, TX 76712-8952 2005-06-27
1962972083 Kristen Jewell Chapman Specialist/Technologist 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 2018-12-01
1881128122 Baylor Health Enterprises, L.p. Pharmacy 50 Hillcrest Medical Blvd, Suite 200-1, Waco, TX 76712-8952 2017-04-13
1811437486 Kristyn Jaimye Plemons Registered Nurse 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 2017-03-02
1033657523 Cherri M Ward Nurse Practitioner 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 2017-02-06
1700338464 Holland Humble Nurse Practitioner 50 Hillcrest Medical Blvd, Office Building I, Suite 201b, Waco, TX 76712-8952 2016-10-28
1710437744 James Howard Matthews Nurse Practitioner 50 Hillcrest Medical Blvd, Bldg 1 Ste. 201b, Waco, TX 76712-8952 2016-10-13
1811445265 Joy Hooter Audiologist 50 Hillcrest Medical Blvd, #206, Waco, TX 76712-8952 2016-09-14
1821471475 Gina Harper Nurse Practitioner 50 Hillcrest Medical Blvd, Office Building 1; Suite 201b, Waco, TX 76712-8952 2015-07-01
1710367867 Meghan Danielle Sutton Nurse Practitioner 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 2015-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922634294 Waco Ophthalmology, Pllc Ophthalmology 602 W Highway 6, Waco, TX 76712 2020-03-19
1326692872 Oceans Behavioral Hospital of Waco LLC Psychiatric Hospital 5931 Crosslake Parkway, Waco, TX 76712 2019-08-01
1831759620 Jessica Ngoc Vien Optometrist 1000 Hwy 6, Ste 210, Waco, TX 76712 2019-06-14
1780150888 Chelsea Cannon Occupational Therapist 330 W State Hwy 6, Waco, TX 76712 2018-10-17
1669955399 Elizabeth Ann Barnhill Speech-Language Pathologist 15003 Riatta Rd, Woodway, TX 76712 2018-09-09
1447731617 Melanie A Melton Physical Therapist 300 West Highway 6, Waco, TX 76712 2018-08-27
1396226403 Gala Kaye Czajkoski Occupational Therapy Assistant 300 West Hightway 6, Waco, TX 76712 2018-08-27
1619457454 Monica Anderson Physical Therapy Assistant 300 W Hwy 6, Waco, TX 76712 2018-08-21
1295238368 Waco Sn Opco LLC Skilled Nursing Facility 7501 Bagby, Waco, TX 76712 2018-03-14
1558872952 C. Guy Fps, Pllc Otolaryngology 1129 Aberdeen Rd, Waco, TX 76712 2017-10-12
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245871052 Elizabeth Leverson Physician Assistant 3912 Austin Ave, Waco, TX 76710-7127 2019-10-02
1063763225 Jamie Lynn Laird Physician Assistant 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 2012-09-27
1215116652 Michael Paul Fichter Jr. Physician Assistant 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 2007-11-02
1710090170 Anthony B Balchunas Physician Assistant 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 2006-08-17
1902814544 Fara Lynn Crawford Physician Assistant 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 2006-08-03
1316966286 Donald Eugene Hicks Physician Assistant 4205 Franklin Ave, Waco, TX 76710 2006-07-19
1497711105 Mark D Roberts Physician Assistant 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 2006-04-21
1073577953 Richard James Hecker Physician Assistant 1226 Washington Ave, Waco, TX 76701-1127 2006-04-17
1669448718 Patricia Ann Goaley Physician Assistant 1445 Stillwater Rd, Waco, TX 76708-7612 2006-02-28
1992771927 Ashley Glover Baker Physician Assistant 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 2006-02-28
Find all providers in WACO

Competitor

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City WACO
Zip Code 76712

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Dataset Information

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.

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