LONE STAR CIRCLE OF CARE (NPI# 1669603361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669603361 |
| Entity Type | Organization |
| Organization Name | LONE STAR CIRCLE OF CARE |
| Other Organization Name | LAKE AIRE MEDICAL CENTER |
| Practice Address |
2423 Williams Dr Georgetown TX 78628-3200 |
| Mailing Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Practice Telephone | 8778005722 |
| Mailing Telephone | (877) 800-5722 |
| Mailing Fax Number | 5128692940 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | MS. RHONDA MUNDHENK (CEO) |
| Authorized Official Telephone | 5128681124 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONE STAR CIRCLE OF CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2085110-01 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Aire Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588096473 | Lone Star Circle of Care | Social Worker | 101 Fm 685, Hutto, TX 78634-5540 | 2013-08-02 |
| 1780923045 | Lone Star Circle of Care | Clinic/Center | 11111 Research Blvd Ste 295, Austin, TX 78759-5281 | 2013-02-06 |
| 1346550464 | Lone Star Circle of Care | Clinic/Center | 600 S 25th St, Temple, TX 76504-5227 | 2010-10-08 |
| 1245554583 | Lone Star Circle of Care | Pharmacy | 3950 North Aw Grimes, Suite N105, Round Rock, TX 78665 | 2010-03-16 |
| 1003051673 | Lone Star Circle of Care | Clinic/Center | 905 Ih 35 N, Suite 109, Round Rock, TX 78664-4254 | 2008-12-10 |
| 1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
| 1639225550 | Lone Star Circle of Care | Case Manager/Care Coordinator | 3102 Minthorn Dr, Killeen, TX 76542-1932 | 2007-01-25 |
| 1447316898 | Lone Star Circle of Care | Clinic/Center | 2300 Round Rock Ave Ste 208, Round Rock, TX 78681-4026 | 2006-12-29 |
| 1578515987 | Lone Star Circle of Care | Clinic/Center | 115 West Davilla, Granger, TX 76530 | 2006-05-16 |
| 1437109881 | Lone Star Circle of Care | Clinic/Center | 1099 East Main Street, Suite 200, Round Rock, TX 78664 | 2006-05-10 |
| Street Address |
2423 WILLIAMS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799599 | Catherine Carrizales-pintor | Nurse Practitioner | 2423 Williams Dr, Suite 103, Georgetown, TX 78628 | 2005-06-09 |
| 1578019022 | Kamini D Verma | Social Worker | 2423 Williams Dr, Suite 108, Georgetown, TX 78628-3200 | 2016-08-25 |
| 1093114456 | Kelsey Novelli | Social Worker | 2423 Williams Dr, #103, Georgetown, TX 78628-3200 | 2014-08-21 |
| 1124378690 | Ashley H Whatley | Nurse Practitioner | 2423 Williams Dr, Ste 105, Georgetown, TX 78628-3200 | 2012-09-12 |
| 1518213925 | Monique Suzanne Pepin | Social Worker | 2423 Williams Dr, Suite 108, Georgetown, TX 78628-3200 | 2012-08-03 |
| 1871881227 | Nudrat Rafiq Khatri | Family Medicine | 2423 Williams Dr, Suite 113, Georgetown, TX 78628-3200 | 2011-07-19 |
| 1225320997 | Gail M Overton | Nutritionist | 2423 Williams Dr, Ste. 107; Room 360, Georgetown, TX 78628-3200 | 2011-05-12 |
| 1255636742 | Dorothea Pitikas | Social Worker | 2423 Williams Dr, Suite 103, Georgetown, TX 78628 | 2011-01-14 |
| 1457652802 | Kevin Nielsen | Social Worker | 2423 Williams Dr, Suite 108, Georgetown, TX 78628-3200 | 2010-11-16 |
| 1215263595 | Jennifer Brock-garcia | Registered Nurse | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971464 | Careconnect Health, Inc | Clinic/Center | 23 Old School Rd, Georgetown, GA 39854-4627 | 2007-01-24 |
| 1962410613 | Careconnect Health, Inc. | Clinic/Center | 23 Old School Road, Georgetown, GA 39854-4627 | 2006-08-04 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1538670419 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave Ste 200, Georgetown, TX 78626-6821 | 2017-10-18 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1972866200 | Lone Star Circle of Care | Clinic/Center | 1900 Scenic Dr, Suite 3326, Georgetown, TX 78626-7724 | 2012-06-21 |
| 1437390705 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-03-17 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| 1770764300 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.