SHAYLA T MATTHEWS-JACKSON (NPI# 1427378710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427378710 |
| Entity Type | Individual |
| Full Name | SHAYLA T MATTHEWS-JACKSON |
| Credential | M.D. |
| Practice Address |
11111 Research Blvd Ste 230 Austin TX 78759-5791 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5126056396 |
| Mailing Telephone | 8778005722 |
| Mailing Fax Number | 5128692940 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R1581 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD452011 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3677494-01 | 05 | |
| TX | STATE BOARD LICENSE | R1581 | 01 |
| Street Address |
11111 RESEARCH BLVD STE 230 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395000 | Toral D Shah | Emergency Medicine | 11111 Research Blvd Ste 230, Austin, TX 78759-5791 | 2006-04-17 |
| 1902027386 | Truett Barron Clifton | Nurse Practitioner | 11111 Research Blvd Ste 230, Austin, TX 78759-5791 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1326578477 | Mallory Monda | Obstetrics & Gynecology | 1301 W. 38th St., Suite 705, Ut Austin Dell Medical School-obgyn, Medical Park Tower, Austin, TX 78705-1016 | 2017-06-12 |
| 1528508389 | Whole Woman's Health Alliance | Obstetrics & Gynecology | 4100 Duval Rd Ste 201, Austin, TX 78759-3550 | 2017-02-27 |
| 1568841815 | Veronica Gonzalez | Obstetrics & Gynecology | 1313 Red River St., Suite A1 Ut Austin Dell Medical School Ob/gyn, Austin, TX 78701-1943 | 2015-05-20 |
| 1033506118 | Sharon Vaz | Obstetrics & Gynecology | 11111 Research Blvd Ste 475, Austin, TX 78759-5283 | 2015-04-16 |
| 1902207871 | Whole Woman's Health of New Mexico LLC | Obstetrics & Gynecology | 8401 N Ih 35, Suite 1a, Austin, TX 78753-5751 | 2014-09-10 |
| 1275953168 | Zoey Roberts | Obstetrics & Gynecology | 1313 Red River St., Ste A1, Umc At Brackenridge Utsw Austin Obgyn, Austin, TX 78701 | 2014-04-18 |
| 1316381148 | Kristin Sarah Tabor | Obstetrics & Gynecology | 12201 Renfert Way Ste 200, Austin, TX 78758-5368 | 2013-04-23 |
| 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.