AUSTIN DIAGNOSTIC CLINIC, PA (NPI# 1619923950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619923950 |
| Entity Type | Organization |
| Organization Name | AUSTIN DIAGNOSTIC CLINIC, PA |
| Practice Address |
7600 N Capital of Texas Hwy Ambulatory Surgery Center Austin TX 78731-1181 |
| Mailing Address |
12221 Mo Pac Expwy N Ambulatory Surgery Center Austin TX 78758-2483 |
| Practice Telephone | 5129014029 |
| Practice Fax Number | 5129013920 |
| Mailing Telephone | 5129014029 |
| Mailing Fax Number | 5129013920 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | ELLEN M ANDREW (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5129014937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
008167 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140347948 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104153592 | Austin Diagnostic Clinic, Pa | Internal Medicine | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2009-11-06 |
| 1922231810 | Austin Diagnostic Clinic, Pa | Optometrist | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2009-08-26 |
| 1194790451 | Austin Diagnostic Clinic, Pa | Radiologic Technologist | 12221 Mopac Expressway North, Dept of Imaging Services, Austin, TX 78758-2483 | 2006-02-21 |
| 1588638548 | Austin Diagnostic Clinic, Pa | Orthopaedic Surgery | 12221 Mopac Expressway N, Dept of Orthopaedic Surgery, Austin, TX 78758-2483 | 2006-02-15 |
| 1013981182 | Austin Diagnostic Clinic, Pa | Occupational Therapist | 12221 Mo Pac Expwy North, Dept of Physical Therapy, Austin, TX 78758-2483 | 2006-02-15 |
| 1487632618 | Austin Diagnostic Clinic, Pa | Physician Assistant | 12221 N Mo Pac Expy, Dept of Hematology/oncology, Austin, TX 78758-2483 | 2006-01-06 |
| Street Address |
7600 N CAPITAL OF TEXAS HWY AMBULATORY SURGERY CENTER |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487178406 | Adc Surgicenter LLC | Clinic/Center | 7600 N Capital of Texas Hwy, Austin, TX 78731-1184 | 2017-08-01 |
| 1619342821 | William Augustus Bryan | Clinical Nurse Specialist | 7600 N Capital of Texas Hwy, Austin, TX 78731-1184 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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.