WILLIAM DAVID PAYNE JR. (NPI# 1861713844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861713844 |
| Entity Type | Individual |
| Full Name | WILLIAM DAVID PAYNE JR. |
| Credential | M.D. |
| Practice Address |
100 Medical Pkwy Lakeway TX 78738-5621 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5125715000 |
| Practice Fax Number | 5125715198 |
| Mailing Telephone | 8009940371 |
| Mailing Fax Number | 2542159722 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
22988 | MS | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
N2721 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P01217751 | 01 | |
| RAILROAD MEDICARE | P01217758 | 01 | |
| TX | BLUE CROSS BLUE SHIELD | 8DT796 | 01 |
| TX | 216980702 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8DT795 | 01 |
| TX | 216980703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746544 | William R Payne | Technician, Pathology | 12 New Hope Ter, Albany, NY 12204-1843 | 2017-12-21 |
| 1780725895 | William Mcmichael Payne II | Pharmacist | 71 Lakeview, Stansbury Park, UT 84074-9608 | 2007-02-09 |
| 1972578987 | William Marvin Payne | Dentist | 1325 E 1st St, Mcpherson, KS 67460-3601 | 2006-02-22 |
| 1700869351 | William Spencer Payne | Psychologist | 5040 Bob Billings Pkwy, Ste D2, Lawrence, KS 66049-3873 | 2005-11-28 |
| 1437144888 | William D Payne | Dentist | 810 Liberty St Ne, Salem, OR 97301-2450 | 2005-09-13 |
| 1811483035 | William John Payne | Counselor | 50 Greenwood Ln, Springboro, OH 45066-3033 | 2018-07-11 |
| 1760989073 | William Jason Payne | Nurse Practitioner | 73 White Bridge Rd Ste 103-243, Nashville, TN 37205-1444 | 2018-04-12 |
| 1376055905 | William Thomas Payne | Occupational Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2017-11-05 |
| 1295066587 | William Michael Payne | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2010-01-26 |
| 1700027257 | William F. Payne | Pediatrics | 701 S Pulaski St, Little Rock, AR 72201-3926 | 2009-03-12 |
| Street Address |
100 MEDICAL PKWY |
| City | LAKEWAY |
| State | TX |
| Zip Code | 78738-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013559707 | Black Acre Emergency Physicians Medical Group Pllc | Emergency Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2019-10-14 |
| 1417472879 | Lowell M Scott | Specialist/Technologist, Other | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2017-08-07 |
| 1740729052 | Community Radiology Associates, Pa | Clinic/Center | 100 Medical Pkwy, Radiology Department, Lakeway, TX 78738-5621 | 2017-02-20 |
| 1790238574 | Minda Zhu | Physician Assistant | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2016-07-28 |
| 1619358934 | Mary Theoktisto | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2015-06-11 |
| 1508244799 | Mohammad Luqman | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2015-05-08 |
| 1346645900 | Tania Ramirez Fonseca | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738 | 2014-10-24 |
| 1417367202 | Andrea Ahern | Dietitian, Registered | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2014-05-01 |
| 1881004034 | Austin Lemaster | Internal Medicine | 100 Medical Pkwy, Lakeway, TX 78738 | 2014-04-28 |
| 1164865788 | Tara Kulkarni | Family Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922235 | Pathology Institute, Pllc | Pathology | 3201 University Dr E Ste 330, Bryan, TX 77802-3484 | 2020-11-04 |
| 1649893900 | Medical Service Consultation Pa | Pathology | 2613 Sir Percival Ln, Lewisville, TX 75056-5710 | 2020-05-21 |
| 1578196358 | Carlos M Torres Md Expert Pathology Consultation Servi | Pathology | 2840 Keller Springs Rd Ste 1104, Carrollton, TX 75006-4876 | 2020-02-19 |
| 1023654191 | Marsha L Eigenbrodt | Pathology | 860 Junction Dr Apt 344, Allen, TX 75013-5244 | 2019-11-22 |
| 1184274508 | Pathzone LLC | Pathology | 11215 Oudney Ct, Richmond, TX 77407-1883 | 2019-09-17 |
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1548793409 | Grant Williams | Pathology | 3551 Roger Brooke Dr # Tx, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2017-04-07 |
| 1417307448 | James Gaulding | Pathology | 19 Robledo Dr, Dallas, TX 75230-3055 | 2016-06-21 |
| 1386006492 | Audra Robinson | Pathology | 5417 Ridgepass Ln, Mckinney, TX 75071-3082 | 2016-03-28 |
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
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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.