ROSS ELTIDGE HAIRGROVE (NPI# 1720427016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720427016 |
| Entity Type | Individual |
| Full Name | ROSS ELTIDGE HAIRGROVE |
| Credential | MD |
| Practice Address |
4100 Everett Dr Ste 400 Kyle TX 78640-6147 |
| Mailing Address |
4515 Seton Center Parkway Suite 215 Austin TX 78759-5785 |
| Practice Telephone | 5122951333 |
| Practice Fax Number | 5124067327 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Q4760 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 348622703 | 05 |
| Street Address |
4100 EVERETT DR STE 400 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-6147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416774 | David Cox Needham | Pediatrics | 4100 Everett Dr Ste 400, Kyle, TX 78640 | 2005-06-09 |
| 1710331681 | Maheshwardeep Singh | Family Medicine | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2016-04-18 |
| 1396107629 | Julia Blood | Pediatrics | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2016-03-25 |
| 1497136816 | Shane Constable | Family Medicine | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2015-06-11 |
| 1245504380 | Tera C Brooks | Family Medicine | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2012-03-07 |
| 1366768376 | Amit D Salkar | Pediatrics | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2010-04-15 |
| 1609192228 | Raymond Teoh | Pediatrics | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2010-04-08 |
| 1841420916 | Amanda Gayle Allensworth | Internal Medicine | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2009-07-22 |
| 1295995439 | Maryann C Gamble | Family Medicine | 4100 Everett Dr Ste 400, Kyle, TX 78640-6147 | 2008-06-11 |
| 1669648861 | Arathi Apurva Shah | Pediatrics | 4100 Everett Dr Ste 400, Kyle, TX 78640 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922755 | David Conrad Ortmeier | Family Medicine | 4900 Wichita Trl, Flower Mound, TX 75022-5628 | 2020-11-02 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1760027643 | Mark Garza, M.d., Pllc | Family Medicine | 131 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-11-14 |
| 1528603495 | Mark Garza, M.d., Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 | 2019-11-14 |
| 1265092043 | Texas Federal Wellness Center of Mcallen Pllc | Family Medicine | 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 | 2019-06-14 |
| 1235792524 | Celina Family Practice Pllc | Family Medicine | 701 N Preston Rd Ste 200, Celina, TX 75009-3777 | 2019-04-22 |
| 1164902409 | Dna Medical | Family Medicine | 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 | 2018-08-16 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| 1063910842 | Running Wild Sea, LLC | Family Medicine | 8557 Research Blvd Ste 128, Austin, TX 78758-7855 | 2018-01-26 |
| 1134633050 | The University of Texas Rio Grande Valley | Family Medicine | 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 | 2017-11-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROSS ELTIDGE HAIRGROVE.
| 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.