JONATHAN JAMES RUNNELS (NPI# 1508326885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508326885 |
| Entity Type | Individual |
| Full Name | JONATHAN JAMES RUNNELS |
| Credential | AA |
| Practice Address |
12221n Mopac Austin TX 78758 |
| Mailing Address |
2103 S Palm Ct Pasadena TX 77502-5629 |
| Practice Telephone | 5129011000 |
| Mailing Telephone | 7134161773 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12221N MOPAC |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| 1679086599 | Braker Lane Dental Health Center | Clinic/Center | 1139 Braker Lane, 201, Austin, TX 78758 | 2017-11-14 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735505 | Sadie Christine Laddusaw | Anesthesiologist Assistant | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-11-18 |
| 1639724727 | Yuanyuan Wang | Anesthesiologist Assistant | 8140 N Mopac Expy Ste 3-210, Austin, TX 78759-8862 | 2019-08-06 |
| 1366006520 | Kelly Marie Sloan | Anesthesiologist Assistant | 919 E 32nd St, Austin, TX 78705-2703 | 2019-04-23 |
| 1891257291 | Reecha Martis | Anesthesiologist Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2019-04-03 |
| 1336604479 | Austin M Hails | Anesthesiologist Assistant | 8140 N Mopac Expy, Austin, TX 78759-8837 | 2019-02-03 |
| 1598231318 | Patrick Stephens | Anesthesiologist Assistant | 919 E 32nd St, Austin, TX 78705-2703 | 2018-10-18 |
| 1992294797 | Arin Michael Miller | Anesthesiologist Assistant | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2018-05-07 |
| 1083103048 | Jeffrey Allen Rowland | Anesthesiologist Assistant | 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 | 2018-05-05 |
| 1801385018 | Stephanie Lee Stryker | Anesthesiologist Assistant | 919 E 32nd St, Austin, TX 78705-2703 | 2018-05-02 |
| 1013413905 | Nelson Essiet | Anesthesiologist Assistant | 8140 N Mopac Expy Ste 3-210, Austin, TX 78759-8862 | 2018-04-01 |
| 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.