BAV - Static - Blue Cross and Blue Shield of Texas

Transcription

BAV - Static - Blue Cross and Blue Shield of Texas
Blue Advantage HMOSM
bmk_tco
Table of Contents
Primary Care Physicians.................................................................................................. 2
Specialists...................................................................................................................... 29
Supervised and Sponsored Providers ......................................................................... 157
Hospitals ...................................................................................................................... 167
Ancillary Providers ....................................................................................................... 168
Behavioral Health Providers (including Chemical Dependency Providers) ................. 175
Essential Community Providers ................................................................................... 224
Medical Group & Other Type ....................................................................................... 225
Primary Care Physicians Index.................................................................................... 226
Specialists Index .......................................................................................................... 230
Search Criteria
Product Type:
Subregion:
Last Updated:
BAV
AUSTIN
October 03, 2016
Primary Care Physicians
AUSTIN
O ctober 03, 2016
" Birdwell, Larry R, DO
Austin
AUSTIN
FAMILY PRACTICE
#
" Agueros, Horacio M, MD
Aus tin
!
Aus tin
Gender: Male
NPI: 1477586618
2609 E Seventh St
(512) 474-6836
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Clinica Siete
Board Certifications: Family Practice
Language(s): Spanish
Alberda, Kelly J, MD
Gender: Male
NPI: 1972525376
1313 Red River St
Ste 100
(512) 978-9305
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
" Allen, Gregory G, MD
Aus tin
Gender: Male
NPI: 1124060389
1101 Camino La Costa
(512) 478-4939
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Family Practice
Language(s): American Sign
" Alward, Ian S, MD
Aus tin
#
J
Gender: Male
NPI: 1790764058
2555 Western Trails Blvd
Ste 101
(512) 892-6600
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
" Balderas, Dagoberto, DO
Aus tin
Gender: Male
NPI: 1699835843
1901 W William Cannon
Dr Ste 123
(512) 444-2661
Clinic Affiliation: Lewis Family Medicine
Board Certifications: Family Practice
Language(s): Spanish
Aus tin
Barta, Adam P, MD
Gender: Male
NPI: 1386690477
1313 Red River
Ste 100
(512) 978-9610
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
!
J
" Blair, Stephen, MD
#
Gender: Male
NPI: 1962404244
1000 E 41st St
Ste 925
(512) 978-9940
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1285656603
1313 Red River
Ste 100
(512) 978-9610
J
#
Gender: Male
NPI: 1669417580
4614 N IH 35
(512) 978-9100
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): German, Spanish
#
J
!
Gender: Male
NPI: 1720010903
1101 Camino La Costa
(512) 478-4939
NPI: 1720010903
4614 N IH 35
(512) 978-9100
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Communitycare, Peoples
Community Clinic Inc
Board Certifications: Family Practice
Language(s): Chinese, French, Spanish,
Vietnamese
Gender: Male
NPI: 1255492765
500 N Capital of TX Hwy
Bldg 6-125
(512) 443-9355
Clinic Affiliation: Austin Family Medicine
Assoc
Board Certifications: Family Practice
Gender: Male
NPI: 1275553901
2555 Western Trails
Blvd Ste 101
(512) 892-6600
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Escamilla, David F, MD
Gender: Male
NPI: 1427093434
1200 Montopolis Dr
J (512) 978-9800
J
NPI: 1427093434
211 Comal St
(512) 978-9200
J
NPI: 1427093434
2529 S First St
(512) 978-9500
J
NPI: 1427093434
2802 Webberville Rd
(512) 978-9400
!
J
J
J
NPI: 1427093434
7112 Ed Bluestein
Blvd Ste 155
(512) 978-9300
J
NPI: 1427093434
825 E Rundberg Ln
Ste B1
(512) 978-9600
J
NPI: 1427093434
8656A W Hwy 71 Ste C
(512) 978-9820
J
" Dang, Tony, MD
J
Castilleja, Jerry F, MD
Gender: Male
NPI: 1720126659
3724 Executive Center Dr
Ste 230
(512) 452-2100
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1083795199
1139 W Braker Ln
Ste 103
(512) 832-1300
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: North Lamar Family
Medicine
Board Certifications: Family Practice
Language(s): French, Spanish, Vietnamese
" Dar, Khola H, MD
Austin
Gender: Female
NPI: 1831417807
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Chamnongvongse, Pirahatai, MD
Gender: Female
NPI: 1386995983
1705 E 11th St
(512) 978-8400
" De La Torre, Miguel A, MD
Austin
Gender: Male
NPI: 1720027881
5510 S IH 35
Ste 250A
(512) 301-1166
Clinic Affiliation: Wellness Med Clinics LLC
Board Certifications: Family Practice
Language(s): Spanish
NPI: 1386995983
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
NPI: 1427093434
500 E Seventh St
(512) 978-9920
NPI: 1427093434
6801 S IH 35
Ste 1E
(512) 978-9960
!
Austin
#
Gender: Female
NPI: 1881897270
2555 Western Trails Blvd
Ste 101
(512) 892-6600
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Austin
" Dale, Andrew M, MD
" Canon, Todd A, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Austin
Austin
Gender: Male
NPI: 1245252576
1313 Red River St
Ste 100
(512) 978-9610
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1972788891
2529 S First St
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
" Crow, Steven C, MD
Bui, Thieu, MD
Gender: Male
# NPI: 1811003296
8738 N Lamar Blvd
J (512) 834-2035
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Language(s): French, Spanish
Austin
NPI: 1285656603
1313 Red River St
Ste 100
(512) 324-8880
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Family Practice
Language(s): Spanish
Austin
Austin
Gender: Male
NPI: 1578508123
825 E Rundberg Ln
Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
#
" Contreras, Angelica, DO
" Brode, Donald R, MD
Austin
" Easterling, Amy K, DO
Austin
Austin
Austin
#
Gender: Female
NPI: 1023106952
1210 W Braker Ln
(512) 978-9300
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
" Clemons, Lisa K, MD
Bristol, Paul E, MD
Gender: Male
! NPI: 1780760595
2013 Wells Branch Pwky
Ste 113
J (512) 251-2828
Hospital Affiliations: St Davids Medical
Center
Board Certifications: None
Language(s): Spanish
#
NPI: 1760491047
8900 Shoal Creek Blvd
Ste 200
(512) 323-6900
Clinic Affiliation: Union Treatment Centers,
Utc Health and Rehab Austin
Board Certifications: None
Language(s): American Sign, Spanish
" Dsouza, Viveka F, MD
Austin
Austin
Austin
" Bayona, Jose, MD
" Benold, Terrell B, MD
Chen, Helo, DO
Gender: Male
NPI: 1760491047
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6000
Austin
Aus tin
Aus tin
Austin
Gender: Male
NPI: 1063466761
2529 S First St
(512) 978-9500
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
OCTOBER 03, 2016
bmk_pin_pcp
NPI: 1427093434
928 Blackson Ave
(512) 978-9740
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
" Faghri, Sanaz, MD
Austin
Gender: Female
NPI: 1780883868
2529 S First St
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Fannin, Tuyet M, DO
Gender: Female
NPI: 1235126194
711 W 38th St Ste C9
J (512) 454-3500
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Symphony Healthcare PA
Board Certifications: None
Language(s): Spanish, Vietnamese
Austin
Austin
Foadey, Tongny W, MD
Gender: Male
NPI: 1902035801
2802 Webberville Rd
(512) 978-9400
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Communitycare
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
2
Primary Care Physicians
OCTOBER 03, 2016
" Hahn, James S, MD
" Hutchens, Mark H, MD
Aus tin
AUSTIN (cont.)
FAMILY PRACTICE (cont.)
" Franklin, William G, MD
Austin
#
J
!
J
J
Gender: Male
NPI: 1609948314
3003 Bee Caves Rd
Ste 201
(512) 652-0122
NPI: 1609948314
4303 Victory Dr
(512) 462-3627
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: Family Practice
Language(s): Spanish
Freeman, Georgeanne, DO
Gender: Female
# NPI: 1194838409
1611 W Fifth St
Ste 180
J (512) 391-9400
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Downtown Doctor
Board Certifications: None
Language(s): Spanish
Austin
Gangupantula, Gopika, MD
Gender: Female
NPI: 1245318138
11111 Research Blvd
Ste 310
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
Guel, Mario H, MD
Gender: Male
NPI: 1629274626
5510 S IH 35
Ste 250A
(512) 301-1166
Hospital Affiliations: Mission Regional
Medical Center, South Texas Health System,
University Medical Center
Clinic Affiliation: Wellness Med Clinics LLC
Board Certifications: None
Language(s): Spanish
Gutierrez, Michael L, MD
Gender: Male
NPI: 1770664427
1009 E 40th St
Ste 300B
J (512) 482-8280
Board Certifications: None
Language(s): Spanish
#
Ha, Chen X, MD
Gender: Female
NPI: 1538171277
9801 Anderson Mill Rd
Ste 105
(512) 999-7010
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Texas Medical Wellness
Center
Board Certifications: None
Language(s): Chinese
Gender: Female
NPI: 1235140153
1101 Camino La Costa
(512) 478-4939
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Family Practice
!
J
Gender: Female
NPI: 1134120579
3003 Bee Caves Rd
Ste 201
(512) 462-3627
Austin
NPI: 1134120579
4303 Victory Dr
(512) 462-3627
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Victory Medical & Family
Care
Practice Information: No Patients Under 5
yrs old
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1245310168
1221 W Ben White Blvd
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): Spanish
" Keinarth, Paul D, MD
J
Gender: Male
NPI: 1730182601
5222 Burnet Rd Ste 200
(512) 459-9889
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Margolin & Keinarth PA
Board Certifications: Family Practice
" Keller, Katherine D, DO
Austin
Hill, Svetlana M, MD
Gender: Female
NPI: 1922162726
11420 Bee Caves Rd
Ste A150
(512) 520-7222
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Hill Family Medicine &
Skin Care
Board Certifications: None
Language(s): Russian, Ukrainian
#
J
!
J
" Holme, Josef E, MD
NPI: 1427123900
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): Spanish
!
J
Austin
Kim, Yun W, MD
Gender: Male
NPI: 1730404138
3200 Red River St
Ste 210
(512) 472-3161
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Yun W Kim MD
Board Certifications: None
" Kumar, Paraag, MD
Austin
Gender: Female
NPI: 1265751192
6601 S IH 35
Ste 1E
(512) 978-9960
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Gender: Female
NPI: 1356634760
3003 Bee Caves Rd
Ste 201
(512) 462-3627
NPI: 1356634760
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: Family Practice
Kumar, Shital D, DO
Gender: Female
! NPI: 1386735587
1210 W Braker Ln
(512) 978-9300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Austin
" Lamy, Keith H, MD
Austin
#
J
" Kempf, Melissa M, MD
Aus tin
J
Jones, Mason D, MD
Gender: Male
NPI: 1639220551
4301 W William Cannon
Dr Ste 300
(512) 222-8868
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Total Mens Physicians
Group LLC
Board Certifications: None
Kim, John S, MD
Gender: Male
# NPI: 1427123900
3003 Bee Caves Rd
Ste 201
J (512) 462-3627
Austin
Austin
Hill, Matthew S, DO
Gender: Male
# NPI: 1568665313
11420 Bee Caves Rd
Ste A150
J (512) 428-5764
Clinic Affiliation: Hill Family Medicine &
Skin Care
Board Certifications: None
Language(s): Russian, Ukrainian
Aus tin
!
Gender: Male
NPI: 1679681357
11671 Jollyville Rd
Ste 202
(512) 343-9848
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center
Board Certifications: Family Practice
Jones, Patsy, MD
Gender: Female
NPI: 1275636607
2113 E MLK Jr Blvd
Ste 106
J (512) 472-9664
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: None
" Heisler, Gerald P, MD
Aus tin
NPI: 1215948120
3706 S First St
(512) 324-4930
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
J
Kerr, Jacqueline M, MD
Gender: Female
# NPI: 1215948120
2811 E Second St
(512) 324-4930
Austin
" John, Paul W, MD
" Hanley, Patricia S, MD
!
Gender: Male
NPI: 1467461293
3200 Red River St
Ste 201
(512) 473-0201
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Sports and Family
Medicine PLLC
Board Certifications: Family Practice
Language(s): Spanish
Austin
Aus tin
Austin
Austin
J
" Haji, Amina K, MD
Austin
Austin
Austin
Gender: Male
NPI: 1457330292
631 W 38th St Ste 2
(512) 600-6189
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications: Family Practice
Language(s): Korean, Spanish
Aus tin
Austin
Gray, Barbara L, MD
Gender: Female
! NPI: 1003841909
12505 Hymeadow Dr
Ste 2A
J (512) 219-8991
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Board Certifications: None
Language(s): Spanish
AUSTIN
bmk_pin_pcp
Austin
Gender: Male
NPI: 1699757641
706 W Ben White Blvd
Ste A100
(512) 442-1996
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
!
Gender: Female
NPI: 1568541043
12180 N Mopac
Ste B
(512) 836-8800
Hospital Affiliations: Northeast Baptist
Hospital
Clinic Affiliation: San Antonio Osteo Relief
Ctr PA
Practice Information: No Patients Under 10
yrs old
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1164430278
1106 Clayton Ln
Ste 102W
(512) 453-7356
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Keith Lamy MD
Board Certifications: Family Practice
Language(s): Spanish
" Lee, Emmanuel J, MD
Austin
Gender: Male
NPI: 1821163122
3706 S First St
(512) 324-4940
!
NPI: 1821163122
8913 Collinfield Dr
(512) 324-6850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: Family Practice
" Lee, Ernestine M, MD
Austin
Gender: Female
NPI: 1073694923
1313 Red River
Ste 100
(512) 978-9610
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
3
Primary Care Physicians
AUSTIN
Margolin, Steven P, MD
Gender: Male
NPI: 1598768475
5222 Burnet Rd Ste 200
J (512) 459-9889
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Margolin & Keinarth PA
Board Certifications: None
Language(s): Spanish
Molina, Martin C, MD
Gender: Male
NPI: 1700830338
6618 Sitio Del Rio
Blvd Ste B101
J (512) 524-2336
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Smithville Reg Hospital
Clinic Affiliation: Martin C Molina MD
Board Certifications: None
Language(s): Spanish
Austin
AUSTIN (cont.)
FAMILY PRACTICE (cont.)
" Lewis, Harold D, DO
Aus tin
J
Gender: Male
NPI: 1689773459
1901 W Wm Cannon Dr
Ste 123
(512) 444-2661
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Board Certifications: Family Practice
Language(s): Spanish
Austin
" MacClements, Jonathan E, MD
Aus tin
!
Gender: Male
NPI: 1760472625
1313 Red River
Ste 100
(512) 978-9610
NPI: 1760472625
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: University Of Texas
Health Center At Tyler
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Family Practice
Macconnell, Terence P, MD
Gender: Male
# NPI: 1720139116
13010 Research Blvd
Ste 103
(512) 219-0903
Clinic Affiliation: S Tct Health Inc
Board Certifications: None
Language(s): Spanish
Aus tin
" Malleske, Joseph J, MD
Aus tin
#
J
Gender: Male
NPI: 1013911700
2555 Western Trails Blvd
Ste 101
(512) 892-6600
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Martin, Manuel J, MD
Gender: Male
NPI: 1710981402
2555 Western Trails Blvd
Ste 101
J (512) 892-6600
Hospital Affiliations: Seton Medical Center,
St Davids Georgetown Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: None
Language(s): Spanish
J
Marchand, Gregory, MD
Gender: Male
! NPI: 1033104336
4534 Westgate Blvd
Ste 113
J (512) 394-6020
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Marchand and Assoc
Family Me
Board Certifications: None
" Naglieri, Lori M, MD
Gender: Female
NPI: 1528073699
7011 Ribelin Ranch Rd
Ste 200
(512) 345-7436
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: River Hills Family
Medicine
Board Certifications: Family Practice
J
" Navarro, Carlos F, MD
Austin
J
Gender: Female
NPI: 1730293929
3200 Red River St
Ste 201
(512) 473-0201
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Sports and Family
Medicine PLLC
Practice Information: No Patients Under 2
yrs old
Board Certifications: Family Practice
Language(s): Spanish
J
Austin
" McGaugh Jr, Ronald C, MD
Austin
J
Gender: Male
NPI: 1023200383
15004 Avery Ranch
Blvd Ste 105
(512) 528-7420
Hospital Affiliations: Cedar Park Regional
Medical Ctr, St Davids Georgetown Hospital
Clinic Affiliation: Timberland Medical Group
Practice Information: Geriatric
Board Certifications: Family Practice
" Olagundoye, Olasupo A, MD
#
J
" Oubre, Philip B, MD
Gender: Male
NPI: 1750693529
500 N Capital of TX Hwy
Bldg 6-125
(512) 443-9355
Clinic Affiliation: Austin Family Medicine
Assoc
Board Certifications: Family Practice
Gender: Female
NPI: 1588789887
706 W Ben White Blvd
Blvd A Ste 100
(512) 442-1996
Hospital Affiliations: Christus Santa Rosa
New Braunfels
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
" Oyiriaru, Daniel I, MD
Austin
!
