DR. MAMATHA BOLLINENI (NPI# 1639353139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639353139 |
| Entity Type | Individual |
| Full Name | DR. MAMATHA BOLLINENI |
| Other Name | DR. MAMATHA BOLLINENI |
| Credential | M.D. |
| Practice Address |
11521 N Fm 620 Suite C-800 Austin TX 78726-1139 |
| Practice Telephone | 5122190670 |
| Practice Fax Number | 5122190733 |
| Mailing Telephone | 5122190670 |
| Mailing Fax Number | 5122190733 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Q1951 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 246435 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
11521 N FM 620 SUITE C-800 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78726-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538261318 | Austin Smile Center | Clinic/Center | 11521 N Fm 620, Suite 700, Austin, TX 78726-1139 | 2006-09-02 |
| 1538594619 | Justin Alexander Redding | Pharmacist | 11521 N Fm 620, Austin, TX 78726-1139 | 2013-09-09 |
| 1356608244 | Medspring of Texas, Pa | Clinic/Center | 11521 N Fm 620, Ste 100, Austin, TX 78726-1139 | 2012-04-16 |
| 1942526827 | Gretta Hope Leckbee | Pharmacist | 11521 N Fm 620, Austin, TX 78726-1139 | 2010-04-16 |
| 1275792400 | Gregory Paul Watson | Dentist | 11521 N Fm 620, #700, Austin, TX 78726-1139 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385152 | Meridian Preferred Network, LLC | Durable Medical Equipment & Medical Supplies | 11512 Tibee Drive, Austin, TX 78726 | 2019-03-19 |
| 1356709083 | Britex | Dentist | 10200 Boulder Lane, #300, Austin, TX 78726 | 2016-02-09 |
| 1205224490 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7300 N Fm 620, Austin, TX 78726 | 2014-12-23 |
| 1881933372 | Judy Ann Adan | Dentist | 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 | 2013-02-04 |
| 1295974236 | Brendan Booker Loehr | Dentist | Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 | 2009-02-16 |
| 1174730980 | David Eugene Helms | Counselor | 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 | 2007-05-17 |
| 1013037480 | Four Points Dental Pa | Dentist | 7301 North Fm 620, Suite 150, Austin, TX 78726 | 2007-03-30 |
| 1043329469 | H-e-b, Lp | Clinical Medical Laboratory | 7301 N Fm 620, Austin, TX 78726 | 2006-08-30 |
| 1063521037 | H-e-b, Lp | Clinical Medical Laboratory | 11521 North Fm 620 Building A, Austin, TX 78726 | 2006-08-30 |
| 1518934413 | Thomas Gretzinger | Dermatology | 12211 Fm 2769, Austin, TX 78726 | 2006-03-01 |
| Find all providers in zip 78726 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1265095160 | Marcos Daniel Villarreal | Internal Medicine | Ut Austin Dell Medical School Seton Internal Medicine, 1500 Red River (dell Seton Medical Center), Austin, TX 78701-1918 | 2019-04-16 |
| 1609368653 | Elain Loquias | Internal Medicine | 1500 Red River St Ste 2.320, Austin, TX 78701 | 2018-06-05 |
| 1851883581 | Suely J Roman Lopez | Internal Medicine | Ut Austin Dell Medical School Internal Medicine, Dell Seaton Medical Center 1500 Red River, Austin, TX 78701 | 2018-05-30 |
| 1265922264 | Devin Leslie | Internal Medicine | Dell Seton Medical Center, 1500 Red River, Austin, TX 78701 | 2018-05-15 |
| 1821585340 | Thrive Physicians Pllc | Internal Medicine | 2217 Park Bend Dr Ste 210, Austin, TX 78758-5674 | 2018-04-19 |
| 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.