PROVIDENCE HEALTH SERVICES OF WACO (NPI# 1437478591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437478591 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH SERVICES OF WACO |
| Other Organization Name | PROVIDENCE BARIATRIC CENTER |
| Practice Address |
6901 Medical Pkwy Waco TX 76712-7910 |
| Mailing Address |
Po Box 2589 Waco TX 76702-2589 |
| Practice Telephone | 2547514146 |
| Practice Fax Number | 2547514283 |
| Mailing Telephone | 2547514146 |
| Mailing Fax Number | 2547514283 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | MRS. KAREN K RICHARDSON (SR.VP/CFO) |
| Authorized Official Telephone | 2547514766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 000040 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Bariatric Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1073506457 | Providence Health Services of Waco | Prosthetic/Orthotic Supplier | 540 Meadowlake Ctr, Waco, TX 76712-3981 | 2005-08-31 |
| 1710970397 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2005-08-29 |
| 1033436407 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-26 |
| 1891911350 | Providence Health Services of Waco | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2007-04-17 |
| 1962505354 | Providence Health Services of Waco | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2006-09-07 |
| 1306872213 | Providence Health Services of Waco | Clinic/Center | 322 Coleman St, Marlin, TX 76661-2358 | 2006-06-23 |
| 1386605749 | Providence Health Services of Waco | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2006-03-28 |
| Street Address |
6901 MEDICAL PKWY |
| City | WACO |
| State | TX |
| Zip Code | 76712-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708679 | Ascension Providence | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2005-08-29 |
| 1801495809 | Heart of Texas Surgical Assists LLC | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-10-21 |
| 1003422528 | Angie Marie Perez | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-09-21 |
| 1336767615 | Carrie Irene Lasly | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-07-13 |
| 1285274373 | Sarah Etheridge | Registered Nurse | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-01-07 |
| 1053888412 | Amy Belen Stewart | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2018-10-24 |
| 1033637954 | Jennifer Sue Armstrong | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2017-08-30 |
| 1417405291 | Jesse Ian Baker | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-21 |
| 1508314410 | Mclennan County Emergency Physicians, Pa | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-20 |
| 1336590462 | Providence Health Alliance | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-06-30 |
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| 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 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104979871 | Surgical Associates, P.a. | Surgery | 3400 Hillcrest Dr, Waco, TX 76708-3120 | 2007-01-18 |
| 1396744512 | Todd A Moffatt | Surgery | 1000 W Highway 6, Suite 410, Waco, TX 76712-3786 | 2005-07-19 |
| 1710986112 | Elizbeth Marie Kiraly | Surgery | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2581 | 2005-07-18 |
| 1548606395 | David Timmons Mccall Jr. | Surgery | 50 Hillcrest Medical Blvd Ste 102, Waco, TX 76712 | 2013-05-21 |
| 1205192994 | Paul Michael Claiborne | Surgery | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2012-04-06 |
| 1649572272 | Todd A. Moffatt, Md, P.a. | Surgery | 1000 W Highway 6, Suite 400, Waco, TX 76712-3786 | 2010-12-02 |
| 1699095125 | Douglas Roderick Stoddard | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-06-07 |
| 1306178538 | Michael Charles Smith | Surgery | 50 Hillcrest Medical Blvd Ste 102, Waco, TX 76712 | 2010-02-15 |
| 1619134145 | Andy Allan Hand | Surgery | 50 Hillcrest Medical Blvd, Suite # 304, Waco, TX 76712-8952 | 2008-05-21 |
| 1851591242 | Danny Owens | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2007-07-23 |
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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.