" Melendez Murphy, Edwin T, MD
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1164455598
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
Austin
" Melendez, Deborah L, MD
#
Okpaku, Amy D, DO
Gender: Female
NPI: 1386634723
1313 Red River St
Ste 100
(512) 324-8600
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
Austin
!
Gender: Male
NPI: 1801802152
706 W Ben White Blvd
Bldg A Ste 100
(512) 442-1996
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
!
" McCarty, Robyn E, MD
Austin
!
Pampe, Eugene D, MD
Gender: Male
NPI: 1710964382
6012 W William Cannon Dr
Ste D101
J (512) 892-6441
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Pampe Eugene D MD
Board Certifications: None
Language(s): Spanish
Austin
Peavey, Richard R, MD
Gender: Male
NPI: 1548379720
2909 N IH 35
J (512) 478-4939
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: None
Language(s): Spanish
Austin
#
" Pekar, Nathan H, MD
Austin
#
J
!
J
Austin
Martinez, George D, MD
Gender: Male
NPI: 1619010451
13450 Research Blvd
Ste 100
J (512) 250-5577
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: The Austin Clinic
Board Certifications: None
Language(s): Spanish
" Mandell, Joanna, MD
Aus tin
Moran, William J, MD
Gender: Male
NPI: 1114922325
4201 Marathon Blvd
Ste 204
J (512) 459-3205
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
Gender: Female
NPI: 1831333780
6801 S IH 35 Ste 1E
(512) 978-9960
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Molina Batlle, Claudia M, MD
Gender: Female
NPI: 1508800863
825 E Rundberg Ln
Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
#
" Malpani, Vishal B, MD
Gender: Male
NPI: 1225030281
2222 Rosewood Ave
(512) 465-4840
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Hindi, Spanish
Austin
Austin
Aus tin
!
Austin
Martens, Thomas E, DO
Gender: Male
NPI: 1144333055
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6900
Clinic Affiliation: Utc Health and Rehab
Austin
Board Certifications: None
Language(s): Spanish
OCTOBER 03, 2016
bmk_pin_pcp
Gender: Male
NPI: 1093781437
2901 Montopolix Dr
(512) 978-9901
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1124287784
6406 N IH 35
Ste 2600
(512) 465-4800
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Gender: Male
NPI: 1760479059
3003 Bee Caves Rd
Ste 201
(512) 652-0122
NPI: 1760479059
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: Family Practice
Language(s): Spanish
Pothuluri, Nomita J, MD
Gender: Female
# NPI: 1013070754
4303 Victory Dr
J (512) 462-3627
Hospital Affiliations: Kingwood Medical
Center
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): American Sign, Hindi,
Spanish
Austin
" Prajapati, Sarita H, MD
Austin
#
!
Gender: Female
NPI: 1346337490
3003 Bee Caves Rd
Ste 201
(512) 652-0122
NPI: 1346337490
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: Family Practice
Language(s): Gujarati, Spanish
Pyron, Martha I, MD
Gender: Female
# NPI: 1184667123
711 W 38th St
Ste G4
(512) 257-2500
Clinic Affiliation: Medicine In Motion Martha
Pyron M
Board Certifications: None
Language(s): American Sign, Spanish
Austin
" Rane, Poonam N, MD
Austin
#
Gender: Female
NPI: 1194959932
1210 W Braker Ln
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Rasor, Daniel L, MD
Gender: Male
! NPI: 1043211329
4534 Westgate Blvd
Ste 113
J (512) 394-6020
Hospital Affiliations: St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Marchand and Assoc
Family Me
Board Certifications: None
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
4
Primary Care Physicians
OCTOBER 03, 2016
" Tran, Liz Ngoc Phuong T, DO
Santiago, Jose F, MD
Gender: Male
NPI: 1023121613
2624 W Wm Cannon
J (512) 443-7746
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Board Certifications: None
Language(s): Spanish
Aus tin
AUSTIN (cont.)
FAMILY PRACTICE (cont.)
Reddy, Padma P, MD
Gender: Female
NPI: 1396779823
825 E Rundberg Ln
Ste B1
J (512) 978-9600
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Hindi, Spanish, Telugu
Austin
" Reddy, Prashant, DO
Gender: Male
NPI: 1770739914
2901 Montopolis Dr
(512) 978-9901
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
!
J
Aus tin
" Rhodes, Kerry D, MD
J
" Rie, Michael, MD
Austin
#
Austin
Gender: Male
NPI: 1902009301
2555 Western Trails Blvd
Ste 101
(512) 892-6600
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Rivera, Ismael O, MD
Gender: Male
NPI: 1891087102
825 E Rundberg Ln
Ste F
(512) 804-3913
Clinic Affiliation: Communitycare
Board Certifications: None
Robin, Sidney T, MD
Gender: Male
! NPI: 1760499586
631 W 38th St Ste 1
J (512) 459-4177
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Board Certifications: None
Language(s): Spanish
" Romero, Leigh A, MD
!
J
Gender: Female
NPI: 1780869685
3708 Jefferson St
Ste A
(512) 459-6503
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
J
J
" Vachris, Timothy P, MD
Servin, Celia B, MD
Gender: Female
NPI: 1326336371
2555 Western Trails
Blvd Ste 101
(512) 892-6600
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1285872143
3200 Red River St
Ste 201
(512) 473-0201
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Sports and Family
Medicine PLLC
Board Certifications: Family Practice
Language(s): Spanish
" Yagoda, Nicholas, MD
Austin
Gender: Male
NPI: 1225324825
2529 S First St
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Zamora, Santiago A, MD
Gender: Male
# NPI: 1194733568
7408 Cameron Rd
Ste A
J (512) 459-7275
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Santiago A Zamora MD
Board Certifications: None
Language(s): Spanish
Austin
" Zarndt, Jessica R, DO
Austin
Gender: Female
NPI: 1164670550
1313 Red River
Ste 100
(512) 324-8600
(512) 978-9610
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Family Practice
" Velasquez, Nelly D, MD
J
Gender: Female
NPI: 1619955218
900 E 30th St Ste 200
(512) 236-1100
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Velasquez Nelly MD
Board Certifications: Family Practice
Language(s): French, Spanish
" Weary, Andrew H, MD
Austin
#
Gender: Male
NPI: 1134113137
500 N Capital of TX Hwy
Bldg 6-125
(512) 443-9355
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Austin Family Medicine
Assoc
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1609861517
1000 E 41st St
Ste 925
(512) 978-9940
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
" Weidmann, Eric W, MD
Austin
#
Sooriarachchi, Sanjaya P, MD
Gender: Male
! NPI: 1457442113
2222 Rosewood Ave
J (512) 465-4840
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: None
Aus tin
J
" Sprute, Dana, MD
Aus tin
Gender: Female
NPI: 1295754406
1313 Red River St
Ste 100
(512) 324-8600
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1922002617
2555 Western Trails
Blvd Ste 101
(512) 892-6600
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
White, Richard H, MD
Gender: Male
NPI: 1588659452
631 W 38th St
J (512) 459-1203
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Board Certifications: None
Austin
" Swegler, Erica W, MD
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1487677282
1313 Red River Ste 100
(512) 978-9610
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, St Davids Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Language(s): Spanish
Austin
" Sneed, David L, DO
#
Gender: Female
NPI: 1295750149
3200 Red River Ste 210
(512) 432-3161
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: Family Practice
Language(s): Spanish
Austin
Aus tin
" Runyan, Donovan D, MD
#
Gender: Female
NPI: 1760568588
2013 Wells Branch Pkwy
Ste 113
(512) 251-2828
Hospital Affiliations: Round Rock Medical
Center, St Davids Medical Center
Board Certifications: Family Practice
Language(s): Spanish
NPI: 1225049166
3706 S First St
(512) 324-4930
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Austin
Gender: Female
NPI: 1699752774
2555 Western Trails Blvd
Ste 101
(512) 892-6600
Hospital Affiliations: Seton Southwest, St
Davids Medical Center
Clinic Affiliation: South Austin Medical
Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
" Underhill, Carla S, MD
Smith, Melissa C, MD
Gender: Female
# NPI: 1225049166
2811 E Second St
(512) 324-4930
J
" Wright, David P, MD
Austin
Gender: Female
NPI: 1215944087
1611 Ohlen Rd
(512) 873-7173
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Board Certifications: Family Practice
Language(s): Vietnamese
Austin
Aus tin
Austin
Austin
J
" Schroeder, Lorraine K, MD
Austin
Gender: Male
NPI: 1083697593
631 W 38th St Ste 2
(512) 459-3177
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications: Family Practice
Language(s): Spanish
Austin
Aus tin
Austin
#
AUSTIN
bmk_pin_pcp
Austin
Gender: Female
NPI: 1780672063
4208 Medical Pkwy
(512) 452-4900
Hospital Affiliations: North Hills Hospital
Board Certifications: Family Practice
Language(s): American Sign, German,
Spanish
!
Willhelm, Gevin W, DO
Gender: Male
NPI: 1700069689
11645 Angus Rd
Ste 9
(512) 346-7661
Hospital Affiliations: Seton Northwest
Hospital, St Davids Medical Center
Clinic Affiliation: Gevin W Willhelm DO
Board Certifications: None
Zavaleta, Thomas P, MD
Gender: Male
! NPI: 1689680944
3708 Jefferson St
Ste A
(512) 459-6503
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: None
Austin
GENERAL PRACTICE
Minto, Lester J, MD
Gender: Male
# NPI: 1902986276
8401 N Interstate 35
Ste 200
J (512) 250-1005
Clinic Affiliation: Whole Womans Health of
Austin
Board Certifications: None
Language(s): Spanish
Austin
Austin
Reilly, William G, MD
Gender: Male
NPI: 1447260963
11814 Jollyville Rd
Ste 103
(512) 250-9202
NPI: 1447260963
4450 Frontier Trail
(512) 373-8475
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
5
Primary Care Physicians
AUSTIN
" Burugu, Sukanya, MD
" Dubois, Susan K, MD
Austin
AUSTIN (cont.)
GENERAL PRACTICE (cont.)
Aus tin
Rose, James K, MD
Gender: Male
NPI: 1225192248
4303 Victory Dr
(512) 462-3627
Hospital Affiliations: Care Regional
Medical Center, Christus Spohn Hospital
Shoreline, Corpus Christi Medical Center
Bay Area, Corpus Christi Medical Center
Doctors Regional
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): Spanish
Austin
!
" Alexander, Anne L, MD
Aus tin
J
" Avashia, Swati B, MD
Gender: Female
NPI: 1740291319
1313 Red River St
Ste 100
(512) 978-9610
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
" Bell, Kristin C, MD
Aus tin
!
Gender: Female
NPI: 1023113404
11521 FM 620 N
Ste C 800
(512) 219-0670
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Internal Medicine
Language(s): Spanish
" Bollineni, Mamatha, MD
Aus tin
Gender: Female
NPI: 1639353139
11521 FM 620 N
Ste C 800
(512) 219-0670
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Internal Medicine
Language(s): Spanish
Bui, David R, MD
Gender: Male
! NPI: 1184601981
6406 N Interstate 35
Ste 2600
(512) 465-4800
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: None
Language(s): Spanish
Aus tin
Gender: Female
NPI: 1932239704
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
" Eapen, Prakash S, MD
Gender: Male
NPI: 1255595435
1221 W Ben White Blvd
Ste 200B
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Internal Medicine
Language(s): American Sign, Hindi,
Spanish
" Cooper, Brian J, DO
Gender: Male
NPI: 1366678963
6010 Balcones Dr
Ste 102
(512) 323-5465
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Elite Patient Care PLLC
Board Certifications: Internal Medicine
Gender: Male
NPI: 1366646929
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
J
Gender: Male
NPI: 1801960364
2901 Montapolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
Dang, Hoa T, MD
Gender: Male
NPI: 1841354586
8741 N Lamar
J (512) 275-0230
Austin
Gender: Male
NPI: 1598857682
805 E 32nd St
Ste 103
(512) 322-0800
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Emmanuel Edoka MD
Board Certifications: Internal Medicine
Language(s): Spanish
El Bejjani, Dalia, MD
Gender: Female
NPI: 1972666949
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
" Gray, Carlos E, MD
Austin
NPI: 1841354586
8745 N Lamar Blvd
(512) 275-0230
Hospital Affiliations: Seton Northwest
Hospital, St Davids Medical Center
Board Certifications: None
Language(s): Spanish, Vietnamese
Gender: Male
NPI: 1881671352
2900 S IH-35 Ste 108
(512) 445-5085
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Board Certifications: Internal Medicine
Language(s): German, Italian, Spanish
Douglass, Elizabeth T, MD
Gender: Female
NPI: 1073675401
313 E 12th St
Ste 102
J (512) 324-8880
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Austin
" Gupta, Abhilasha, MD
Austin
!
Gender: Female
NPI: 1225032931
13376 Research Blvd
Ste 110
(512) 219-0129
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, St Davids
Georgetown Hospital
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Hindi, Spanish
Gender: Male
NPI: 1023119716
3232 E Martin Luther King
(512) 477-7076
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Board Certifications: Internal Medicine
" Kanaparthi, Kusuma, MD
Austin
Gender: Female
NPI: 1548424625
1210 W Braker Ln
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
" Kheradpour, Rabin, MD
Austin
Gender: Male
NPI: 1093718462
2529 S First St
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
" Edoka, Emmanuel C, MD
" Corak, Jadranko, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Austin
Austin
J
" James, Jeffree A, MD
" Eaton, Jeffrey K, MD
#
Gender: Male
NPI: 1437247145
706 W Ben White Blvd
Bldg A Ste 100
(512) 442-1996
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
Austin
Austin
!
!
Austin
NPI: 1992889844
313 E 12th St
Ste 102
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Internal Medicine
Language(s): French, Spanish
#
" Inman, William B, MD
Austin
" Durairaj, Sonia S, MD
Gender: Female
NPI: 1992889844
2901 Montopolix Dr
(512) 978-9901
Gender: Male
NPI: 1659436004
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Gender: Male
NPI: 1851497903
5301 Duval Rd
Ste 500
(512) 222-0000
Clinic Affiliation: Austin Adult Primary Care
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
NPI: 1902915119
3706 S First St
(512) 324-4940
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
" Coats, Teresa L, MD
" Aung, Myo, MD
Aus tin
NPI: 1114091675
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): French, German, Spanish
Austin
Aus tin
" Ibanez, Marc A, MD
Austin
Gender: Female
NPI: 1114091675
1210 W Braker Ln
(512) 978-9300
Clark, Margaret K, MD
Gender: Female
NPI: 1902915119
2811 E Second St
(512) 324-4930
INTERNAL MEDICINE
Gender: Female
NPI: 1871672089
2911 Medical Arts St
Ste 18
(512) 476-0190
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Medical Arts Internal
Medicine PA
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
Gender: Female
NPI: 1992710040
11615 Angus Rd Ste 108
(512) 372-4400
Hospital Affiliations: St Davids Medical
Center
Board Certifications: Internal Medicine
Language(s): Spanish
OCTOBER 03, 2016
bmk_pin_pcp
" Khin, Yu, MD
Austin
J
Gender: Female
NPI: 1275861924
825 E Rundberg St
Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
" Kohli, Nandini D, MD
Austin
J
Gender: Female
NPI: 1942308804
2200 Park Bend Dr
Bldg 2 Ste 300
(512) 836-5665
Hospital Affiliations: North Austin Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Austin Primary Care
Physicians
Board Certifications: Internal Medicine
Language(s): Hindi, Punjabi, Spanish, Urdu
" Kolte, Bharati P, MD
Austin
J
Gender: Female
NPI: 1285649343
3921 Steck Ave
Ste A110
(512) 476-9934
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids S
Austin Medical Center
Clinic Affiliation: Flora Medical Clinic PLLC
Board Certifications: Internal Medicine
" Kumar, Ullattil N, MD
Austin
Gender: Male
NPI: 1275694291
2200 Park Bend Dr
Bldg 2 Ste 300
(512) 836-5665
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Austin Primary Care
Physicians
Board Certifications: Internal Medicine
Language(s): Hindi, Punjabi, Spanish, Urdu
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
6
Primary Care Physicians
OCTOBER 03, 2016
" Monge, Maria C, MD
" Perez, Maria N, MD
Aus tin
AUSTIN (cont.)
" Lane, Mariela P, MD
Austin
Austin
Leija, Graciela M, MD
Gender: Female
NPI: 1679674170
5802 Berkman Dr
Unit A
(512) 363-5725
Hospital Affiliations: Valley Baptist Medical
Center Brownsville, Valley Regional Medical
Center
Clinic Affiliation: Eastside Clinic and
Wellness Cent
Board Certifications: None
Language(s): Spanish
Gender: Male
!# NPI: 1609891126
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
" Morrison, Robert G, MD
J
Miller, Beth W, MD
Gender: Female
! NPI: 1285708305
1301 W 38th St
Ste 113
J (512) 324-3395
J
!
