DR. MICHAEL T. EDMOND (NPI# 1649257452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649257452 |
Entity Type | Individual |
Full Name | DR. MICHAEL T. EDMOND |
Credential | M.D. |
Practice Address |
6835 Austin Center Blvd Austin TX 78731-3166 |
Mailing Address |
Po Box 26726 Austin TX 78755-0726 |
Practice Telephone | 5123466611 |
Practice Fax Number | 5122315201 |
Mailing Telephone | 5124078686 |
Mailing Fax Number | 5124214489 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2010-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | E6071 | TX | Allopathic & Osteopathic Physicians |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E6071 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 130204409 | 05 | |
TX | 130017527 | 05 | |
TX | 130204408 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487012746 | Michael Edmond | Counselor | 415 Rutherford St, Greenville, SC 29609-5311 | 2016-02-02 |
1568552107 | Michael B Edmond | Internal Medicine | 200 Hawkins Dr, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2006-10-13 |
Street Address |
6835 AUSTIN CENTER BLVD |
City | AUSTIN |
State | TX |
Zip Code | 78731-3166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083614523 | Thomas S Mchorse | Internal Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2005-07-27 |
1275194698 | Laura Melissa Sepulveda-stoll | Dietitian, Registered | 6835 Austin Center Blvd, Austin, TX 78731-3189 | 2019-06-26 |
1265896096 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-04-07 |
1023470689 | Shauntavia Ward | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-03-23 |
1104282920 | Courtney Helman Supon | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2016-01-08 |
1437530466 | Jenelyn Ramos | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2015-06-16 |
1588079958 | Barbara Michelle Kiersz Mueller | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2014-06-24 |
1528406527 | Molly Maxine Diaz Kane | Pediatrics | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2013-06-12 |
1356606917 | Bruce Michael Doxey | Family Medicine | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2012-07-10 |
1285909739 | Margaret Hemmen | Nurse Practitioner | 6835 Austin Center Blvd, Austin, TX 78731-3166 | 2012-03-16 |
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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 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265995401 | Eagan Medical Group Inc | Psychiatry & Neurology | 7514 N Mo Pac Expy Ste 100, Austin, TX 78731-3168 | 2019-04-12 |
1558754549 | Austx Neuro Pllc | Psychiatry & Neurology | 1801 E 51st St Ste 365, #292, Austin, TX 78723-3500 | 2015-03-15 |
1205237351 | Yessar Hussain Md Pa | Psychiatry & Neurology | 3901 Medical Pkwy Ste 300, 205, Austin, TX 78756-4022 | 2014-09-09 |
1366857013 | Ctsi Monitoring Pllc | Psychiatry & Neurology | 1108 Lavaca St Ste 110, #170, Austin, TX 78701-2110 | 2014-06-20 |
1013343771 | Mdr Monitoring Pllc | Psychiatry & Neurology | 2407 S Congress Ave Ste E, #276, Austin, TX 78704-5500 | 2013-09-25 |
1578809349 | Capitol Neurodiagnostics, Pllc | Psychiatry & Neurology | 1801 E. 151st Street, Suite 365 #303, Austin, TX 78723 | 2012-12-21 |
1043561574 | Tejas Neuromonitoring Pllc | Psychiatry & Neurology | 3267 Bee Caves Rd Ste 107, #197, Austin, TX 78746-6773 | 2012-09-24 |
1801166020 | Neuroaustin Neurology Associates, Pllc | Psychiatry & Neurology | 4544 S Lamar Blvd Ste 750, Austin, TX 78745-1500 | 2012-01-04 |
1982909065 | Sara Austin, M.d., P.a. | Psychiatry & Neurology | 711 W 38th St # F, Austin, TX 78705-1121 | 2011-01-20 |
1144536277 | Neurowaves, P.a. | Psychiatry & Neurology | 2716 Mountain Laurel Ln, Austin, TX 78703-1143 | 2010-08-26 |
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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.