Ellen M Grimm (NPI# 1275500100, PAC ID# 9638174493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1275500100 |
| PAC ID by PECOS | 9638174493 |
| Professional Enrollment ID | I20090130000095 |
| Full Name | Ellen M Grimm |
| Organization Legal Name | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Address |
1330 Wonder World Dr 101 Wonder World Medical Plaza II San Marcos TX 78666-7567 |
| Phone Number | 5128050680 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1992 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1254244551 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450272 | CENTRAL TEXAS MEDICAL CENTER |
| 670056 | SETON MEDICAL CENTER HAYS |
| 451371 | SETON EDGAR B DAVIS HOSPITAL |
| 450713 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12221 N Mopac Expressway, Austin, TX 78758-2483 | 5129014009 | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| 1330 Wonder World Dr, 101 Wonder World Medical Plaza II, San Marcos, TX 78666-7567 | 5128050680 | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Organization Legal Name | THE AUSTIN DIAGNOSTIC CLINIC PLLC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Silva Baeza | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 5145 Fm 620, Bldg I, Austin, TX 78732-1839 |
| Wendy Dennise Csaki | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 2400 Cedar Bend Dr, Austin, TX 78758-5378 |
| Ahmed Nezar Shobassy | Gastroenterology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Nida Zakiullah | Family Medicine | The Austin Diagnostic Clinic Pllc | 5701 W Slaughter Ln, Bldg C, Austin, TX 78749-6528 |
| Joseph Volpe | Physical Medicine and Rehabilitation | The Austin Diagnostic Clinic Pllc | 1499 Old Settlers Blvd B, Department of Podiatry, Round Rock, TX 78664-7567 |
| Richard R Tallman | Neurology | The Austin Diagnostic Clinic Pllc | 1250 S Capital of Texas Hwy, Bldg 3, West Lake Hills, TX 78746-6446 |
| Sonali P Birewar | Nephrology | The Austin Diagnostic Clinic Pllc | 1201 N Lakeline Blvd, Suite 100, Cedar Park, TX 78613-6780 |
| Mary Elizabeth Gasal | Obstetrics/gynecology | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Ghijung Kim | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 12221 N Mopac Expressway, Austin, TX 78758-2483 |
| Brenna K Gerdelman | Family Medicine | The Austin Diagnostic Clinic Pllc | 5701 W Slaughter Ln, Bldg C, Austin, TX 78749-6528 |
| Street Address |
1330 WONDER WORLD DR 101 WONDER WORLD MEDICAL PLAZA II |
| City | SAN MARCOS |
| State | TX |
| Zip | 78666-7567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiphany R Price | Nurse Practitioner | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, Suite 104, San Marcos, TX 78666-7566 |
| Qing Ren | Nephrology | The Austin Diagnostic Clinic Pllc | 1330 Wonder World Dr, 101 Wonder World Medical Plaza II, San Marcos, TX 78666-7567 |
| David J Kessler | Cardiac Electrophysiology | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, Suite 104, San Marcos, TX 78666-7566 |
| Alap R Jani | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, 108 Central Tx Med Ctr, San Marcos, TX 78666-7566 |
| Curtis Scott Solomon | Interventional Cardiology | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, 108 Central Tx Med Ctr, San Marcos, TX 78666-7566 |
| Nicole Smith | Nurse Practitioner | The Austin Diagnostic Clinic Pllc | 1330 Wonder World Dr, 101 Wonder World Medical Plaza II, San Marcos, TX 78666-7567 |
| William P Abide Jr. | Cardiovascular Disease (cardiology) | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, Suite 104, San Marcos, TX 78666-7566 |
| Christine Thompson | Nurse Practitioner | St Davids Heart and Vascular Pllc | 1330 Wonder World Dr, 108 Central Tx Med Ctr, San Marcos, TX 78666-7566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek C Yagnik | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Dan L Pong | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Giovanni G Millare | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Daniel G Bloom | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Mark Poag | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Kellan Michael Schallert | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Sandeep Shah | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Krishna Surapaneni | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Patrick Dattore | Clinical Psychologist | 100 N Edward Gary St, Suite B Suite 103, San Marcos, TX 78666-0644 | |
| Donald Willis | Urology | 1601 Redwood Rd A, San Marcos, TX 78666-1423 | |
| Find all physicians in zip 78666 | |||
| City | SAN MARCOS |
| Zip Code | 78666 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAN MARCOS + NEPHROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.