J
J
NPI: 1285708305
2901 Montopolis Dr
(512) 978-9901
NPI: 1285708305
313 E 12th St
Ste 102
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: None
Language(s): Spanish
Gender: Female
NPI: 1215131891
1210 W Braker Ln
(512) 978-9300
NPI: 1215131891
7112 Ed Bluestein
Blvd Ste 155
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Hindi, Spanish, Telugu
#
Gender: Female
NPI: 1144301185
2901 Montopolis Dr
(512) 978-9901
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
!
Gender: Male
NPI: 1720088206
3708 Jefferson St
Ste A
(512) 459-6503
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Toupin, Leo R, MD
Austin
J
" Vandel, Jerry D, MD
J
Pearlson, Yale S, MD
Gender: Male
NPI: 1962553149
5510 S IH 35
Ste 250A
(512) 301-1166
Clinic Affiliation: Wellness Med Clinics LLC
Board Certifications: None
Language(s): Spanish
J
" Shulman, Edie E, MD
Austin
Gender: Female
NPI: 1205871845
11111 Tresearch Blvd
Ste 310
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Internal Medicine
Language(s): American Sign, Spanish
J
Gender: Female
NPI: 1659304673
11673 Jollyville Rd
Ste B101
(512) 339-1535
Hospital Affiliations: Lyndon B Johnson
General Hospital, North Austin Medical
Center, Seton Northwest Hospital
Clinic Affiliation: Edie E Shulman MD PLLC
Board Certifications: Internal Medicine
Language(s): Spanish, Vietnamese
Gender: Male
NPI: 1588699466
2911 Medical Arts St
Bldg 10
(512) 477-1405
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: Internal Medicine
Language(s): French, Spanish
" Williams, Michael K, MD
Austin
Gender: Male
NPI: 1376617811
2901 Montopolix Dr
(512) 978-9901
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
" Yalamanchili, Vijayalakshmi, MD
Austin
" Shih, Angela H, MD
Gender: Female
NPI: 1912011271
11673 Jollyville Rd
Ste B101
(512) 339-1535
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Angela Shih MD
Board Certifications: Internal Medicine
Language(s): Taiwanese
Gender: Male
NPI: 1518052224
12335 Hymeadow Dr
Ste 150
(512) 977-8300
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center
Clinic Affiliation: Leo Toupin MD
Board Certifications: Internal Medicine
Austin
Austin
" Perera, Chrishanthi M, MD
Gender: Female
NPI: 1265459762
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
Gender: Female
NPI: 1245304799
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Gender: Female
NPI: 1043476476
2200 Park Bend Dr
Bldg 2 300
(512) 836-5665
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Austin Primary Care
Physicians
Board Certifications: Internal Medicine
Aus tin
" Mondy, Kristin E, MD
Gender: Male
NPI: 1376595611
3724 Executive Ctr Dr
Ste 230
(512) 452-2100
Hospital Affiliations: St Davids Georgetown
Hospital
Clinic Affiliation: Chudleigh PA
Board Certifications: Internal Medicine
" Shah, Rajal D, MD
Gender: Male
NPI: 1326272246
8656A W Hwy 71
Ste C
(512) 978-9820
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Austin
" Syed, Asif S, MD
Austin
" Parameswara, Vinay K, MD
Aus tin
Gender: Female
NPI: 1477715415
2901 Montopolis Dr
(512) 978-9901
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Gender: Male
NPI: 1851407043
4007 James Casey Ste C120
(512) 441-4028
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
" Salib, Sherine E, MD
Aus tin
" Miller, Gwendolyn B, MD
J
Austin
" Nutson, Peter A, MD
J
#
" Sadler, Holli T, MD
Aus tin
!
" Stroud, Robert L, MD
Austin
Austin
" Nelson, Elizabeth A, MD
Austin
Gender: Female
NPI: 1700812716
313 E 12th St
Ste 107
(512) 324-9650
Hospital Affiliations: Baylor Scott & White White Rock, North Austin Medical Center,
Round Rock Medical Center, St Davids
Medical Center
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
Risinger, Christy T, MD
Gender: Female
# NPI: 1700897634
8913 Collinfield Dr
(512) 324-6850
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Aus tin
!
Punjabi, Narendra S, MD
Gender: Male
NPI: 1295740751
11615 Angus Rd
Ste 106
(512) 346-8652
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Narendra Punjabi MD
Board Certifications: None
Language(s): Gujarati, Hindi
Shung, Sheila X, MD
Gender: Female
! NPI: 1407839848
12319 N Mopac Expwy
Ste C-240
(512) 833-0140
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Sheila Shung MD PLLC
Internal Med
Board Certifications: None
Language(s): Chinese
Austin
Austin
" Nagavarapu, Shantisony P, MD
Austin
!
Gender: Male
NPI: 1407911969
4614 N IH 35
(512) 978-9100
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Aus tin
Austin
Gender: Male
!# NPI: 1437224912
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
Aus tin
#
Gender: Female
NPI: 1013925874
2901 Montopolis Dr
(512) 978-9901
NPI: 1013925874
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Internal Medicine
" Moreno, Alejandro, MD
" Mathew, Nancy A, DO
" Maxwell, Aaron C, MD
#
Aus tin
Austin
Gender: Female
NPI: 1063441590
1210 W Braker Ln
(512) 978-9300
Hospital Affiliations: East Texas Medical
Center Athens
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Austin
Gender: Female
NPI: 1851567556
2909 N IH 35
(512) 478-4939
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Peoples Community Clinic
Inc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Internal Medicine
INTERNAL MEDICINE (cont.)
Gender: Female
NPI: 1194019125
1101 Camino La Costa
(512) 478-4939
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Internal Medicine
Language(s): Spanish
AUSTIN
bmk_pin_pcp
J
Gender: Female
NPI: 1356442784
12411 Hymeadow Dr Ste 3E
(512) 331-5321
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital
Board Certifications: Internal Medicine
Language(s): Gujarati, Hindi, Tamil
" Zachary, James A, MD
Austin
#
J
Gender: Male
NPI: 1457350290
4614 N IH 35
(512) 978-9100
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
7
Primary Care Physicians
AUSTIN
AUSTIN (cont.)
PEDIATRICS
Austin
INTERNAL MEDICINE (cont.)
" Zhou, Chen, MD
Aus tin
!
Gender: Female
NPI: 1851595458
13376 N Hwy 183
Ste 110
(512) 219-0129
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Round
Rock Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Chinese
" Barrera, Rodolfo C, DO
J
J
Aus tin
" Braunstein, Maryjane E, MD
J
J
" Sorin, Robert, MD
J
Gender: Male
NPI: 1154307833
2909 N IH 35
(512) 478-4939
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Upton, Ralph E, MD
Aus tin
Gender: Male
NPI: 1053473074
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications:
Obstetrics-Gynecology
J
" Doyle, Marilyn M, MD
Gender: Female
NPI: 1215980032
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1820
Gender: Male
NPI: 1750469623
711 W 38th St Ste C2
(512) 458-6717
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Pediatric Clinic PA
Board Certifications: Pediatrics
NPI: 1215980032
2802 Webberville Rd
(512) 978-9400
Hospital Affiliations: Park Plaza Hospital,
St Joseph Medical Center
Clinic Affiliation: Communitycare, Specially
For Children
Board Certifications: Pediatrics
Edoka, Joanne W, MD
Gender: Female
NPI: 1700987500
805 E 32nd St Ste 102
J (512) 582-1201
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: None
Language(s): English, Spanish
Austin
Gender: Male
NPI: 1912912064
5339 N IH 35
(877) 800-5722
NPI: 1912912064
730 W Stassney Ste 110
(877) 800-5722
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Ellis, Leighton E, MD
Gender: Female
NPI: 1457322760
12201 Renfert Way
Ste 110
J (512) 491-5125
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: None
Language(s): Portuguese, Spanish
Austin
Brieno, Elsa G, MD
Gender: Female
NPI: 1477647048
4201 Marathon Blvd
Ste 201
J (512) 323-0276
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Board Certifications: None
Language(s): Spanish
Austin
" Frank, Allan L, MD
Austin
#
J
Cassels, Melody D, MD
Gender: Female
NPI: 1467664003
1305 W 34th St Ste 210
J (512) 454-0406
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: William D Caldwell MD
Board Certifications: None
Austin
J
Concepcion, Constancio V, MD
Gender: Male
# NPI: 1770574659
1210 W Braker Ln
J (512) 978-9300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Gallas, Michelle C, DO
Austin
Gender: Female
NPI: 1912005844
211 Comal St
(512) 978-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Austin
Gender: Male
NPI: 1164537270
1100 W 39th 1/2 St
(512) 454-4545
NPI: 1164537270
4100 Duval Rd
Bldg 4 Ste 100
(512) 250-0220
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Capital Pediatric Group
Asso
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
" Frasser, Sandra G, MD
Austin
Gender: Female
NPI: 1821262320
1101 Camino La Costa
(512) 320-0702
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Pediatrics
Language(s): Spanish
Gandhi, Pritesh H, MD
Gender: Male
NPI: 1003115452
1101 Camino La Costa
(512) 478-4939
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: None
" Garcia, Eugenia, MD
Austin
#
Austin
" Bocchicchio, Jeffrey F, MD
" Chaparro Krueger, Cynthia, DO
Aus tin
NPI: 1588763130
4007 James Casey St
Ste A150
(512) 447-0707
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, St Davids Medical Center, St Davids
S Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Pediatric Care of Austin
PA
Board Certifications: Pediatrics
Language(s): Spanish
Austin
Aus tin
Gender: Female
NPI: 1225336274
11111 Research Blvd
Ste 230
(877) 800-5722
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Under 14
yrs old
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Deshpande, Mrudula A, MD
Gender: Female
# NPI: 1245240647
13740 Research Blvd
Ste 1 Bldg V
(512) 250-0406
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Round Rock Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Deshpande Mrudula MD
Board Certifications: None
Language(s): Spanish, Urdu
" Bayer, Michael, MD
#
Gender: Male
NPI: 1922011857
1111 W 34th St Ste 102
(512) 467-1600
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Dawson Ramirez
Pediatrics
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Austin
Gender: Male
NPI: 1588763130
1015 E 32nd St Ste 203
(512) 476-5437
Austin
Aus tin
Gender: Female
NPI: 1265449623
11111 Research Blvd
Ste 230
(877) 800-5722
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications:
Obstetrics-Gynecology
Language(s): American Sign, Spanish
J
Austin
OBSTETRICS-GYNECOLOGY
Billue, David C, MD
Gender: Male
NPI: 1982795407
11111 Research Blvd
Ste 230
J (877) 800-5722
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
" Dawson, Thomas B, MD
Austin
Abdelhafez, Waleed, MD
Gender: Male
NPI: 1801230073
1101 Camino La Costa
(512) 708-3100
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: None
Language(s): American Sign
OCTOBER 03, 2016
bmk_pin_pcp
Gender: Female
NPI: 1609812015
2499 S Capital of Texas
Hwy Ste B100
(512) 328-7666
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Bee Caves Pediatrics PA
Board Certifications: Pediatrics
Language(s): Spanish
" Glazener, Wesley S, MD
Austin
Gender: Male
NPI: 1104880301
1305 W 34th St
Ste 210
(512) 454-0406
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center
Clinic Affiliation: William D Caldwell MD
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Grady, Leigh A, MD
Gender: Female
! NPI: 1558446013
1600 W 38th St
Ste 105
(512) 467-7334
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Grow Pediatrics and
Adolescent Me
Practice Information: No Patients Over 22
yrs old
Board Certifications: None
Austin
Grant, Danielle D, MD
Gender: Female
# NPI: 1548436496
13917 W Hwy 71
Ste A
J (512) 610-7030
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Beansprout Pediatrics
Board Certifications: None
Language(s): Spanish
Austin
" Greendyk, Tara, MD
Austin
Gender: Female
NPI: 1992904460
211 Comal St
(512) 978-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Austin
Grier, Mark W, MD
Gender: Male
NPI: 1407862758
2499 S Capital of Texas
Bldg B Ste 100
(512) 328-7666
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Bee Caves Pediatrics PA
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
8
Primary Care Physicians
OCTOBER 03, 2016
" Jolet, Kelly, MD
" Li Pelaez, Joanne R, DO
Aus tin
AUSTIN (cont.)
PEDIATRICS (cont.)
Austin
Gupta, Indu R, MD
Gender: Female
NPI: 1255442067
2909 N IH 35
(512) 499-0090
NPI: 1255442067
6836 Bee Cave Rd
Ste 180
(512) 328-2333
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Peoples Community Clinic
Inc, Tarrant Angelyn L MD
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
J
" Hine, Peter W, MD
J
Gender: Male
NPI: 1083685788
4315 James Casey St
Ste 100
(512) 443-3883
Hospital Affiliations: St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Pediatrics of South Austin
PA
Board Certifications: Pediatrics
Language(s): Spanish
" Howard, Ellen E, MD
Austin
J
Aus tin
J
Kini, Margaret A, MD
Gender: Female
NPI: 1942287065
211 Comal St
(512) 978-9200
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
#
J
Muzaffar, Syema, MD
NPI: 1033120936
2811 E Second St
J (512) 324-4930
Austin
NPI: 1033120936
8913 Collinfield Dr
(512) 324-5860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
!
J
Gender: Male
NPI: 1740368406
711 W 38th St
Ste C2
(512) 458-6717
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Clinic PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Nakonechna, Olena L, MD
Gender: Female
NPI: 1629254883
3706 S First St
J (512) 324-4940
Austin
#
NPI: 1629254883
8913 Collinfield Dr
(512) 324-6850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
J
" Ma, Helen, DO
Austin
#
J
J
NPI: 1558520544
1210 W Braker Ln
(512) 978-9500
NPI: 1558520544
211 Comal St
(512) 978-9200
Gender: Female
NPI: 1134234388
1100 W 39th 1/2 St
(512) 454-4545
NPI: 1134234388
4100 Duval Rd
Bldg IV Ste 100
(512) 250-0220
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Capital Pediatric Group
Asso
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
" Malik, Durdana A, MD
" Norton, Lydia W, MD
Austin
#
J
Austin
Austin
NPI: 1558520544
2802 Webberville Rd
(512) 978-9400
J
NPI: 1558520544
500 E Seventh St
(512) 978-9920
NPI: 1558520544
6801 S IH 35
Ste 1E
(512) 978-9960
Gender: Female
NPI: 1184734261
4207 James Casey St
Ste 111
(512) 444-9800
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Board Certifications: Pediatrics
Language(s): Arabic, Hindi, Spanish, Urdu
!
J
NPI: 1558520544
825 E Rundberg Ln
Ste B1
(512) 978-9600
J
NPI: 1558520544
928 Blackson Ave
(512) 978-9740
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Language(s): Spanish
Gender: Female
NPI: 1285749382
1100 W 39th 1/2 St
(512) 454-4545
NPI: 1285749382
4100 Duval Rd
Bldg 5 Ste 100
(512) 250-0220
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Capital Pediatric Group
Asso
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Owens, Juliette L, MD
Gender: Female
NPI: 1538173802
1600 W 38th St
Ste 105
(512) 467-7334
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Grow Pediatrics and
Adolescent Me
Board Certifications: None
Language(s): Spanish
" Patil, Vaishalee S, MD
" Mani, Jayashree, MD
#
Gender: Female
NPI: 1366419442
2499 S Cap of TX Hwy
Bldg B 100
(512) 328-7666
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Bee Caves Pediatrics PA
Board Certifications: Pediatrics
Language(s): Spanish
Austin
Austin
NPI: 1558520544
7112 Ed Bluestein Blvd
Ste 155
(512) 978-9300
NPI: 1558520544
8656A Hwy 71 W Ste C
(512) 978-9820
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Lopez, Ramona C, MD
Gender: Female
NPI: 1659342350
4315 James Casey St
Ste 100
(512) 443-3883
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Pediatrics of South Austin
PA
Practice Information: No Patients Over 17
yrs old
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1518964014
2911 Medical Arts St
Ste 20
(512) 236-9306
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Longhorn Pediatrics
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
" Louis, Jack A, MD
Gender: Female
NPI: 1558520544
1200 Montopolis Dr
(512) 978-9800
!
" McMains, Merrick J, MD
Austin
Gender: Female
NPI: 1104024207
11111 Research Blvd
Ste 230
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Austin
" Lama Briseno, Tracy R, DO
Gender: Male
NPI: 1235244369
1100 W 39th 1/2 St
(512) 454-4545
NPI: 1235244369
4100 Duval Rd
Ste 1- 101
(512) 250-0220
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Capital Pediatric Group
Asso
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Gender: Male
NPI: 1285745547
12411 Hymeadow Dr
Ste 3F
(512) 250-1997
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center
Clinic Affiliation: Kangos Peter A MD
Board Certifications: Pediatrics
Language(s): Spanish
Aus tin
" Hughes, Thomas E, MD
!
