MARY THEOKTISTO (NPI# 1619358934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358934 |
| Entity Type | Individual |
| Full Name | MARY THEOKTISTO |
| Practice Address |
100 Medical Pkwy Lakeway TX 78738-5621 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5125715000 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
S3323 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
100 MEDICAL PKWY |
| City | LAKEWAY |
| State | TX |
| Zip Code | 78738-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013559707 | Black Acre Emergency Physicians Medical Group Pllc | Emergency Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2019-10-14 |
| 1417472879 | Lowell M Scott | Specialist/Technologist, Other | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2017-08-07 |
| 1740729052 | Community Radiology Associates, Pa | Clinic/Center | 100 Medical Pkwy, Radiology Department, Lakeway, TX 78738-5621 | 2017-02-20 |
| 1790238574 | Minda Zhu | Physician Assistant | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2016-07-28 |
| 1508244799 | Mohammad Luqman | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2015-05-08 |
| 1346645900 | Tania Ramirez Fonseca | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738 | 2014-10-24 |
| 1417367202 | Andrea Ahern | Dietitian, Registered | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2014-05-01 |
| 1881004034 | Austin Lemaster | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738 | 2014-04-28 |
| 1164865788 | Tara Kulkarni | Family Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2013-04-12 |
| 1942541552 | Kurt Von Rueden, Md, Pa | Orthopaedic Surgery | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117838 | Infectious Disease Associates of Greater Houston LLC | Internal Medicine | 22999 Highway 59 N Ste 419, Kingwood, TX 77339-4502 | 2020-06-04 |
| 1528681566 | Ronak J Patel Md Pllc | Internal Medicine | 13567 Leeson Ln, Frisco, TX 75035-0806 | 2020-05-26 |
| 1023656865 | Faiza Tahir Md Pa | Internal Medicine | 500 N Kobayashi Ste B, Webster, TX 77598-4722 | 2019-12-11 |
| 1326681396 | First Choice Group LLC | Internal Medicine | 5866 S Staples St Ste 345, Corpus Christi, TX 78413-3700 | 2019-10-23 |
| 1063979482 | Prolixant Therapeutics LLC | Internal Medicine | 711 W 38th St Ste C8, Austin, TX 78705-1137 | 2019-02-21 |
| 1710459813 | Soofi Institute of Infectious Diseases & Wound Management Pllc | Internal Medicine | 3106 Acorn Wood Way, Houston, TX 77059-5826 | 2018-12-30 |
| 1073084299 | Ricardo Quezada Real Md Pllc | Internal Medicine | 951 York Dr Ste 103, Desoto, TX 75115-2052 | 2018-12-16 |
| 1598235194 | Idexpertcare Pa | Internal Medicine | 11797 South Fwy Ste 238, Burleson, TX 76028-7035 | 2018-11-27 |
| 1497237028 | Fred P Paleologo | Internal Medicine | 32631 Ryder Cup, Magnolia, TX 77354-6862 | 2018-08-30 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
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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.