REPUBLIC SPINE AND PAIN, P.A. (NPI# 1831410323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831410323 |
| Entity Type | Organization |
| Organization Name | REPUBLIC SPINE AND PAIN, P.A. |
| Practice Address |
9707 Anderson Mill Rd Suite 230 Austin TX 78750-0019 |
| Practice Telephone | 5122198787 |
| Mailing Telephone | 5122198787 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. CLEMENT YEH (MD/PRESIDENT) |
| Authorized Official Telephone | 5122198787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
9707 ANDERSON MILL RD SUITE 230 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679624209 | Vital Sleep, LLC | Clinic/Center | 9707 Anderson Mill Rd, Suite 150, Austin, TX 78750-2298 | 2007-01-12 |
| 1023476959 | Jennifer Costanza | Physical Therapist | 9707 Anderson Mill Rd, #340, Austin, TX 78750-2298 | 2016-02-06 |
| 1932583028 | Laura Gillingham | Speech-Language Pathologist | 9707 Anderson Mill Rd, Suite 220, Austin, TX 78750-2298 | 2015-07-17 |
| 1912321852 | Jennifer Ann Grantham | Speech-Language Pathologist | 9707 Anderson Mill Rd, Austin, TX 78750-2298 | 2014-02-12 |
| 1396187498 | Kara Munos Ratliff | Behavioral Analyst | 9707 Anderson Mill Rd, Suite 220, Austin, TX 78750-2298 | 2013-07-18 |
| 1316388226 | Spicewood Anesthesia Associates | Anesthesiology | 9707 Anderson Mill Rd, Suite 240, Austin, TX 78750-2298 | 2013-07-09 |
| 1205177680 | Elizabeth Anne Varga | Speech-Language Pathologist | 9707 Anderson Mill Rd, Suite 220, Austin, TX 78750-2298 | 2013-03-08 |
| 1124375688 | Vital Sleep of Austin | Durable Medical Equipment & Medical Supplies | 9707 Anderson Mill Rd, Suite 150b, Austin, TX 78750-2298 | 2012-08-14 |
| 1376857870 | Building Blocs (behavior and Language Opportunities for Communication | Behavioral Analyst | 9707 Anderson Mill Rd, Suite 220, Austin, TX 78750-2298 | 2010-07-27 |
| 1922242874 | Austin Home Care Assistance | In Home Supportive Care | 9707 Anderson Mill Rd, Suite 345, Austin, TX 78750-2298 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472265 | Premiere Pain Specialists LLC | Pain Medicine | 12309 N Mopac Expy Ste 125, Austin, TX 78758-2577 | 2019-02-01 |
| 1871970871 | Gregory Nicholas Yanez | Pain Medicine | 4316 James Casey St Building B Suite 200, Austin, TX 78745 | 2015-04-29 |
| 1578567459 | Integrative Pain Services Pa | Pain Medicine | 4807 Spicewood Springs Rd, Ste 1235, Austin, TX 78759-8478 | 2005-06-09 |
| 1487196614 | Alan D Silberberg, Md Pa | Pain Medicine | 5625 Eiger Rd, Suite 160, Austin, TX 78735-8977 | 2016-11-04 |
| 1235514704 | Central Texas Pain Center North, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2015-07-27 |
| 1821484031 | Jamal Hasoon | Pain Medicine | 4316 James Casey St Ste 200, Austin, TX 78745-1116 | 2015-04-14 |
| 1295130912 | Central Texas Pain Center, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2014-10-23 |
| 1184987174 | Rahul Sarna | Pain Medicine | 4100 Duval Rd, Bldg IIi Ste 200, Austin, TX 78759 | 2012-06-25 |
| 1336416510 | Robert P Wills Md Pllc | Pain Medicine | 2200 Park Bend Dr, Bldg 1, Suite 201, Austin, TX 78758-5387 | 2011-11-16 |
| 1306124912 | Derrick Wansom | Pain Medicine | 4100 Duval Rd, Bldg 3 Ste 200, Austin, TX 78759-4275 | 2011-07-31 |
| 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.