Austin
Kyu, Win W, MD
Gender: Female
NPI: 1699835421
825 E Rundberg Ln
Ste B1
J (512) 978-9300
Hospital Affiliations: North Central Baptist
Hospital, Northeast Baptist Hospital, Seton
Medical Center
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
J
J
Aus tin
Gender: Female
NPI: 1942437074
211 Comal St
(512) 978-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
#
#
" Kangos, Peter A, MD
" Haslund, Karen, MD
Austin
Austin
Gender: Female
NPI: 1972601680
7900 FM 1826 Bldg 1
Ste 220
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Aus tin
Austin
Gender: Female
NPI: 1972566941
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Communitycare
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
AUSTIN
bmk_pin_pcp
J
Gender: Female
NPI: 1487752127
7900 FM 1826 Bldg 1
Ste 220
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Gujarati,
Hindi, Marathi, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
9
Primary Care Physicians
AUSTIN
" Salek Powell, Lorraine E, MD
" Thoppil, Nimmi T, MD
Austin
AUSTIN (cont.)
PEDIATRICS (cont.)
" Qian, Baoping, MD
Aus tin
Gender: Male
NPI: 1144415936
11111 Research Blvd
Ste 230
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
J
" Rane, Nishigandha Y, MD
#
J
J
J
Ruiz, Elena, MD
Gender: Female
# NPI: 1356352637
2499 S Cap of TX Hwy B100
(512) 328-7666
Aus tin
NPI: 1356352637
2501 Ranch Rd 620 S
Ste 220
(512) 637-6316
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Bee Caves Pediatrics PA
Board Certifications: None
Language(s): Spanish
Russell, Terri A, MD
Gender: Female
NPI: 1700985553
2911 Medical Arts St
Ste 16
J (512) 467-7111
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Terri Anne Russell MD
Board Certifications: None
Aus tin
#
J
Gender: Female
NPI: 1467431684
12201 Renfert Way
Ste 110
(512) 491-5125
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: Pediatrics
Language(s): English, Portuguese, Spanish
J
" Sperling, Rebekah E, MD
" Rimer, Haydee C, MD
Gender: Female
NPI: 1982800116
12201 Renfert Way Ste 110
(512) 491-5125
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: Pediatrics
Language(s): Portuguese, Spanish
Tarrant, Angelyn L, MD
Gender: Female
NPI: 1740389402
6836 Bee Cave Rd
Ste 180
J (512) 328-2333
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Tarrant Angelyn L MD
Board Certifications: None
Language(s): Spanish
NPI: 1336254507
4100 Duval Rd Bldg 4
Ste 100
(512) 250-0220
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Capital Pediatric Group
Asso
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
" Villarreal-Levy, Christine C, MD
#
J
Gender: Female
NPI: 1588944920
4800 Manor Rd
(512) 499-0090
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Peoples Community Clinic
Inc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
" Wagner, Nicholas J, MD
Austin
J
Temple, Brian W, MD
Gender: Male
# NPI: 1689863649
13917 W Hwy 71
Ste A
(512) 610-7030
Clinic Affiliation: Beansprout Pediatrics
Board Certifications: None
Language(s): Spanish
Austin
#
" Chavez, Pompeyo C, MD
Bastrop
Gender: Male
NPI: 1821292426
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: Family Practice
Language(s): Spanish
J
Gender: Male
NPI: 1497915565
7900 FM 1826 Bldg 1
Ste 220
(512) 288-9669
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Southwest
Clinic Affiliation: Southwest Pediatrics
Assoc
Board Certifications: Pediatrics
Language(s): Spanish
" Dougherty Jr, Robert J, MD
Bastrop
Gender: Male
NPI: 1114935210
623 Hwy 71 W
Ste 204
(512) 581-5016
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Robert James Dougherty
MD
Board Certifications: Family Practice
J
Gutierrez Lopez, Karina, MD
Gender: Female
NPI: 1992148605
441 Hwy 71 W Ste C
(512) 304-0313
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Bastrop
Mota, Estela, MD
Gender: Female
NPI: 1366736050
3101 Hwy 71 E
Ste 101
J (512) 304-0300
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: None
Language(s): Spanish
Bastrop
" Ortega, Juan C, MD
Bastrop
Gender: Male
NPI: 1720074529
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: Columbus Community
Hospital
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: Family Practice
Language(s): Spanish
" Wheelock, Valerie G, MD
Austin
J
" Thant, Lewai, MD
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1336254507
1100 W 39th 1/2 St
(512) 454-4545
Austin
Austin
#
Akkanti, Yamini A, MD
Gender: Female
NPI: 1760659973
201 Childers Dr Ste 109
(512) 321-3430
Hospital Affiliations: Seton Edgar B Davis,
Seton Smithville Reg Hospital
Clinic Affiliation: Sai Medical Group PA
Board Certifications: None
Language(s): Hindi, Spanish, Telugu
Bastrop
" Treybig, Sandra K, MD
Austin
J
BASTROP
FAMILY PRACTICE
Austin
" Sharp, Erica C, MD
Aus tin
Gender: Female
NPI: 1255439931
7900 FM 1826 Bldg 1
Ste 220
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Torres, Manuel A, MD
Gender: Male
NPI: 1972713410
1110 W William Cannon Dr
Ste 502
J (512) 474-2660
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Manuel A Torres MD
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
Austin
#
Gender: Female
NPI: 1124096375
1210 W Braker Land
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Austin
Gender: Male
NPI: 1134184930
1015 E 32nd St
Ste 203
(512) 476-5437
Hospital Affiliations: Gulf Coast Medical
Center
Clinic Affiliation: Pediatric Care of Austin
PA
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Aus tin
Gender: Female
NPI: 1902830946
4700 Seton Center Pkwy
Ste 125
(512) 338-8500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Northwest Pediatrics and
Adolescents
Board Certifications: Pediatrics
Language(s): Spanish
* Leaving Network: 2016-11-01
#
" Sears, Thomas M, MD
" Ramirez, Jaime E, MD
Gender: Male
NPI: 1598778409
1111 W 34th St Ste 102
(512) 467-1600
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Dawson Ramirez
Pediatrics
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Austin
Gender: Female
NPI: 1003043134
7900 FM 1826 Bldg 1
Ste 220
(512) 288-9669
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign
Austin
Aus tin
OCTOBER 03, 2016
bmk_pin_pcp
Gender: Female
NPI: 1104870641
2529 S First St
(512) 978-9500
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Gender: Female
NPI: 1871694349
7004 W Bee Caves Rd
Bldg 1 Ste 210
(512) 327-0562
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Valerie Wheelock MD
Board Certifications: Pediatrics
" White, Amy L, MD
Austin
#
Gender: Female
NPI: 1821169004
1111 W 34th St Ste 102
(512) 467-1600
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center
Clinic Affiliation: Dawson Ramirez
Pediatrics
Board Certifications: Pediatrics
Vocal, Laurier A, MD
Gender: Male
NPI: 1821102005
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: None
Language(s): French, Spanish
Bastrop
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
10
Primary Care Physicians
OCTOBER 03, 2016
" Williams, Brian K, MD
Bee Cave
BASTROP (cont.)
" Batlle, Augustin R, MD
Bastrop
#
J
J
" Van Benthuysen, Suzanne L, MD
Gender: Female
NPI: 1962673301
12005 Bee Cave Rd
Ste 2A
(512) 225-0766
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Bee Well Pediatrics of
Central Te
Board Certifications: Pediatrics
Gender: Male
NPI: 1588680672
441 W Hwy 71 Ste C
(512) 791-1224
Hospital Affiliations: Baylor Scott & White White Rock, Medical Center Of Plano
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Spanish
FAMILY PRACTICE
Jones, Mason D, MD
Gender: Male
NPI: 1639220551
12717 Shops Pkwy
Ste 500
(512) 222-8667
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Total Mens Physicians
Group LLC
Board Certifications: None
Bee Cave
Garza, Roland R, MD
Gender: Male
NPI: 1275530768
1301 Memorial Dr
J (979) 846-1100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
BRYAN
FAMILY PRACTICE
" Adams, Rae A, MD
Bryan
J
Gender: Female
NPI: 1508019001
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Cherian, Rany A, MD
Gender: Female
NPI: 1932126422
1703 E 29th St
J (979) 779-4756
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Texas Avenue Medical
Clinic
Board Certifications: None
Language(s): Malayalam, Spanish
Bryan
#
Gender: Male
NPI: 1992765192
2851 N Main St
Ste 1
(254) 939-1844
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Family Practice
" Daftarian, Arezu, MD
Bryan
BERTRAM
Gender: Female
NPI: 1881659589
2710 Osler Blvd
(979) 774-6061
FAMILY PRACTICE
" Franz, Charles M, DO
Bertram
Bee Cave
Gender: Male
NPI: 1225068315
11805 Bee Caves Rd
Ste 100
(512) 402-9013
Clinic Affiliation: Lrmc Physician Services
Inc
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1932215258
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1841248408
825 Fourth St
(830) 833-5581
Clinic Affiliation: Blanco Regional Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1083996177
2900 E 29th St Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
" Holdampf, Barry J, MD
Bee Cave
" Gaertner, James S, MD
" Dickey, Nancy W, MD
" Weaver, John D, MD
J
J
Gender: Male
NPI: 1912978206
160 N Lampasas St
(512) 355-9233
Hospital Affiliations: Seton Highland
Lakes, The Medical Ctr Of Southeast Tx Lp
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Spanish
J
" Gill, Kory L, DO
Bryan
Gender: Male
NPI: 1154582716
3121 University Dr E
Ste 100
(979) 776-0169
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Family Practice
Language(s): Spanish
Bertram
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Kakwan, Ume Haney Y, MD
Gender: Female
NPI: 1699761536
2703 Osler Blvd
J (979) 776-0055
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Medicine and
Senior Care
Board Certifications: None
Language(s): Spanish
Bryan
" Lichorad, Anna, MD
Bryan
J
" Davis, Chanseya A, MD
INTERNAL MEDICINE
J
NPI: 1881659589
2900 E 29th St
Ste 200
(979) 774-8440
Clinic Affiliation: Daftarian Family Practice,
The Texas A&M University System H
Board Certifications: Family Practice
Language(s): Spanish
Kahn, Ronald F, MD
Gender: Male
NPI: 1336246487
1920 W Villa Maria Rd
Ste 201
J (979) 268-0786
Board Certifications: None
Language(s): French, Hindi, Indian,
Malayalam, Spanish
Bryan
Bryan
" Deng, Yue, MD
J
Gender: Female
NPI: 1821292483
160 N Lampasas St
(512) 355-9233
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Internal Medicine
Language(s): Spanish
Gender: Male
NPI: 1326047259
2709 Osler Blvd
(979) 776-2200
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Bryan Family Medicine
Clinic PA
Board Certifications: Family Practice
Language(s): Gujarati, Hindi, Spanish
Bryan
" Blalock, Katherine E, MD
Guajardo, Arturo, MD
Gender: Male
NPI: 1376564153
101 E 24th St
Ste B
(254) 415-7598
Hospital Affiliations: Doctors Hospital Of
Laredo, Laredo Medical Center
Clinic Affiliation: Arturo Guajardo MD
Board Certifications: None
Language(s): Spanish
FAMILY PRACTICE
Fagerberg, Kristyn T, MD
Gender: Female
NPI: 1154332054
11805 Bee Caves Rd
Ste 100
(512) 402-9013
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Lrmc Physician Services
Inc
Board Certifications: None
Language(s): Spanish
J
Bryan
Belton
Belton
BEE CAVE
#
Blanco
BELTON
Bastrop
Gender: Female
NPI: 1164626727
605 Old Austin Hwy
(877) 800-5722
Hospital Affiliations: Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): Hindi, Spanish
Gender: Female
NPI: 1750329801
825 Fourth St
(830) 833-5581
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Blanco Regional Clinic PA
Board Certifications: Family Practice
Bee Cave
" Porter, Brent A, MD
" Trevino, Christine A, DO
J
Morgan, Jessica A, MD
Gender: Female
NPI: 1972794162
12005 Bee Cave Rd
Ste 2A
(512) 225-0766
Clinic Affiliation: Bee Well Pediatrics of
Central Te
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Bastrop
PEDIATRICS
" Black, Ann P, MD
Blanco
Bee Cave
" Gupta, Rajeev, MD
Gender: Male
NPI: 1417936261
441 Hwy 71 W
Ste A
(512) 321-9091
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Bastrop County Medical
Assoc PA
Board Certifications: Internal Medicine
Language(s): Hindi, Spanish, Urdu
FAMILY PRACTICE
PEDIATRICS
Bastrop
" Dhaduk, Shailesh D, MD
Bryan
BLANCO
Gender: Male
NPI: 1265641013
11612 Bee Cave Rd
Ste 175
(512) 451-0139
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: Family Practice
Language(s): Spanish
INTERNAL MEDICINE
Gender: Male
NPI: 1902985427
195 S Hasler Blvd Ste B1
(512) 308-1555
Hospital Affiliations: Seton Smithville Reg
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Bastrop Medical Clinic PA
Board Certifications: Internal Medicine
Language(s): Spanish
BRYAN
bmk_pin_pcp
Gender: Female
NPI: 1578593810
3370 S Texas Ave
Ste B
(979) 595-1700
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
Bryan
Gender: Female
NPI: 1750392056
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
Marsh, Laura E, MD
Gender: Female
NPI: 1750602199
2900 E 29th St
(979) 776-8440
NPI: 1750602199
3121 University Dr E
Ste 100
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA, The Texas A&M
University System H
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
11
Primary Care Physicians
BRYAN
" Lindzey, David L, MD
Ravichandran, Latha M, MD
Gender: Female
NPI: 1902966443
3370 S Texas Ave
Ste B
J (979) 595-1700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
BRYAN (cont.)
FAMILY PRACTICE (cont.)
" McClellan, David A, MD
Bryan
J
Gender: Male
NPI: 1154333847
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center, St Joseph Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
J
Bryan
" Nicolwala, Adil, MD
Bryan
NPI: 1922060391
1301 Memorial Dr
(979) 731-4570
NPI: 1922060391
2700 E 29th St Ste 300
(979) 776-0371
NPI: 1922060391
3370 S Texas Ave
Ste B
(979) 595-1700
!
NPI: 1922060391
3370 S Texas Ave Ste B
(979) 595-1700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
Nicolwala, Zenia, MD
Gender: Female
NPI: 1427044379
3370 S Texas Ave
Ste B
J (979) 595-1700
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
" Ormberg, Audrey, MD
#
J
Gender: Female
NPI: 1891781506
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Norwegian, Spanish
" Pekarek, Katie J, DO
Gender: Male
NPI: 1285695056
2900 E 29th St
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Internal Medicine
Gender: Female
NPI: 1982635348
2900 E 29th St Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
" Price, Linda S, MD
Robinson, Haywood J, MD
Gender: Male
NPI: 1508881004
4112 E 29th St
(979) 764-4043
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Medical Assoc,
Bryan Medical Assoc Medical
Board Certifications: None
Language(s): Spanish
J
J
Pope, Robert A, MD
Gender: Male
NPI: 1518979103
2900 E 29th St
Ste 200
J (979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: None
Language(s): Spanish
Bryan
J
Gender: Male
NPI: 1548266679
2900 E 29th St Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
J
J
Gender: Female
NPI: 1568458321
1301 Memorial Dr
(979) 846-1100
NPI: 1568458321
1301 Memorial Dr
Ste B
(979) 731-4520
Clinic Affiliation: Family Health Services
Board Certifications: Pediatrics
Language(s): Spanish
" Sicilio, Mark S, MD
Bry an
Gender: Female
NPI: 1194740605
1301 Memorial Dr
(979) 846-1100
J
NPI: 1194740605
2700 E 29th St
Ste 300
(979) 776-0371
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1477514149
2900 E 29th St
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Pediatrics
Language(s): Spanish
" Variste, Jennifer, MD
Bry an
" Graves, Robert A, DO
J
Quigley, Daniel D, MD
Gender: Male
NPI: 1205822061
1301 Memorial Dr
J (979) 846-1100
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
Robinson, Jere L, MD
Gender: Male
NPI: 1467440636
2309 W US Hwy 29
J (512) 756-2784
Hospital Affiliations: Seton Highland Lakes
Board Certifications: None
Language(s): Spanish
CALDWELL
FAMILY PRACTICE
Leubner, Kristel D, DO
Gender: Female
NPI: 1316069982
1103 Woodson Dr
J (979) 567-7080
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Caldwell
" Nicolwala, Adil, MD
Caldwell
NPI: 1922060391
1103 Woodson Dr
(979) 567-7080
NPI: 1922060391
302 W Hwy 21
(979) 567-3287
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
BUDA
PEDIATRICS
Lincoln, Anna P, MD
Gender: Female
NPI: 1518973791
211 Railroad St
J (512) 312-5312
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Southwest, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Pediatric Junction PA
Board Certifications: None
Buda
INTERNAL MEDICINE
" Bonds Jr, James, MD
Bryan
Gender: Male
NPI: 1093709511
3201 University Dr E
Ste 360
(979) 731-8686
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: James Bonds MD
Board Certifications: Internal Medicine
Gender: Male
NPI: 1982624854
200 County Rd 340A
(512) 715-3110
Hospital Affiliations: Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Internal Medicine
Language(s): Spanish
Burnet
Gender: Female
NPI: 1255687042
1301 Memorial Dr
(979) 731-4520
Clinic Affiliation: Family Health Services
Board Certifications: Pediatrics
Language(s): Spanish
GENERAL PRACTICE
Gender: Female
NPI: 1821292483
200 County Rd 340A
(512) 715-3110
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Internal Medicine
Language(s): Spanish
Burnet
" Buenger, Kimberly M, MD
" Suarez, Elizabeth, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Deng, Yue, MD
Burnet
Bry an
Bryan
J
Gender: Female
NPI: 1699884742
3201 University Dr E
Ste 210
(979) 731-8007
Hospital Affiliations: College Station
Medical Center
Board Certifications: Internal Medicine
Anand, Veena, MD
Gender: Female
# NPI: 1104812965
1301 Memorial Dr
J (979) 731-4520
(979) 846-1100
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
Gender: Female
NPI: 1073809794
2900 E 29th St
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
NPI: 1912978206
3201 S Water St
(830) 596-3081
Hospital Affiliations: Seton Highland
Lakes, The Medical Ctr Of Southeast Tx Lp
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Spanish
INTERNAL MEDICINE
Bry an
" Sabrsula Jr, Irvin F, MD
J
J
PEDIATRICS
Bryan
J
J
Gender: Male
NPI: 1912978206
200 County Rd 340A
(512) 715-3110
Bry an
Gender: Male
NPI: 1275604878
3201 University Dr E
Ste 345
(979) 492-9268
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Paul Roquet MD
Board Certifications: Family Practice
!
