BUDDY COSTARELLA DAVIS (NPI# 1578744942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578744942 |
Entity Type | Individual |
Full Name | BUDDY COSTARELLA DAVIS |
Credential | PA-C |
Practice Address |
7800 Shoal Creek Blvd Ste 200w Austin TX 78757-1014 |
Mailing Address |
601 5th St S Suite 511 St Petersburg FL 33701-4804 |
Practice Telephone | 7372023871 |
Practice Fax Number | 7372023782 |
Mailing Telephone | 7277678181 |
Enumeration Date | 2007-11-14 |
Last Update Date | 2019-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA11793 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 1574874942 | 05 |
Street Address |
7800 SHOAL CREEK BLVD STE 200W |
City | AUSTIN |
State | TX |
Zip Code | 78757-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
Find all providers in zip 78757 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
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.