DR. CONSTANCIO CONCEPCION (NPI# 1770574659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770574659 |
Entity Type | Individual |
Full Name | DR. CONSTANCIO CONCEPCION |
Credential | MD |
Practice Address |
1210 W Braker Ln Austin TX 78758-3801 |
Practice Telephone | 5129789300 |
Practice Fax Number | 5122792556 |
Mailing Telephone | 5129789300 |
Mailing Fax Number | 5122792556 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2017-03-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | M2926 | TX | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 216655-1 | NY | Allopathic & Osteopathic Physicians |
Street Address |
1210 W BRAKER LN |
City | AUSTIN |
State | TX |
Zip Code | 78758-3801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455928 | Nicole Powell Cantu | Social Worker | 1210 W Braker Ln, Austin, TX 78758-3801 | 2020-07-29 |
1720630296 | Central Texas Community Health Centers | Pharmacy | 1210 W Braker Ln, Austin, TX 78758-3801 | 2019-07-15 |
1578048674 | Rosario Rodriguez | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-09-25 |
1912489527 | Randall Trey Mitchell | Dietitian, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-08-30 |
1093206997 | Kathryn Litten | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-05-25 |
1932623568 | Matlin Inga Sader | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-25 |
1891218632 | Erika Michelle Schiller | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-24 |
1528598166 | Kylie Jensen | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-15 |
1245769223 | Kaci M Webb | Family Medicine | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-05 |
1942738646 | Jennifer Shin | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-05-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
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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.