" Franz, Charles M, DO
Burnet
" Ogden, Paul E, MD
" Roquet, Warren P, MD
J
BURNET
FAMILY PRACTICE
Bry an
Bryan
Bryan
Bryan
Gender: Male
NPI: 1730140906
2900 E 29th St
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Internal Medicine
" Roberman, Susan G, MD
" Neal, Gabriel A, MD
Gender: Male
NPI: 1841243946
2900 E 29th St
(979) 776-8440
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
Bry an
Bryan
Bryan
OCTOBER 03, 2016
bmk_pin_pcp
" Parsi, Kia E, MD
Caldwell
J
Gender: Male
NPI: 1922058502
1103 Woodson Dr
(979) 567-7080
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
12
Primary Care Physicians
OCTOBER 03, 2016
Jones, Mason D, MD
Gender: Male
NPI: 1639220551
180 E Whitestone Blvd
Ste 162
(512) 222-9539
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Total Mens Physicians
Group LLC
Board Certifications: None
Cedar Park
CALDWELL (cont.)
FAMILY PRACTICE (cont.)
" Winkler, Kyle L, MD
Caldwell
Gender: Male
NPI: 1437443751
1103 Woodson Dr
(979) 567-7080
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Gender: Female
NPI: 1669459327
1907 Cypress Creek Rd
Ste 104
(512) 346-7966
Hospital Affiliations: North Austin Medical
Center, Seton Northwest Hospital, St Davids
Medical Center
Board Certifications: Family Practice
Language(s): Spanish
FAMILY PRACTICE
" Akin, Angela R, DO
Cedar Park
J
Gender: Female
NPI: 1912191982
450 Cypress Creek Rd
Bldg 5
(512) 249-1400
NPI: 1912191982
801 E White Stone Blvd
(512) 259-1964
NPI: 1912191982
801 E Whitestone Blvd
Ste 200
(512) 259-1964
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Healogics Specialty
Physicians of, Timberland Medical Group
Board Certifications: Family Practice
Augustin Wheeler, Rosie, MD
Gender: Female
NPI: 1396777355
921 W New Hope Dr
Ste 401
(512) 986-8858
Clinic Affiliation: Rosie Augustin Wheeler
MD
Board Certifications: None
Language(s): Creoles and Pidgins, French,
Spanish
Molina, Martin C, MD
Gender: Male
NPI: 1700830338
351 Cypress Creek Rd
J (512) 220-3453
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Smithville Reg Hospital
Clinic Affiliation: Martin C Molina MD
Board Certifications: None
Language(s): Spanish
" Bogdanovich, Michael B, MD
#
J
Gender: Male
NPI: 1386609048
500 W Whitestone
Blvd Ste 100
(512) 250-3900
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Northwest Diagnostic
Clinic
Board Certifications: Family Practice
Language(s): Russian, Spanish
Overstreet, Haley C, MD
Gender: Female
NPI: 1700107323
450 Cypress Creek Rd
Bldg 5
(512) 249-1400
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Hathcock, Ann E, DO
Gender: Female
NPI: 1649339870
450 Cypress Creek Rd
Bldg 5
(512) 249-1400
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Language(s): Spanish
Cedar Park
Gender: Male
NPI: 1124173513
11901 W Parmer Ln
Ste 300
(512) 652-0050
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Austin Primary Care
Physicians
Practice Information: Geriatric, No Patients
Under 12 yrs old
Board Certifications: Internal Medicine
Language(s): Hindi, Indian
J
Foster, Steven K, MD
Gender: Male
# NPI: 1245276682
190 Buttercup Creek
Blvd
J (512) 336-5824
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Family Medical Center
Board Certifications: None
Language(s): Spanish
Stoeckel, Mark D, MD
Gender: Male
NPI: 1689671042
450 Cypress Creek Rd
Bldg 5
J (512) 249-1400
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Language(s): Spanish
" Fowler, John T, MD
Cedar Park
Gender: Male
NPI: 1528075348
1201 N Lakeline Blvd
Ste 400
(512) 379-7272
Hospital Affiliations: Baptist Beaumont
Hospital, Christus Hospital St Elizabeth,
Seton Northwest Hospital
Clinic Affiliation: Zest Family Practice
PLLC
Board Certifications: Internal Medicine
Language(s): Arabic, Romanian, Spanish,
Tagalog
#
Cedar Park
" Williams, Brian K, MD
Cedar Park
Gender: Male
NPI: 1265641013
701 E Whitestone Blvd
Ste 150
(512) 321-7001
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: Family Practice
Language(s): Spanish
" Eady, Christine M, DO
J
Ordonez Sanchez, Sandra I, MD
Gender: Female
NPI: 1780025593
11901 W Parmer Ln
Ste 300
J (512) 652-0050
Clinic Affiliation: Austin Primary Care
Physicians
Practice Information: No Patients Under 15
yrs old
Board Certifications: None
Language(s): Hindi, Spanish
Cedar Park
" Reinhart, Joshua H, MD
Cedar Park
Wilson, Larry D, MD
Gender: Male
NPI: 1487774766
801 E Whitestone Blvd
Ste 200
J (512) 259-1964
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Cedar Park
Surapaneni, Veena, MD
Gender: Female
NPI: 1235212580
11901 W Parmer Ln
Ste 110
(512) 260-5206
Cedar Park
" Wiseman, Jeremy D, MD
Gender: Male
NPI: 1114188497
2500 S Lakeline Blvd
Ste 100
(512) 345-8970
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest
Clinic Affiliation: Wiseman Family Practice
PLLC
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1225229412
190 Buttercup Creek
Blvd
(512) 336-5824
Clinic Affiliation: Family Medical Center
Board Certifications: Internal Medicine
Language(s): Spanish
J
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
PEDIATRICS
" Cohen, Joseph I, MD
Cedar Park
J
J
NPI: 1235212580
11901 W Parmer Ln Ste 110
(512) 260-5206
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Veena Surapaneni PA
Board Certifications: None
Language(s): Telugu
Gender: Male
NPI: 1932119930
12171 W Parmer Ln Ste 201
(512) 335-9600
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Cedar Park Pediatrics
Board Certifications: Pediatrics
Language(s): Spanish
" Coldwater, Cheryl L, MD
Cedar Park
J
Cedar Park
Cedar Park
Cedar Park
Gender: Female
NPI: 1467459115
500 W Whitestone 100
(512) 250-3900
Hospital Affiliations: Round Rock Medical
Center
Clinic Affiliation: Northwest Diagnostic
Clinic
Board Certifications: Family Practice
Language(s): Spanish
" Agarwal, Nikhil, MD
Cedar Park
Cedar Park
Cedar Park
Cedar Park
Wiseman, Richard J, MD
Gender: Male
# NPI: 1497800304
2500 S Lakeline Blvd
Ste 100
(512) 345-8970
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital
Clinic Affiliation: Wiseman Family Practice
PLLC
Board Certifications: None
Cedar Park
INTERNAL MEDICINE
" King, Susan C, MD
Cedar Park
CEDAR PARK
CEDAR PARK
bmk_pin_pcp
Gender: Female
NPI: 1346255494
190 Buttercup Creek
Blvd
(512) 336-5824
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Family Medical Center
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Bengali, Spanish
Ellis, Leighton E, MD
Gender: Female
NPI: 1457322760
1401 Medical Parkway
Ste 110 Bldg B
J (512) 259-0900
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: None
Language(s): Portuguese, Spanish
Cedar Park
Foster, Steven K, MD
Gender: Male
NPI: 1245276682
190 Buttercup Creek
Blvd
J (512) 336-5824
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Family Medical Center
Board Certifications: None
Language(s): Spanish
Cedar Park
#
Lam, Christine Q, DO
Gender: Female
NPI: 1548451735
1401B Medical Pkwy
Ste 100
J (512) 259-0900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: None
Language(s): Portuguese, Spanish
Cedar Park
" Pezzullo, Rosemarie A, MD
Cedar Park
Gender: Female
NPI: 1235221607
12171 W Parmer Ln Ste 201
(512) 335-9600
Clinic Affiliation: Cedar Park Pediatrics
Board Certifications: Pediatrics
Language(s): Spanish
" Pickering, Kristen K, MD
Cedar Park
Gender: Female
NPI: 1245599638
1401 Medical Pkwy
Bldg B
(512) 259-0900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Medical Center
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: Pediatrics
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
13
Primary Care Physicians
CEDAR PARK
" Squyres, Justin D, MD
Herron, Richard E, MD
Gender: Male
NPI: 1780646687
1602 Rock Prairie Rd
Ste 230
J (979) 693-2586
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Spanish
Clifton
CEDAR PARK (cont.)
PEDIATRICS (cont.)
" Sharp, Erica C, MD
Cedar Park
J
Gender: Female
NPI: 1467431684
1401 Medical Pkwy B
Ste 110
(512) 259-0900
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: Pediatrics
Language(s): English, Portuguese, Spanish
#
J
" Wageneck, Robert A, DO
Clifton
Gender: Male
NPI: 1861450314
201 S Ave T
(254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Family Practice
Language(s): Spanish
" Sperling, Rebekah E, MD
Cedar Park
J
Gender: Female
NPI: 1982800116
1401 B Medical Pkwy Ste 100
(512) 259-0900
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital
Clinic Affiliation: North Austin Pediatrics PA
Board Certifications: Pediatrics
Language(s): Portuguese, Spanish
West, Deborah P, MD
Gender: Female
# NPI: 1548267040
1730 E Whitestone Blvd
Ste 101
(877) 800-5722
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
Seton Medical Ctr Williamson
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
" OReilly, Martha L, MD
#
Bizzell, Skylar K, MD
Gender: Male
# NPI: 1891749065
201 Posey Ave
J (254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth, Plains Memorial Hospital
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: None
Language(s): Spanish
Clifton
Blanton, Kevin J, MD
Gender: Male
# NPI: 1881666402
201 Posey Ave
(254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: None
Language(s): Spanish
J
" Allamon, Patricia A, MD
" Nicolwala, Adil, MD
NPI: 1922060391
1602 Rock Prairie Rd
Ste 300
(979) 693-2586
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
" Wasson, Brian D, MD
College Station
Gender: Male
NPI: 1780603266
800 Scott & White Dr
(979) 207-4000
Hospital Affiliations: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Family Medicine Assoc PA
Board Certifications: Family Practice
Language(s): Spanish
!
J
INTERNAL MEDICINE
" Ormberg, Audrey, MD
Gender: Male
NPI: 1184705741
2803 Earl Rudder Frwy S
Ste 201
(979) 695-3570
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: BCS Abundant Life Family
Practice PA
Board Certifications: Family Practice
Language(s): American Sign
#
J
Pierce, Barbara L, MD
Gender: Female
NPI: 1477653962
1602 Rock Prairie Rd
Ste 230
J (979) 693-2586
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Spanish
NPI: 1275530768
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1023166717
1602 Rock Prairie Rd
Ste 4880
(979) 764-1116
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine
Language(s): Spanish
J
PEDIATRICS
" Buenger, Kimberly M, MD
College Station
Gender: Female
NPI: 1568458321
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Clinic Affiliation: Family Health Services
Board Certifications: Pediatrics
Language(s): Spanish
J
" Goen, Patricia A, MD
College Station
Gender: Female
NPI: 1053545079
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Practice Information: No Patients Over 22
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
J
" Roquet, Warren P, MD
J
Gender: Male
NPI: 1275604878
1730 Birmingham Rd
Ste 100
(979) 774-7587
J
NPI: 1275604878
2849 Barron Rd
(979) 703-1902
#
" Goerig, Brian J, MD
Gender: Male
NPI: 1831147289
201 S Ave T
(254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Family Practice
Language(s): Spanish
" Roman, Joseph J, MD
College Station
College Station
College Station
" Phillips, Kyle D, DO
Gender: Female
NPI: 1891781506
1264 Texas A and M
University
(979) 458-8374
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Norwegian, Spanish
College Station
Garza, Roland R, MD
Gender: Male
NPI: 1275530768
1602 Rock Prairie Rd
Ste 102
J (979) 693-7400
College Station
J
Ragupathi, Rohini, MD
Gender: Female
NPI: 1922060326
1602 Rock Prairie Rd
Ste 3200
J (979) 693-1795
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Spanish, Tamil
College Station
College Station
" Bacak, Russell B, MD
College Station
J
Gender: Male
NPI: 1033171400
1602 Rock Prairie Rd
Ste 230
(979) 693-2586
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
Language(s): Arabic, French, Italian, Latin,
Spanish
College Station
Gender: Female
NPI: 1740308923
1105 University Dr E
Ste 100
(979) 363-0369
Hospital Affiliations: Conroe Regional
Medical Center, Methodist Charlton Medical
Center
Clinic Affiliation: Medi Weight Loss Clinic
Board Certifications: Family Practice
Clifton
J
#
College Station
Clifton
#
Gender: Female
NPI: 1285788521
201 S Ave T
(254) 675-8621
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Internal Medicine
Language(s): Spanish
COLLEGE STATION
" Nicolwala, Adil, MD
FAMILY PRACTICE
" Massoud, Adel, MD
College Station
FAMILY PRACTICE
Centerville
CLIFTON
Waller, Holli D, DO
Gender: Female
NPI: 1053622167
1605 Rock Prairie Rd
Ste 102
(979) 764-4325
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
College Station
Clifton
CENTERVILLE
NPI: 1922060391
607 W Lassater
(903) 536-3687
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
Marietta, Nicole R, DO
Gender: Female
NPI: 1639189632
1651 Rock Prairie Rd
Ste 102
(979) 595-1700
Hospital Affiliations: College Station
Medical Center, Cuero Community Hospital
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): American Sign, Spanish
College Station
INTERNAL MEDICINE
Cedar Park
FAMILY PRACTICE
College Station
Gender: Male
NPI: 1932410776
201 S Ave T
(254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Family Practice
Language(s): Spanish
OCTOBER 03, 2016
bmk_pin_pcp
Gender: Male
NPI: 1477593051
2849 Barron Rd
(979) 703-1902
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
Language(s): Spanish
J
NPI: 1275604878
711 Church St
Ste 101
(979) 485-2827
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
Taplin, Laura W, MD
Gender: Female
NPI: 1801812607
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
College Station
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
14
Primary Care Physicians
OCTOBER 03, 2016
Holinej, Sharisse, MD
Gender: Female
NPI: 1467764209
3201 Corsicana Crossing
Blvd Ste 101
(903) 872-6065
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Stevener, David S, MD
Gender: Male
NPI: 1609193721
401 Hospital Dr
Ste 140
(903) 872-3005
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: None
Corsicana
COPPERAS COVE
FAMILY PRACTICE
" Cain, James E, MD
Copperas Cove
Gender: Male
NPI: 1467434464
2401 Walker Place Blvd
(254) 547-7777
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
J
Go, David Y, MD
Gender: Male
# NPI: 1962479212
2401 Walker Place Blvd
(254) 547-7777
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
" Lane, Mark S, MD
Gender: Male
NPI: 1174505176
2401 Walker Place Blvd
(254) 547-7777
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
J
" Morsch, James K, MD
Copperas Cove
Gender: Male
NPI: 1851385371
806 E Ave D
Ste H
(254) 518-5511
Clinic Affiliation: Cove Medical Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
" Patteson Jr, Morris K, MD
Copperas Cove
#
J
Gender: Male
NPI: 1609858232
2401 Walker Place Blvd
Ste 300
(254) 547-5516
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
CORSICANA
FAMILY PRACTICE
Campbell, Dale K, MD
Gender: Male
NPI: 1851384648
401 Hospital Dr
Ste 120
(903) 872-3005
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: None
Corsicana
" Giessel, Barton E, MD
J
PEDIATRICS
Kidwai, Shahroz, MD
Gender: Male
NPI: 1013200062
3201 Corsicana Crossing
Blvd Ste 101
(903) 872-6065
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Jahnke, Karen A, MD
Gender: Female
NPI: 1669446100
301 Hospital Dr
Ste 150
J (903) 641-4800
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
Corsicana
" McHenry, William L, MD
Corsicana
#
Gender: Male
NPI: 1295728152
3124 W Hwy 22
(903) 872-8344
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
" Lama Briseno, Tracy R, DO
Del Valle
Gender: Female
NPI: 1558520544
3518 FM 973
(512) 978-9820
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Language(s): Spanish
DRIPPING SPRINGS
FAMILY PRACTICE
" Balderas, Dagoberto, DO
Dripping Springs
Gender: Male
NPI: 1699835843
13830 Sawyer Ranch
Rd Ste 102
(512) 301-6400
Clinic Affiliation: Lewis Family Medicine
Board Certifications: Family Practice
Language(s): Spanish
" Lewis, Kevin W, DO
Dripping Springs
Gender: Male
NPI: 1033312426
13830 Sawyer Ranch Rd
Ste 102
(512) 301-6400
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Lewis Family Medicine
Practice Information: No Patients Under 4
yrs old
Board Certifications: Family Practice
Language(s): Spanish
" Johnston, Meredith A, MD
J
" Merrill, Ronald W, MD
#
PEDIATRICS
Corsicana
Corsicana
Gender: Male
NPI: 1588657431
3124 W Hwy 22
(903) 641-4270
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1538190111
301 Hospital Dr
Ste 150
(903) 641-4800
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
" Maloney, Daniel P, MD
Corsicana
#
Saucedo, Joseph E, DO
Gender: Male
NPI: 1164485140
400 Hospital Dr
Ste 100
J (903) 641-3830
Hospital Affiliations: East Texas Medical
Center Athens, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Spanish
Corsicana
J
Gender: Male
NPI: 1750477030
301 Hospital Dr
Ste 150
(903) 641-4800
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Conroe Regional Medical
Center, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
PEDIATRICS
" Boes, Sheila D, MD
Dripping Springs
Gender: Female
NPI: 1396708103
331 Sportsplex Dr
Ste C
(512) 894-3737
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Dripping Springs
Pediatrics
Board Certifications: Pediatrics
Language(s): Spanish
" Stinson, Kathleen S, MD
Dripping Springs
" Sawyerr, Thomas N, MD
Corsicana
INTERNAL MEDICINE
Gender: Male
NPI: 1710298559
301 Hospital Dr
Ste 150
(903) 641-4800
Patel, Deepak C, MD
Gender: Male
NPI: 1114989910
400 Hospital Dr
Ste 101
J (903) 641-3800
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Corsicana
NPI: 1710298559
3201 Corsicana
Crossing Blvd Ste 101
(903) 872-6065
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Pediatrics
Language(s): American Sign
" Rodriguez, Ronald L, DO
Corsicana
Corsicana
Gender: Male
NPI: 1578616504
400 Hospital Dr
Ste 200
(903) 641-3800
Hospital Affiliations: Bellville St Joseph
Health Center, Ennis Regional Medical
Center, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Family Practice
Language(s): American Sign
Corsicana
Corsicana
Copperas Cove
Copperas Cove
ELGIN
bmk_pin_pcp
J
Gender: Male
NPI: 1124093893
400 Hospital Dr Ste 116
(903) 641-3820
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine
Language(s): Spanish
DEL VALLE
FAMILY PRACTICE
Escamilla, David F, MD
Gender: Male
NPI: 1427093434
3518 FM 973
J (512) 978-9820
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Del Valle
" Rogers, Kent E, MD
Corsicana
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1740255587
301 Hospital Dr
Ste 195
(903) 872-3005
Hospital Affiliations: Navarro Regional
Hospital, Parkland Health And Hospital Sys
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: Internal Medicine
J
Gender: Female
NPI: 1659312262
331 Sportsplex Dr
Ste C
(512) 894-3737
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Southwest, St Davids S
Austin Medical Center
Clinic Affiliation: Dripping Springs
Pediatrics
Board Certifications: Pediatrics
ELGIN
FAMILY PRACTICE
Biel, William T, MD
Gender: Male
NPI: 1366437485
209 E Second St
J (512) 285-3315
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Elgin Medical Center PA
Board Certifications: None
Language(s): Spanish
Elgin
" Irwin, Debra S, MD
Elgin
Gender: Female
NPI: 1659386712
902 W Second St
(512) 229-3334
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Marks Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Community Health Ctrs
So Central TX Inc
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
15
Primary Care Physicians
ELGIN
Trevino, Rogelio, MD
Gender: Male
NPI: 1477682938
103 Thousand Oaks
Blvd
J (512) 869-4800
Georgetown
ELGIN (cont.)
