CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY (NPI# 1528049855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049855 |
| Entity Type | Organization |
| Organization Name | CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY |
| Other Organization Name | CAREOS |
| Practice Address |
3705 Medical Pkwy Suite 120 Austin TX 78705-1019 |
| Practice Telephone | 5124584391 |
| Practice Fax Number | 5124585933 |
| Mailing Telephone | 5124584391 |
| Mailing Fax Number | 5124585933 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | DR. SEAN MATTHEW BLADYON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5124582141 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
000352 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 085968801 | 05 |
| Other Name | Type Code |
|---|---|
| CAREOS | Doing Business As Name - Organization |
| Street Address |
3705 MEDICAL PKWY SUITE 120 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711012 | Jack Lee Walzel | Surgery | 3705 Medical Pkwy, Ste 250, Austin, TX 78705-1019 | 2005-06-23 |
| 1942775721 | Narbelito V Lloren | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Austin, TX 78705-1019 | 2018-10-09 |
| 1063945509 | Salvador Guerrero | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2017-04-11 |
| 1598205569 | Olivia Miret | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-02-24 |
| 1497294227 | Bethany Kelliher | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-02-13 |
| 1831636513 | Spencer M Woodring | Registered Nurse | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-01-19 |
| 1902343668 | Jason A Fouts | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2017-01-19 |
| 1659817963 | Max David Heath | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2017-01-10 |
| 1891239141 | Nicole Christensen | Registered Nurse | 3705 Medical Pkwy, Suite # 440, Austin, TX 78705-1019 | 2016-12-06 |
| 1770034050 | Laura Ryan | Counselor | 3705 Medical Pkwy, Suite 520, Austin, TX 78705-1019 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 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 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 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 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400850 | Falconhead Surgery Center LLC | Clinic/Center | 14425 Falconhead Blvd, Bldf. F, Ste. 111, Austin, TX 78733 | 2020-06-04 |
| 1609400290 | Orthopaedic Associates of Central Texas Surgery Center, LLC | Clinic/Center | 7600 N Capital of Texas Hwy Ste A, Austin, TX 78731-1181 | 2020-02-24 |
| 1750913109 | Careos Surgicenter, LLC | Clinic/Center | 3705 Medical Pkwy Ste 110, Austin, TX 78705-1019 | 2020-02-04 |
| 1083176309 | Spicewood Surgery Center LLC | Clinic/Center | 13617 Caldwell Dr Ste 200, Austin, TX 78750-2324 | 2019-04-04 |
| 1205327277 | Austin Gi Surgicenter, LLC | Clinic/Center | 8015 Shoal Creek Blvd Ste 300, Austin, TX 78757-8052 | 2018-05-24 |
| 1568979805 | St Davids Austin Area Asc LLC | Clinic/Center | 12200 Renfert Way Ste G-2, Austin, TX 78758-5653 | 2018-01-09 |
| 1801317904 | Austin Kidney Associates, P. A. | Clinic/Center | 8620 Burnet Rd Ste 400, Austin, TX 78757-7034 | 2017-06-29 |
| 1750765632 | Four Points Surgery Center Lp | Clinic/Center | 10815 Ranch Road 2222, Ste 200, Austin, TX 78730-1159 | 2015-07-10 |
| 1306242888 | Dustin L. Reid Md Pa | Clinic/Center | 901 W 38th St Ste 405, Austin, TX 78705-1162 | 2014-11-12 |
| 1437597812 | Vivere Health Austin, LLC | Clinic/Center | 2200 Park Bend Dr Bldg 3, Ste 200, Austin, TX 78758-5387 | 2013-06-07 |
| 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.