LONE STAR CIRCLE OF CARE (NPI# 1770764300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764300 |
| Entity Type | Organization |
| Organization Name | LONE STAR CIRCLE OF CARE |
| Other Organization Name | LSCC ALL PROVIDERS |
| Practice Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Practice Telephone | 5128681124 |
| Practice Fax Number | 5128689894 |
| Mailing Telephone | 5128681124 |
| Mailing Fax Number | 5128689894 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | MS. RHONDA MUNDHENK (CEO) |
| Authorized Official Telephone | 5128681124 |
| Is Organization Subpart | N |
| 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 | 156057501 | 05 |
| Other Name | Type Code |
|---|---|
| LSCC All Providers | Other Name - Individual/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 |
205 E UNIVERSITY AVE SUITE 200 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490870 | Kathleen Victoria Butler | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 | 2005-10-13 |
| 1013340520 | Modesta Obiageli Onyia | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2013-08-20 |
| 1245501170 | Christine Lynn Ellis | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2012-01-24 |
| 1699053249 | Holly Martin | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2011-08-01 |
| 1114237179 | Ashley Nicole Walters- Snider | Nurse Practitioner | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2010-10-08 |
| 1225262710 | Betty L Clark | Psychologist | 205 E University Ave, Suite 155, Georgetown, TX 78626-6814 | 2009-05-12 |
| 1336388560 | Brian Bezorgmehr Mozaffari | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2009-02-11 |
| 1568626430 | Jaclyn Richards | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-07-10 |
| 1174782049 | Tin Wai Judy Koo | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-06-05 |
| 1952582587 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
| 1669603361 | Lone Star Circle of Care | Clinic/Center | 2423 Williams Dr, Georgetown, TX 78628-3200 | 2009-07-30 |
| 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 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.