FAMILY PRACTICE (cont.)
Sherman, Kenneth B, MD
Gender: Male
# NPI: 1710972476
209 E Second St
J (512) 285-3315
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Elgin Medical Center PA
Board Certifications: None
Language(s): Spanish
Elgin
PEDIATRICS
" English, Karen E, MD
Elgin
Gender: Female
NPI: 1891752697
218 W US Hwy 290
(512) 281-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Elgin Pediatrics PA
Board Certifications: Pediatrics
Language(s): German, Spanish
J
GEORGETOWN
FAMILY PRACTICE
" Fiedler, Benjamin P, MD
Georgetown
#
J
Jones, William R, DO
Gender: Male
NPI: 1366464596
3008 Dawn Dr Ste 201
J (512) 863-4596
Hospital Affiliations: Round Rock Medical
Center
Board Certifications: None
Language(s): English, Spanish
J
Elias-Sorial, Mary E, DO
Gender: Female
NPI: 1427322585
734 W Commerce
(903) 389-2181
" White, Darryl G, MD
Fairfield
Gender: Male
NPI: 1154316974
734 W Commerce St
(903) 389-2181
Hospital Affiliations: East Texas Medical
Center Fairfield, Valley Baptist Medical
Center
Clinic Affiliation: Etmc Jewett Health Clinic,
First Physicians
Board Certifications: Family Practice
Language(s): Spanish
FRANKLIN
FAMILY PRACTICE
" Nicolwala, Adil, MD
Frank lin
NPI: 1922060391
808 W US Hwy 79
(979) 828-4540
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
J
Gender: Female
NPI: 1386872901
2423 Williams Dr
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
J
Reilly, William G, MD
Gender: Male
NPI: 1447260963
100 River Hills Dr
Ste 100
(877) 544-5698
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1134129596
3721 Williams Dr
(512) 869-7310
Hospital Affiliations: Round Rock Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Physicians Center PA
Board Certifications: Family Practice
Language(s): Spanish
INTERNAL MEDICINE
Djendou, Randa, MD
Gender: Female
NPI: 1922399856
2423 Williams Dr
Ste 113
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Georgetown
" Okunade, Adeyoyin O, MD
Georgetown
J
Gender: Female
NPI: 1407967359
2423 Williams Dr
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Sathianathan, Kumar, MD
Georgetown
Otto, Richard E, MD
Gender: Male
!# NPI: 1730266420
908 Rockmoor Dr
J (512) 868-0901
Hospital Affiliations: Round Rock Medical
Center, St Davids Medical Center
Clinic Affiliation: Family Med Ctr of
Georgetown PA
Board Certifications: None
Language(s): Spanish
Georgetown
J
Gender: Female
NPI: 1669590444
600 High Tech Dr
(512) 930-4776
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Board Certifications: Pediatrics
Language(s): French, Spanish
Day, Baraka L, MD
Gender: Female
# NPI: 1023209202
2423 Williams Dr
(512) 930-5437
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Georgetown
" Flachs, Lisa S, MD
Georgetown
#
Gender: Male
NPI: 1831144161
3613 Williams Dr Ste 404
(512) 930-4275
Hospital Affiliations: Round Rock Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Dr Kumar Sathianathan
MD
Board Certifications: Internal Medicine
Language(s): Spanish
" Shallin, Anthony, MD
" Snook, Murray A, MD
Gender: Male
!# NPI: 1326125097
908 Rockmoor Dr
J (512) 868-0901
Hospital Affiliations: Round Rock Medical
Center, St Davids Medical Center
Clinic Affiliation: Family Med Ctr of
Georgetown PA
Practice Information: No Patients Under 17
yrs old
Board Certifications: Family Practice
Language(s): Spanish
J
Gender: Male
NPI: 1891734968
3613 Williams Dr Ste 404
(512) 930-4275
Hospital Affiliations: St Davids Georgetown
Hospital
Clinic Affiliation: Tony Shallin MD
Board Certifications: Internal Medicine
Language(s): Spanish
OBSTETRICS-GYNECOLOGY
" Butler, Michael A, MD
Georgetown
Gender: Male
NPI: 1245445832
1900 Scenic Dr
Ste 3326
(877) 800-5722
Hospital Affiliations: Dimmit Regional
Hospital
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Under 14
yrs old
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Thompson, James B, MD
Gender: Male
NPI: 1447250790
105 Wildwood Dr
Ste 201
J (512) 763-3220
Hospital Affiliations: Round Rock Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Georgetown Family
Health Clinic
Board Certifications: None
Language(s): Spanish
Georgetown
Gender: Female
NPI: 1366751133
600 High Tech Dr
(512) 930-4776
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Patel, Shivani, MD
Gender: Female
# NPI: 1649559188
600 High Tech Dr
(512) 930-4776
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
Georgetown
Ramsey, David A, MD
Gender: Male
# NPI: 1861586943
600 High Tech Dr
J (512) 930-4776
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Georgetown Hospital
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Georgetown
" Richards, Jacklyn, MD
Georgetown
Georgetown
Georgetown
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Benhammou, Rania O, MD
Georgetown
Georgetown
" Male Jr, Richard C, DO
#
PEDIATRICS
GENERAL PRACTICE
Georgetown
Fairfield
NPI: 1427322585
734 W Commerce St
(903) 389-2181
Hospital Affiliations: East Texas Medical
Center Fairfield
Clinic Affiliation: Etmc Jewett Health Clinic,
First Physicians
Board Certifications: None
Gender: Male
NPI: 1124046701
3008 Dawn Dr Ste 201
(512) 863-4596
Hospital Affiliations: St Davids Georgetown
Hospital
Board Certifications: Family Practice
Language(s): Spanish
" Latta, Tamika D, MD
Fairfield
Gender: Male
NPI: 1508859596
734 W Commerce St
(903) 389-2181
Hospital Affiliations: East Texas Medical
Center Fairfield
Clinic Affiliation: Etmc Jewett Health Clinic,
First Physicians
Board Certifications: Family Practice
Language(s): Spanish
" Umstattd, William R, DO
Georgetown
Georgetown
FAIRFIELD
" Berger III, Joseph R, DO
NPI: 1477682938
103 Thousand Oaks Blvd
(512) 869-4800
Hospital Affiliations: Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Georgetown Hospital
Clinic Affiliation: Georgetown Family and
Geriatric M, Wellmed Medical Group PA
Board Certifications: None
Language(s): Spanish
J
Georgetown
J
FAMILY PRACTICE
Gender: Male
NPI: 1811947948
2423 Willimas Dr
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
OCTOBER 03, 2016
bmk_pin_pcp
#
J
Gender: Female
NPI: 1568626430
2423 Williams Dr
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
GIDDINGS
FAMILY PRACTICE
Birnbaum, Laura M, MD
Gender: Female
NPI: 1053309088
219 A E Railroad Row
J (979) 542-9000
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Laura Birnbaum MD
Board Certifications: None
Language(s): Spanish
Giddings
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
16
Primary Care Physicians
OCTOBER 03, 2016
Lomenzo, Kenneth G, MD
Gender: Male
NPI: 1861442642
801 McClintic Dr
J (254) 729-3411
Hospital Affiliations: Limestone Medical
Center
Clinic Affiliation: South Limestone Hospital
District
Board Certifications: None
Language(s): Spanish
Groesbeck
GIDDINGS (cont.)
FAMILY PRACTICE (cont.)
" Blackwell, Wess J, MD
Giddings
Gender: Male
NPI: 1780679662
185 Decker Dr
(979) 542-7400
NPI: 1780679662
598 Cactus Rd
(979) 542-7400
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
" Rettig, Jeffrey D, DO
Gender: Male
NPI: 1528005550
204 W Trinity St
(254) 729-3740
Hospital Affiliations: Limestone Medical
Center
Clinic Affiliation: Rettig Family Health Care
Board Certifications: Family Practice
Language(s): Spanish
J
" Borgstedte, Thomas O, DO
Gender: Male
NPI: 1295877264
185 Decker Dr
(979) 542-7400
NPI: 1295877264
598 Cactus Rd
(979) 542-7400
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
J
Johnson, Patrick E, MD
Gender: Male
NPI: 1225068752
898 E Richmond St
(979) 542-6500
Hospital Affiliations: Schleicher County
Medical Center, St Marks Medical Center
Clinic Affiliation: Tejas Health Care
Board Certifications: None
Language(s): Spanish
McBroom, William M, MD
Gender: Male
NPI: 1407998461
185 Decker Dr
J (979) 542-7400
J
Jatzlau, Amy J, MD
Gender: Female
NPI: 1235198706
219B E Railroad Row
Ste B
(979) 542-0710
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Amy Jatzlau MD
Board Certifications: None
Language(s): Spanish
Gender: Female
NPI: 1992038400
303 N Brown St
(254) 386-1700
Axtell, Howard M, DO
Gender: Male
NPI: 1053306415
801 McClintic
(254) 729-3411
Clinic Affiliation: South Limestone Hospital
District
Board Certifications: None
Language(s): Spanish
Groesbeck
NPI: 1992038400
400 N Brown St
Bldg 2
(254) 386-1700
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: Family Practice
!
J
Gender: Male
NPI: 1902132988
303 N Brown St
(254) 386-1700
NPI: 1902132988
400 N Brown St
Bldg 2
(254) 386-1700
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
J
!
J
!
J
" Hughes, Larry C, DO
Groesbeck
Gender: Male
NPI: 1619062734
801 McClintic Dr
(254) 729-3411
Hospital Affiliations: Limestone Medical
Center
Clinic Affiliation: South Limestone Hospital
District
Board Certifications: Family Practice
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Essandoh, Yvonne A, DO
Hark er Heights
Gender: Female
NPI: 1598911596
200 Nola Ruth
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): Spanish
" Ramos, Marie A, MD
Hark er Heights
Gender: Female
NPI: 1588762348
850 W Central TX Expwy
(254) 690-0300
Hospital Affiliations: East Texas Medical
Center Pittsburg, East Texas Medical Center
Quitman, Ennis Regional Medical Center
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Pediatrics
Elemuren, Iyabo A, MD
Gender: Female
NPI: 1326113218
740 S Amy Ln
J (254) 699-8521
Clinic Affiliation: Family Medicine Clinic
Board Certifications: None
Language(s): Indian, Yoruba
Harker Heights
Gender: Male
NPI: 1417946708
303 N Brown St
(254) 386-1600
" Van Benthuysen, Suzanne L, MD
Hark er Heights
#
J
" Morsch, James K, MD
Harker Heights
Gender: Male
NPI: 1851385371
880 Prospector Trail
Ste 200
(254) 519-8885
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: Family Practice
Language(s): Spanish
NPI: 1417946708
400 N Brown St
(254) 386-1600
Hospital Affiliations: College Station
Medical Center, Hamilton General Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
Perry, Robert R, MD
Gender: Male
NPI: 1841272481
880 Prospector Trail
(254) 519-8922
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Language(s): Chinese, Spanish
Harker Heights
" Lee, James R, MD
J
Gender: Female
NPI: 1356359814
200 Nola Ruth Blvd
(254) 698-6629
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): Spanish
HARKER HEIGHTS
Hamilton
#
" Ali, Yasmeen, MD
Hark er Heights
FAMILY PRACTICE
" Killian, Luke M, MD
#
PEDIATRICS
" Stegemoller, Kristen L, MD
" Johnson, Charles F, MD
GROESBECK
FAMILY PRACTICE
NPI: 1982777975
400 N Brown Rd
Bldg 2
(254) 386-1700
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
Hamilton
Hamilton
Giddings
Zegarra, Nancy G, MD
Gender: Female
NPI: 1366768715
800 W Central Texas
Expwy Ste 390
(254) 618-4330
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Language(s): Spanish
Hark er Heights
Gender: Male
NPI: 1982777975
303 N Brown St
(254) 386-1700
Hamilton
PEDIATRICS
INTERNAL MEDICINE
" Rudolph, Timothy N, MD
J
NPI: 1417132192
400 N Brown St
Bldg 2
(254) 386-1700
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1417160417
300 W Central Texas
Expwy Ste 117
(254) 340-0042
Clinic Affiliation: Modoc Family Medicine
PLLC
Board Certifications: Family Practice
Language(s): Spanish
Hamilton
Hamilton
NPI: 1407998461
598 Cactus Rd
(979) 542-7400
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: None
Language(s): Spanish
J
NPI: 1659360949
400 N Brown St
(254) 386-1700
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: None
Language(s): Spanish
!
