AUSTIN REGIONAL CLINIC, PA (NPI# 1710443205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710443205 |
| Entity Type | Organization |
| Organization Name | AUSTIN REGIONAL CLINIC, PA |
| Practice Address |
4515 Seton Center Pkwy Ste 220 Austin TX 78759-5784 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723-1098 |
| Practice Telephone | 5123388388 |
| Practice Fax Number | 5124066274 |
| Mailing Telephone | 5123383802 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | ANAS DAGHESTANI (CEO/PRESIDENT) |
| Authorized Official Telephone | 5122315594 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1333940-03 | 05 |
| Other Name | Type Code |
|---|---|
| ARC - Quarry Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1528694999 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 940 W University Ave, Suite 101, Georgetown, TX 78626-6503 | 2020-03-18 |
| 1639713282 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 27600 Ranch Road 12, Bldg 1, Dripping Springs, TX 78620-5612 | 2019-11-06 |
| 1538726542 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 15801 W Highway 71, Bldg 1, Bee Cave, TX 78738-2708 | 2019-05-24 |
| 1295291789 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 11300 E Hwy 390, Bldg 2, Ste 230, Manor, TX 78653-0397 | 2019-02-20 |
| 1568930584 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 901 Crystal Falls Pkwy Ste 103, Leander, TX 78641-1931 | 2018-11-07 |
| 1124323845 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 3828 S. 1st St, Austin, TX 78704-7048 | 2011-01-12 |
| 1679878391 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 1807 Slaughter Ln, Suite 490, Austin, TX 78748-6237 | 2011-01-12 |
| 1821157579 | Austin Regional Clinic, Pa | Allergy & Immunology | 6210 E Us Hwy 290, Suite 420 - Credentialing, Austin, TX 78723-1098 | 2006-12-08 |
| 1053963025 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2019-07-10 |
| Street Address |
4515 SETON CENTER PKWY STE 220 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084983 | Robert Y Meyerson | Family Medicine | 4515 Seton Center Pkwy, Suite 220, Austin, TX 78759-5290 | 2006-07-31 |
| 1710492004 | Alexander Kohut | Social Worker | 4515 Seton Center Pkwy, Austin, TX 78759-5290 | 2017-12-07 |
| 1740737444 | Jolly Elizabeth John | Physician Assistant | 4515 Seton Center Pkwy, Ste 175, Austin, TX 78759-5290 | 2016-09-10 |
| 1043632086 | Ashley Brannon | Physician Assistant | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2014-01-10 |
| 1629409909 | Specialty Clinic Medical Group, Pllc | Psychiatry & Neurology | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2013-12-11 |
| 1093053373 | Specialty Clinic of Austin Pa | Psychiatry & Neurology | 4515 Seton Center Pkwy, 175, Austin, TX 78759-5290 | 2013-01-22 |
| 1790090314 | Tracy Woodrick Armstrong | Audiologist | 4515 Seton Center Pkwy, Suite 100, Austin, TX 78759-5290 | 2010-08-09 |
| 1255665725 | Denise Descouzis | Audiologist | 4515 Seton Center Pkwy, Suite 100, Austin, TX 78759-5290 | 2009-09-30 |
| 1437304243 | Carson Paul Higgs | Family Medicine | 4515 Seton Center Pkwy, Suite 220, Austin, TX 78759-5290 | 2008-11-20 |
| 1710178702 | Divyansu Dhirendra Patel | Psychiatry & Neurology | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
| 1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
| 1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
| 1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
| 1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
| 1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
| 1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
| 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.