MS. MARY ELIZABETH OUTLAW (NPI# 1649320631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649320631 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH OUTLAW |
| Credential | PAC |
| Practice Address |
3000 Herring Ave Waco TX 76708-3239 |
| Mailing Address |
1717 Main St Suite 5200 Dallas TX 75201-4612 |
| Practice Telephone | 2147122000 |
| Practice Fax Number | 2147122487 |
| Mailing Telephone | 2147122000 |
| Mailing Fax Number | 2147122487 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00715 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 HERRING AVE |
| City | WACO |
| State | TX |
| Zip Code | 76708-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969805 | Diane D Wilson | Nurse Anesthetist, Certified Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2005-08-16 |
| 1760627194 | Melissa Xia | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708 | 2008-12-15 |
| 1538304605 | Lucinda Trippe Myers | Physical Medicine & Rehabilitation | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-03 |
| 1437304748 | Hillcrest Baptist Medical Center | Skilled Nursing Facility | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-01 |
| 1265681951 | Linda S. Marion | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-09-17 |
| 1497931216 | Camela J Mojica | Dietitian, Registered | 3000 Herring Ave, 2f, Waco, TX 76708-3239 | 2008-01-10 |
| 1376725929 | Larry J Mundy Md Pa | Radiology | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-12-05 |
| 1245423607 | Heart of Texas Emergency Physicans | Emergency Medicine | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1295928653 | Texas Em-1 Medical Services, Pa | Physician Assistant | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1073636759 | Olivia Rae Freeman | Occupational Therapist | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871052 | Elizabeth Leverson | Physician Assistant | 3912 Austin Ave, Waco, TX 76710-7127 | 2019-10-02 |
| 1063763225 | Jamie Lynn Laird | Physician Assistant | 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 | 2012-09-27 |
| 1215116652 | Michael Paul Fichter Jr. | Physician Assistant | 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 | 2007-11-02 |
| 1710090170 | Anthony B Balchunas | Physician Assistant | 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 | 2006-08-17 |
| 1902814544 | Fara Lynn Crawford | Physician Assistant | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2006-08-03 |
| 1316966286 | Donald Eugene Hicks | Physician Assistant | 4205 Franklin Ave, Waco, TX 76710 | 2006-07-19 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1073577953 | Richard James Hecker | Physician Assistant | 1226 Washington Ave, Waco, TX 76701-1127 | 2006-04-17 |
| 1669448718 | Patricia Ann Goaley | Physician Assistant | 1445 Stillwater Rd, Waco, TX 76708-7612 | 2006-02-28 |
| 1992771927 | Ashley Glover Baker | Physician Assistant | 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 | 2006-02-28 |
| Find all providers in WACO | ||||
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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.