FAMILY PRACTICE
Craig, William S, MD
Gender: Male
NPI: 1417132192
303 N Brown St
(254) 223-0950
" Swain, Jeremy L, DO
Hark er Heights
NPI: 1659360949
303 N Brown St
(254) 386-1700
HAMILTON
Giddings
Giddings
Lengefeld, Robbye K, MD
Gender: Female
NPI: 1659360949
302 N Brown St
(254) 386-1700
Hamilton
J
Groesbeck
Giddings
J
HARKER HEIGHTS
bmk_pin_pcp
Gender: Male
NPI: 1982695797
303 N Brown St
(254) 386-1700
NPI: 1982695797
400 N Brown St Bldg 2
(254) 386-1700
Hospital Affiliations: Goodall-Witcher
Hospital Auth, Hamilton General Hospital
Clinic Affiliation: Family Practice Assoc of
Hamilton Co PA, Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
Polkowski, Cheryl A, MD
Gender: Female
NPI: 1194882241
800 W Central Texas Expwy
Ste 125
(254) 213-0814
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Harker Heights
Gender: Female
NPI: 1962673301
775 Indian Trl Ste 200
(877) 800-5722
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Vathada, Murali, MD
Gender: Male
NPI: 1639121072
200 Nola Ruth
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Hark er Heights
" Whitman, Christine M, MD
Hark er Heights
Gender: Female
NPI: 1821295783
200 Nola Ruth
(877) 800-5722
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
17
Primary Care Physicians
HEARNE
OCTOBER 03, 2016
bmk_pin_pcp
" Teague, Christopher W, MD
Hillsboro
HEARNE
FAMILY PRACTICE
" Nicolwala, Adil, MD
Hearne
NPI: 1922060391
709 Barton St
(979) 279-3451
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
HILLSBORO
" Bauerschlag, Jason R, MD
Hillsboro
J
" Thadareddy, Venkat R, MD
Hearne
HICO
J
HUTTO
FAMILY PRACTICE
" Chudej, Eric, MD
J
" Fiedler, Benjamin P, MD
Hutto
Gender: Male
NPI: 1053620013
1323 E Fanklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP
Board Certifications: Family Practice
" Horne, Monte H, MD
#
J
Gender: Male
NPI: 1184613473
104 S Walnut St
(254) 796-4224
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1700852183
1323 E Franklin
Ste 105
(254) 582-7481
J
J
" Lee, James R, MD
#
J
Lengefeld, Robbye K, MD
Gender: Female
# NPI: 1659360949
104 S Walnut St
J (254) 796-4224
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: None
Language(s): Spanish
#
J
Flores-Perkins, Silvia P, MD
Gender: Female
NPI: 1639289135
123 Ed Schmidt Blvd
Ste 140
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Mathew, Asha, MD
Gender: Female
NPI: 1407174063
123 Ed Schmidt Blvd
Ste 140
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Hindi, Malayalam, Spanish
NPI: 1194702126
1323 E Franklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Hutto
Gender: Male
NPI: 1073753448
1323 E Franklin
Ste 105
(254) 582-7481
J
NPI: 1073753448
1323 E Franklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Morgan, Jessica A, MD
Gender: Female
NPI: 1972794162
123 Ed Schmidt Blvd
Ste 140
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
" Reddy Kandala, Nandini K, MD
Hutto
#
" Skelton, David B, MD
Hillsboro
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1962490870
123 Ed Schmidt Blvd
Ste 140
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Hutto
" Seely, Jeremiah B, MD
Hico
Gender: Male
NPI: 1982777975
104 S Walnut St
(254) 796-4224
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
Hutto
Hillsboro
Hico
" Rudolph, Timothy N, MD
NPI: 1700852183
1323 E Franklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1194702126
1323 E Franklin
Ste 105
(254) 582-7481
Hico
Gender: Male
NPI: 1982695797
104 S Walnut St
(254) 796-4224
Hospital Affiliations: Goodall-Witcher
Hospital Auth, Hamilton General Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
#
" Marshall, Wesley C, MD
" Johnson, Charles F, MD
Gender: Male
NPI: 1902132988
104 S Walnut St
(254) 796-4224
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: Family Practice
Language(s): Spanish
" Butler, Kathleen V, MD
Hutto
Hillsboro
Hico
#
PEDIATRICS
" Earhart Jr, James M, MD
Hillsboro
#
Gender: Male
NPI: 1811947948
123 Ed Schmidt Blvd
Ste 140
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
J
Hico
Hico
NPI: 1821064486
1323 E Franklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Hillsboro
FAMILY PRACTICE
Craig, William S, MD
Gender: Male
NPI: 1417132192
104 S Walnut St
J (254) 796-4224
Hospital Affiliations: Hamilton General
Hospital
Clinic Affiliation: Hamilton General Hospital
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1275509838
1323 E Franklin St
Ste 105
(254) 582-7481
NPI: 1275509838
1323 E Franklin Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
INTERNAL MEDICINE
Gender: Male
NPI: 1558388579
709 Barton St
(979) 279-3451
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Internal Medicine
Gender: Male
NPI: 1821064486
1323 E Franklin
Ste 105
(854) 582-7481
FAMILY PRACTICE
Gender: Female
NPI: 1265500227
123 Ed Schmidt
Blvd Ste 140
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
" Van Benthuysen, Suzanne L, MD
Hutto
Gender: Male
NPI: 1295701662
1323 E Franklin St
Ste 105
(254) 582-7481
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP
Board Certifications: Family Practice
Language(s): Spanish
#
J
Gender: Female
NPI: 1962673301
123 Ed Schmidt Ste 140
(877) 800-5722
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
KILLEEN
FAMILY PRACTICE
" De La Torre, Esther B, MD
Killeen
Gender: Female
NPI: 1588898209
1010 W Jasper Dr
Ste 1
(254) 526-8890
Clinic Affiliation: Cornerstone Family
Medicine
Board Certifications: Family Practice
Elemuren, Iyabo A, MD
Gender: Female
# NPI: 1326113218
4200 W Stan Schlueter
Loop Bldg C
J (254) 699-8521
Clinic Affiliation: Family Medicine Clinic
Board Certifications: None
Language(s): Indian, Yoruba
Killeen
Kadhim, Thikra J, MD
Gender: Female
NPI: 1477507077
4520 E Central Texas Expwy
Ste 101
J (254) 200-9355
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Killeen Family Health and
Urgent
Board Certifications: None
Language(s): Arabic, Spanish
Killeen
Kim, Cheung K, MD
Gender: Male
NPI: 1437132255
3106 S W S Young Dr
Ste B203
J (254) 554-8668
Board Certifications: None
Language(s): Korean
Killeen
Malave, Ernesto, MD
Gender: Male
# NPI: 1609985852
2301 S Clear Creek Rd 108
J (254) 432-5735
Board Certifications: None
Language(s): Spanish
Killeen
" Smith, Janice K, MD
Killeen
Gender: Female
NPI: 1811055049
309 N Second St
(254) 526-8371
Hospital Affiliations: Univ Of Tx Med
Branch Galveston
Clinic Affiliation: Bell County Public Health
Distric
Board Certifications: Family Practice
Language(s): Spanish
" Spencer, Edward E, MD
Killeen
#
J
Gender: Male
NPI: 1548355902
502 W Jasper Dr
(254) 526-6300
Clinic Affiliation: Killeen Medical Clinic PA
Board Certifications: Family Practice
Language(s): German
Webster, Dave E, DO
Gender: Male
# NPI: 1992808018
5610 E Central Texas Expwy
Ste 1
J (254) 690-8887
Board Certifications: None
Killeen
INTERNAL MEDICINE
Killeen
Adiele, Jacquelene M, MD
Gender: Female
NPI: 1609896497
3816 S Clear Creek Rd
Ste A
(254) 200-2748
Clinic Affiliation: Jacquelene M Adiele MD
Practice Information: No Patients Under 13
yrs old
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
18
Primary Care Physicians
OCTOBER 03, 2016
LA GRANGE
bmk_pin_pcp
Vasquez, Hector H, MD
Gender: Male
# NPI: 1518075894
2810 Dacy Ln
J (512) 268-8900
Hospital Affiliations: Val Verde Regional
Medical Center
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
Kyle
KILLEEN (cont.)
INTERNAL MEDICINE (cont.)
" Ralph, Stephen, MD
Killeen
#
J
KINGSLAND
FAMILY PRACTICE
" Leifeste, Alan E, MD
Kingsland
Gender: Male
NPI: 1386726735
3816 S Clear Creek Rd
Ste E
(254) 554-8773
Clinic Affiliation: Stillhouse Emergency
Physicians Inc
Board Certifications: Internal Medicine
Language(s): Spanish
Suvunrungsi, Precha, MD
Gender: Male
NPI: 1134269657
2109 S Clear Creek Rd
J (254) 526-6604
Board Certifications: None
Language(s): Thai
Gender: Male
NPI: 1700988714
525 RR 2900
(512) 715-3106
Hospital Affiliations: Christus Hospital St
Elizabeth, Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Spanish
Killeen
#
J
Gender: Male
NPI: 1043430325
5103 Kyle Center Dr
Ste 104
(512) 504-0655
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Family Practice
Language(s): Spanish
Killeen
#
J
Gender: Female
NPI: 1891787248
3004 S W S Young Dr
(254) 634-7337
Practice Information: No Patients Over 16
yrs old
Board Certifications: Pediatrics
Language(s): Spanish, Tagalog
Farooqi, Manzoor S, MD
Gender: Male
# NPI: 1821098534
3004 S WS Young Dr
J (254) 634-7337
Board Certifications: None
Language(s): Arabic, German, Spanish
Kyle
" Govindaraju, Kanakadurga, MD
Gender: Female
NPI: 1003998840
147 Elmhurst
Ste 200
(512) 268-2929
Clinic Affiliation: Kyle Family Medical
Center
Practice Information: No Patients Under 12
yrs old
Board Certifications: Family Practice
Language(s): Spanish, Telugu
J
Kyle
Killeen
Gender: Female
NPI: 1215163910
2810 Dacy Ln
(512) 268-8900
Hospital Affiliations: Methodist Specialty
And Transplant Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Gender: Female
NPI: 1134192974
902 Rebel Dr
(512) 268-2613
Hospital Affiliations: Fisher County
Hospital District, Seton Edgar B Davis, Seton
Medical Center Hays
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Spanish
Garcia, Patrick, MD
Gender: Male
NPI: 1326112889
5103 Kyle Center Dr
Ste 104
(512) 791-1224
Hospital Affiliations: Seton Edgar B Davis,
Seton Highland Lakes, Seton Medical
Center, Seton Medical Center Hays, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1780679662
1253 N Von Minden
(979) 968-8493
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1114952744
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Spanish
" Linnell, Marjan A, MD
Kyle
#
Valla, Noreen, MD
Gender: Female
NPI: 1265879332
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Demetri Sr, Leslie R, MD
Gender: Female
# NPI: 1760503577
2810 Dacy Ln
J (512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
Kyle
" Borgstedte, Thomas O, DO
La Grange
Kyle
#
Gender: Female
NPI: 1154620623
2810 Dacy Ln
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Pediatrics
Shore, Richard W, MD
Gender: Male
NPI: 1043210800
2810 Dacy Ln
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Practice Information: No Patients Over 16
yrs old
Board Certifications: None
Gender: Male
NPI: 1295877264
1253 N Von Minden
(979) 968-8493
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: Family Practice
Language(s): Spanish
J
" Irwin, Debra S, MD
La Grange
Gender: Female
NPI: 1659386712
753 E Travis St
(979) 968-2000
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Marks Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Tejas Health Care
Board Certifications: Family Practice
Language(s): Spanish
J
Johnson, Patrick E, MD
Gender: Male
NPI: 1225068752
753 E Travis St
(979) 968-2000
Hospital Affiliations: Schleicher County
Medical Center, St Marks Medical Center
Clinic Affiliation: Tejas Health Care
Board Certifications: None
Language(s): Spanish
La Grange
" Goman, Elizabeth J, MD
PEDIATRICS
GENERAL PRACTICE
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Blackwell, Wess J, MD
La Grange
Kyle
J
" Thackeray, Bridget Y, DO
Kyle
Killeen
Patel, Shivani, MD
Gender: Female
NPI: 1649559188
2300 S Clear Creek
Rd Ste 105
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
J
Kyle
" Friday, Renee Y, MD
Mitchell, Ricky D, MD
Gender: Male
NPI: 1144286980
3816 S Clear Creek Rd
Ste E
J (254) 554-8773
Clinic Affiliation: Stillhouse Emergency
Physicians Inc
Practice Information: No Patients Over 17
yrs old
Board Certifications: None
Language(s): German, Spanish
!
Gender: Male
NPI: 1720027881
2810 Dacy Ln
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Family Practice
Language(s): Spanish
Killeen
J
" Edison, Flora, MD
" De La Torre, Miguel A, MD
J
Gender: Female
NPI: 1982772901
5301 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Spanish
Kyle
Kyle
Killeen
Gender: Female
NPI: 1275531394
3004 S WS Young Dr
(254) 634-7337
Hospital Affiliations: Clear Lake Regional
Medical Center, Doctors Hospital Of Laredo,
Houston Methodist St John Hosp, Laredo
Medical Center
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Farsi, Spanish
J
" Clampitt, David M, MD
Gender: Female
NPI: 1104887348
3004 S WS Young Dr
(254) 634-7337
Board Certifications: Pediatrics
Language(s): Arabic, Hindi, Spanish
" Blankenship, Lilian V, MD
" Chanda Kim, Mousumi, MD
Kyle
" Alvarado, Nivea I, MD
Gender: Male
NPI: 1396066213
1253 Von Minden
(979) 968-8493
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: Family Practice
Kyle
FAMILY PRACTICE
Killeen
" Ashraf, Hossain S, DO
La Grange
INTERNAL MEDICINE
KYLE
PEDIATRICS
LA GRANGE
FAMILY PRACTICE
McBroom, William M, MD
Gender: Male
NPI: 1407998461
1253 N Von Minden
J (979) 968-8493
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: McBroom Clinic PA
Board Certifications: None
Language(s): Spanish
La Grange
" Nolen, Bill D, DO
La Grange
!
J
Gender: Male
NPI: 1184626913
2 Saint Marks Pl Ste 112
(979) 242-5878
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Nolen Clinic
Board Certifications: Family Practice
Language(s): Spanish
" Pader, Enrique T, MD
La Grange
#
Gender: Male
NPI: 1295099836
753 E Travis St
(979) 968-2000
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Tejas Health Care
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
19
Primary Care Physicians
LA GRANGE
LA GRANGE (cont.)
INTERNAL MEDICINE
LAMPASAS
" Bennett, Brent L, MD
Lakeway
GENERAL PRACTICE
Taylor, Beatrice, DO
Gender: Female
NPI: 1063772440
657 E Travis St
Ste A
(979) 484-7120
Board Certifications: None
La Grange
J
OBSTETRICS-GYNECOLOGY
Gender: Male
NPI: 1639160088
753 E Travis St
(979) 968-2000
Hospital Affiliations: North Austin Medical
Center, St Marks Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Tejas Health Care
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Cain, James E, MD
Lampas as
#
J
" Ondash, Robert J, MD
#
LAGO VISTA
" Dewitt, Ronald G, MD
Molina, Martin C, MD
Gender: Male
NPI: 1700830338
1310 Ranch Rd 620 S
Ste A01
J (512) 524-2336
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Smithville Reg Hospital
Clinic Affiliation: Martin C Molina MD
Board Certifications: None
Language(s): Spanish
Gender: Female
NPI: 1972601680
900 RR 620 Ste C201
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Gender: Female
NPI: 1801024054
187 Private Rd
(512) 556-3621
Hospital Affiliations: John Peter Smith
Hospital
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
J
!
J
#
J
Gender: Female
NPI: 1487752127
900 RR 620 Ste C201
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): American Sign, Gujarati,
Hindi, Marathi, Spanish
Gender: Male
NPI: 1174505176
187 Private Rd 4060
(512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
" Chikkala, Subha, MD
#
J
" Egelsee Jr, Luis, MD
Gender: Male
NPI: 1407969140
651 N Hwy 183
Ste 110
(512) 528-0432
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Family Practice
Language(s): Spanish
" Hillbrick, Timothy J, MD
Leander
Gender: Male
NPI: 1205835451
651 N Hwy 183
Ste 110
(512) 528-0432
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Family Practice
" Patteson Jr, Morris K, MD
J
Gender: Male
NPI: 1609858232
187 Private Rd 4060
(512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
Perry, Robert R, MD
Gender: Male
NPI: 1841272481
608 N Key Ave
(512) 564-0722
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Language(s): Chinese, Spanish
" Mauldin, Allen L, MD
Leander
!
