MAJESTIC HEALTHCARE, PLLC (NPI# 1467946384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467946384 |
| Entity Type | Organization |
| Organization Name | MAJESTIC HEALTHCARE, PLLC |
| Other Organization Name | ADVANCED MEDICAL SKIN CARE,LLC |
| Practice Address |
110 Eisenhower Ct Georgetown TX 78633 |
| Mailing Address |
110 Eisenhower Ct Georgetown TX 78633-5471 |
| Practice Telephone | 5123642151 |
| Mailing Telephone | 5123642151 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | MS. KATHLEEN MCCOY (OWNER) |
| Authorized Official Telephone | 5123642151 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP119783 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP119783 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INSURANCE | 1679719926 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Medical Skin Care,LLC | Former Legal Business Name - Organization |
| Majestic Healthcare, PLLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAJESTIC HEALTHCARE, PLLC | 110 Eisenhower Ct, Georgetown, TX 78633-5471 |
| Street Address |
110 EISENHOWER CT |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| 1417404153 | Ochna Health | Clinic/Center | 4749 Williams Dr, Suite 304, Georgetown, TX 78633 | 2016-09-09 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811088 | John Christian Fyffe | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-08-12 |
| 1699295964 | Sunshine Adams Rearden | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2017-06-27 |
| 1508840364 | Marie L Taylor | Nurse Practitioner | 1075 N Fraser St, Georgetown, SC 29440 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on MAJESTIC HEALTHCARE, PLLC.
| 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.