THE AUSTIN DIAGNOSTIC CLINIC, PLLC (NPI# 1932186640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932186640 |
| Entity Type | Organization |
| Organization Name | THE AUSTIN DIAGNOSTIC CLINIC, PLLC |
| Practice Address |
12221 N. Mo Pac Expy Dept of Endocrinology Austin TX 78758 |
| Mailing Address |
2000 Health Park Dr Dept Of Brentwood TN 37027-4525 |
| Practice Telephone | 5129014005 |
| Practice Fax Number | 5129013905 |
| Mailing Telephone | 6153725004 |
| Mailing Fax Number | 8668314898 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | JOHN REBOK (VICE PRESIDENT) |
| Authorized Official Telephone | 6153725004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140347921 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803816 | The Austin Diagnostic Clinic, Pllc | Internal Medicine | 12221 Mo Pac Expwy North, Dept of Cardiology, Austin, TX 78758 | 2005-12-23 |
| 1407839129 | The Austin Diagnostic Clinic, Pllc | Allergy & Immunology | 12221 N Mo Pac Expwy, Dept of Allergy, Austin, TX 78758 | 2005-11-28 |
| 1003259763 | The Austin Diagnostic Clinic, Pllc | Technician, Pathology | 12221 N Mopac Expy, Austin, TX 78758 | 2013-04-12 |
| 1669447926 | The Austin Diagnostic Clinic, Pllc | Surgery | 12221 Mopac Expressway North, Dept of Surgery, Austin, TX 78758 | 2006-02-21 |
| 1740255926 | The Austin Diagnostic Clinic, Pllc | Urology | 12221 Mo Pac Expwy North, Dept of Urology, Austin, TX 78758 | 2006-02-21 |
| 1386619641 | The Austin Diagnostic Clinic, Pllc | Internal Medicine | 12221 Mopac Expressway North, Dept of Pulmonary Disease, Austin, TX 78758 | 2006-02-21 |
| 1003881368 | The Austin Diagnostic Clinic, Pllc | Internal Medicine | 12221 N Mo Pac Expy, Dept of Rheumatology, Austin, TX 78758 | 2006-02-21 |
| 1992770267 | The Austin Diagnostic Clinic, Pllc | Podiatrist | 12221 Mopac Expressway North, Dept of Podiatry, Austin, TX 78758 | 2006-02-21 |
| 1467426205 | The Austin Diagnostic Clinic, Pllc | Nurse Practitioner | 2400 Cedar Bend Dr, Dept of Pediatrics, Austin, TX 78758 | 2006-02-16 |
| 1578537536 | The Austin Diagnostic Clinic, Pllc | Physical Medicine & Rehabilitation | 12221 Mopac Expressway N, Dept of Physical Medicine, Austin, TX 78758 | 2006-02-15 |
| Street Address |
12221 N. MO PAC EXPY DEPT OF ENDOCRINOLOGY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| 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 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205136389 | Texmar Services Inc | Internal Medicine | 2002 Guadalupe St Ste A, Suite 316, Austin, TX 78705-6656 | 2010-10-23 |
| 1902122823 | Padma K. Horvit, Md, Pa | Internal Medicine | 12501 Hymeadow Dr Ste 1c, Austin, TX 78750-1831 | 2010-04-16 |
| 1649245697 | Valerie Diane Espinosa | Internal Medicine | 6500 North Mo Pac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2006-02-22 |
| 1467741132 | Jean Chen | Internal Medicine | 6500 N Mo Pac Expy, #200, Austin, TX 78731-3282 | 2011-04-04 |
| 1699064766 | Dustyn Erik Williams | Internal Medicine | 2111 Kramer Ln Ste 100, Austin, TX 78758-4032 | 2011-03-29 |
| 1225363153 | Jesslyn Jiaen Lu | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2009-10-09 |
| 1720212426 | Sherwin S Yen | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2009-05-08 |
| 1548434756 | Tira Chaicha-brom | Internal Medicine | 6500 N Mopac, Bldg 3, Ste 200, Austin, TX 78731-4309 | 2008-04-17 |
| 1831397793 | Linda Maidment Meyers | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2007-07-03 |
| 1912108366 | Farheen Yousuf | Internal Medicine | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2007-05-31 |
| 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.