Lampas as
Gender: Female
NPI: 1255439931
900 RR620 Ste C201
(512) 288-9669
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
INTERNAL MEDICINE
J
" Azadi, Roya A, MD
Leander
" Deng, Yue, MD
J
" Wagner, Nicholas J, MD
Gender: Male
NPI: 1497915565
900 RR 620 Ste C201
(512) 288-9669
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Southwest
Clinic Affiliation: Southwest Pediatrics
Assoc
Board Certifications: Pediatrics
Language(s): Spanish
Gender: Male
NPI: 1437167095
2701 S Hwy 183
Ste B
(512) 259-5111
Hospital Affiliations: Round Rock Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
INTERNAL MEDICINE
Lampas as
Gender: Female
NPI: 1821292483
1205 Central Texas Expwy
(512) 556-5362
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Internal Medicine
Language(s): Spanish
Gender: Female
NPI: 1245505254
3550 N Lakeline Blvd
Ste 200
(512) 986-7372
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Valley Baptist Medical Center
Clinic Affiliation: Leander Family Medicine
PLLC
Board Certifications: Family Practice
Leander
Lampas as
#
Gender: Female
NPI: 1255325429
902 Crystal Falls Pkwy
(512) 259-2222
Hospital Affiliations: West Houston Medical
Center
Clinic Affiliation: Mansolo Ron MD
Board Certifications: Family Practice
Language(s): English
Leander
" Lane, Mark S, MD
Lakeway
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Burnell, Elizabeth E, MD
Leander
Lampas as
" Rimer, Haydee C, MD
J
FAMILY PRACTICE
" Hay, Georgia C, MD
Lakeway
J
Gender: Female
NPI: 1740262377
187 Private Rd 4060
(512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1023243763
187 Private Rd 4060
(512) 556-3621
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Pediatrics
LEANDER
Lampas as
" Patil, Vaishalee S, MD
Lakeway
Lakeway
J
Lakeway
FAMILY PRACTICE
Gender: Male
NPI: 1275546269
1700 RR 620 S Ste B
(512) 263-9111
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Dewitt Family Care Clinic
PA
Board Certifications: Family Practice
Language(s): Spanish
#
" Jolet, Kelly, MD
J
#
" Gruen, Sheryl R, MD
Lakeway
J
" Chamberland, Ashley, MD
Lampas as
Gender: Male
NPI: 1073830246
900 Ranch Rd 620 S
Ste C201
(512) 328-2266
Clinic Affiliation: Southwest Pediatrics
Assoc
Practice Information: No Patients Over 20
yrs old
Board Certifications: Pediatrics
Lago Vis ta
LAKEWAY
J
" Chapa, Ricardo J, MD
FAMILY PRACTICE
Neal, Elizabeth S, MD
Gender: Female
NPI: 1356455265
7708 Lohman Ford Rd
Ste 101 Bldg A
J (512) 267-1877
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1912978206
1205 Central Texas Expwy
(512) 556-5362
Hospital Affiliations: Seton Highland
Lakes, The Medical Ctr Of Southeast Tx Lp
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Spanish
Lakeway
" Grout, Richard, MD
Gender: Male
NPI: 1164427589
753 E Travis St
(979) 968-2000
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Tejas Health Care
Board Certifications: Pediatrics
Language(s): Spanish
" Franz, Charles M, DO
PEDIATRICS
La Grange
Gender: Male
NPI: 1467434464
187 Pr 4060
(512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: Family Practice
Language(s): Spanish
Lampas as
Gender: Male
NPI: 1053320069
200 Medical Pkwy
Ste 310
(512) 654-3000
Clinic Affiliation: Lrmc Physician Services
Inc
Board Certifications: Internal Medicine
PEDIATRICS
PEDIATRICS
Lampasas
FAMILY PRACTICE
Gender: Male
NPI: 1871561035
2300 Lohmans Spur
Ste 106
(512) 263-7133
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Bennett Brent MD
Board Certifications: Internal Medicine
Language(s): Spanish
Lakeway
" Diclemente, Michael J, MD
La Grange
OCTOBER 03, 2016
bmk_pin_pcp
J
Gender: Female
NPI: 1912180084
709 N Bagdad Rd
(512) 260-0101
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Avecinna Medical Center
Board Certifications: Internal Medicine
Language(s): Farsi, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
20
Primary Care Physicians
OCTOBER 03, 2016
INTERNAL MEDICINE
" Mohandas, Renu, MD
Loc khart
LEANDER (cont.)
Gender: Female
NPI: 1205949112
209 S Church St
Ste B
(512) 376-2999
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Spanish
PEDIATRICS
Azadi, Sohail B, MD
Gender: Male
NPI: 1154414688
709 N Bagdad Rd
J (512) 260-0101
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Georgetown Hospital,
St Davids Medical Center
Clinic Affiliation: Avecinna Medical Center
Board Certifications: None
Language(s): Persian, Spanish
Leander
INTERNAL MEDICINE
" Wolf, Paul M, MD
Liberty Hill
Gender: Male
NPI: 1831129139
14365 W State Hwy 29
Ste 10
(512) 778-5160
Clinic Affiliation: Timberland Medical Group
Board Certifications: Internal Medicine
LOCKHART
Gender: Male
NPI: 1457374621
300 S Commerce St
Ste B
(512) 398-2331
Hospital Affiliations: Seton Edgar B Davis,
Seton Smithville Reg Hospital, St Davids
Medical Center
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Family Practice
Language(s): Spanish
Laurence, Charles E, MD
Gender: Male
NPI: 1285641001
1301 S Medina
J (512) 398-3464
Board Certifications: None
Language(s): Spanish
Lockhart
Gender: Female
NPI: 1588633499
111 S Laurel St
(830) 875-6399
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Community Health Ctrs
So Central TX Inc
Board Certifications: Pediatrics
Language(s): German, Spanish
#
Tuck White, Melissa S, MD
Gender: Female
NPI: 1306973979
1613 E Main St
(936) 349-0350
Clinic Affiliation: Hmh Medical Clinic
Board Certifications: None
Language(s): Spanish
Madisonv ille
MADISONVILLE
FAMILY PRACTICE
Carnell, Hillary C, DO
Gender: Female
NPI: 1659638617
100 W Cross St
(936) 348-3418
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Madisonville
" Needham, David C, MD
Loc khart
Gender: Male
NPI: 1063416774
300 S Colorado St
Ste B
(512) 398-2578
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, St Davids
Georgetown Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
#
J
Russell, Terri A, MD
Gender: Female
# NPI: 1700985553
1105 S Medina St
J (512) 376-9700
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Terri Anne Russell MD
Board Certifications: None
Loc khart
" Chan Villanueva, Imelda V, MD
Madisonville
Gender: Female
NPI: 1437319977
100 W Cross St
(936) 348-3418
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
J
Chukwuogo, Olayemi, MD
Gender: Female
NPI: 1902176779
100 W Cross St
J (936) 348-3418
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Garza, Roland R, MD
Gender: Male
NPI: 1275530768
100 W Cross St
J (936) 348-3418
FAMILY PRACTICE
Bilir, Sule P, MD
Gender: Female
# NPI: 1326112715
111 S Laurel Ave
J (830) 875-6399
Clinic Affiliation: Community Health Ctrs
So Central TX Inc
Board Certifications: None
Language(s): Spanish
NPI: 1275530768
813 S State St
Ste 105
(936) 348-3396
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Luling
J
" Hubley Jr, Grover C, MD
Gender: Male
NPI: 1720197437
100 W Cross St
(936) 348-3418
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
" Medellin, Roland A, MD
" Mohandas, Arjun, MD
J
Lockhart
Luling
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
FAMILY PRACTICE
Escamilla, David F, MD
Gender: Male
NPI: 1427093434
600 W Carrie Manor St
J (512) 978-9780
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Manor
" Mueller, Lynda L, MD
Manor
Gender: Female
NPI: 1104915412
600 W Carrier Manor St
(512) 978-9780
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Ruiz, Marilyn, MD
Gender: Female
NPI: 1528273281
14001 Shadow Glen
Blvd Ste G
J (512) 272-4451
Clinic Affiliation: Manor Family Practice
PLLC
Board Certifications: None
Language(s): Spanish
Manor
INTERNAL MEDICINE
" Ramos, Alina M, MD
Manor
Gender: Female
NPI: 1689606857
600 W Carrie Manor St
(512) 978-9780
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Madisonville
Luling
#
MANOR
Madisonville
Madisonville
LULING
INTERNAL MEDICINE
Gender: Male
NPI: 1639123573
209 S Church St
Ste B
(512) 791-1224
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Bengali, Hindi, Spanish, Tamil
" Wray, Mary J, MD
Luling
Kim, Rebecca, MD
Gender: Female
NPI: 1467656033
300 S Colorado St
Ste B
J (512) 376-9690
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): American Sign, Spanish
" Davila, Juan, MD
" Kirtley, Randall W, MD
Gender: Female
NPI: 1891781506
1613 E Main St
(936) 348-3418
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Hmh Medical Clinic
Board Certifications: Family Practice
Language(s): Norwegian, Spanish
Loc khart
Lockhart
Lockhart
" Ormberg, Audrey, MD
Madisonv ille
PEDIATRICS
Gender: Female
NPI: 1497922132
300 S Colorado St
Ste B
(512) 398-2578
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Arabic, French, Spanish
FAMILY PRACTICE
Gender: Male
NPI: 1215297155
300 S Colorado St
Ste A
(512) 376-9690
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Gender: Male
NPI: 1407879463
130 Hays St
Ste D
(830) 875-3445
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
" Benchekroune, Ghizlane, MD
Liberty Hill
NPI: 1922060391
100 W Cross St
(936) 348-3418
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
" Nepustil, Ivan R, MD
Loc khart
LIBERTY HILL
" Nicolwala, Adil, MD
Madisonv ille
Luling
PEDIATRICS
FAMILY PRACTICE
Overstreet, Haley C, MD
Gender: Female
NPI: 1700107323
14365 Hwy 29 W
(512) 778-5160
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
MANOR
bmk_pin_pcp
Gender: Male
NPI: 1184626871
111 S Laurel Ave
(830) 875-6399
Clinic Affiliation: Community Health Ctrs
So Central TX Inc
Board Certifications: Family Practice
Language(s): Spanish
Mahaffey, Robert K, MD
Gender: Male
NPI: 1871591719
1613 E Main St
(936) 348-3418
Hospital Affiliations: Huntsville Memorial
Hospital
Clinic Affiliation: Hmh Medical Clinic
Board Certifications: None
Madisonville
Stone, Jamilla C, MD
Gender: Female
NPI: 1932337029
130 Hays
Ste D
(830) 875-3445
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
PEDIATRICS
" Lama Briseno, Tracy R, DO
Manor
Gender: Female
NPI: 1558520544
600 W Carrie Manor St
(512) 978-9780
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
21
Primary Care Physicians
MARBLE FALLS
Shinkawa, Sidney M, MD
Gender: Female
NPI: 1689656266
700 US Hwy 281
(830) 693-2600
Hospital Affiliations: Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): Spanish
Marble F alls
MARBLE FALLS
FAMILY PRACTICE
" Franz, Charles M, DO
Marble Falls
J
Gender: Male
NPI: 1912978206
700 Hwy 281 N
(830) 693-2600
Hospital Affiliations: Seton Highland
Lakes, The Medical Ctr Of Southeast Tx Lp
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Spanish
" Khambati, Munira A, MD
Marble Falls
Gender: Female
NPI: 1215958624
700 Hwy 281 N
(830) 693-2000
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): Gujarati, Hindi, Indian,
Spanish, Swahili
" McClimans Jr, Robert A, DO
Marble Falls
Gender: Male
NPI: 1609839802
802 Ave J
(877) 800-5722
Hospital Affiliations: Conroe Regional
Medical Center, Seton Highland Lakes
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): Spanish
" Okunade, Adeyoyin O, MD
Marble Falls
J
Gender: Female
NPI: 1407967359
802 Ave J
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Spaw, Raymond G, MD
Marble Falls
Gender: Male
NPI: 1174503163
700 US Hwy 281
(830) 693-2600
Hospital Affiliations: Round Rock Medical
Center, Seton Highland Lakes, St Davids
Georgetown Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Family Practice
Language(s): American Sign, Spanish
GENERAL PRACTICE
Marlin
FAMILY PRACTICE
Pankratz, Natacha R, MD
Gender: Female
NPI: 1710936307
802 Ave J
J (877) 800-5722
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Marble F alls
" Fedro, David J, DO
Mart
J
Thomas, Sandra K, MD
Gender: Female
NPI: 1932152709
1009 Falls Parkway
J (830) 693-3988
Hospital Affiliations: Seton Highland Lakes
Clinic Affiliation: Childrens Health Center
PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Marble F alls
Stedman Jr, Horis T, MD
Gender: Male
NPI: 1285629220
2300 Hwy 281 N
J (830) 693-3621
Hospital Affiliations: Columbus Community
Hospital, Cuero Community Hospital,
Eastland Memorial Hospital, Hereford
Regional Medical Center, Medical Arts
Hospital, Scenic Mountain Medical Center,
Seton Highland Lakes, Stephens Memorial
Hospital, Sweeny Community Hospital, Tmc
Bonham Hospital
Clinic Affiliation: Family Wellness Center
PA
Board Certifications: None
Language(s): Spanish
INTERNAL MEDICINE
#
J
J
NPI: 1669641254
15822 Foothill Farms Loop
(512) 978-9840
Clinic Affiliation: Communitycare
Board Certifications: Family Practice
Keller, Shane E, MD
Gender: Male
NPI: 1194768911
1615 Grand Ave Pkwy
Ste 112
J (512) 252-1505
Pflugerville
J
" Reynolds, Kelley M, MD
Gender: Female
NPI: 1902968126
1009 Falls Parkway
(830) 693-3988
Clinic Affiliation: Childrens Health Center
PA
Board Certifications: Pediatrics
Language(s): Spanish
Mc Gregor
Gender: Female
NPI: 1528045846
500 Johnson Dr
(254) 313-5200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
MCGREGOR
Bhateley, Dileep C, MD
Gender: Male
NPI: 1467456962
307 Live Oak St
J (254) 803-3561
" Pana, Andrea L, MD
Gender: Female
NPI: 1558587519
1512 Town Center Dr
Ste 100
(512) 324-4875
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Family Practice
Language(s): Spanish
" Philip, Tina J, DO
Pflugerville
" Boles, Keith A, MD
McGregor
#
NPI: 1467456962
322 Coleman St
(254) 803-3561
Hospital Affiliations: Falls Community
Hospital And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1710946561
500 S Johnson Dr
(254) 313-5200
Hospital Affiliations: North Runnels
Hospital, Providence Health Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
MEXIA
" Fedro, David J, DO
NPI: 1194768911
18900 Limestone
Commercial Dr Ste 600
(512) 252-1505
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center, Univ Of Tx Med
Branch Galveston
Clinic Affiliation: Shane Edward Keller MD
Board Certifications: None
Language(s): Spanish
Pflugerville
FAMILY PRACTICE
Marlin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1568487791
500 Johnson Dr
(254) 313-5200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Gender: Female
NPI: 1023338340
500 Johnson Dr
(254) 313-5200
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
MARLIN
Gender: Female
NPI: 1821292483
700 US Hwy 281
(830) 693-2600
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Internal Medicine
Language(s): Spanish
" Kasturi, Mythili, MD
" Marsh, Jill W, MD
FAMILY PRACTICE
" Deng, Yue, MD
Gender: Female
NPI: 1619186681
1512 Town Center Dr
Ste 100
(512) 324-4875
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Family Practice
Mc Gregor
" Valmiki, Himabindu A, MD
Marble Falls
" Ganta, Neelima, MD
Pflugerville
" Cook, Jessica K, MD
Marble F alls
J
Escamilla, David F, MD
Gender: Male
NPI: 1427093434
15822 Foothill Farms
Loop
J (512) 978-9840
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Pflugerville
Mc Gregor
Thompson, Tanna M, MD
Gender: Female
NPI: 1528135860
700 US Hwy 281
J (830) 693-2600
Hospital Affiliations: Seton Highland
Lakes, St Davids Georgetown Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): Spanish
J
PFLUGERVILLE
FAMILY PRACTICE
Pflugerville
FAMILY PRACTICE
Marble F alls
J
Gender: Male
NPI: 1710957048
200 N Pearl St
(254) 876-6400
Hospital Affiliations: Falls Community
Hospital And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: Family Practice
Language(s): Spanish
MC GREGOR
Marlin
Marble Falls
Orms, James M, MD
Gender: Male
NPI: 1487694717
322 Coleman St
(254) 803-3561
Hospital Affiliations: East Texas Medical
Center Fairfield
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
MART
PEDIATRICS
OCTOBER 03, 2016
bmk_pin_pcp
J
J
Gender: Female
NPI: 1174793970
1615 Grand Ave Pkwy
Ste 112
(512) 252-1505
NPI: 1174793970
18900 Limestone
Commercial Dr Ste 600
(512) 252-1505
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Shane Edward Keller MD
Board Certifications: Family Practice
Language(s): Spanish
Russo, Anthony R, MD
Gender: Male
# NPI: 1700860400
2401 Pecan St W
Ste 103
J (512) 251-5586
Hospital Affiliations: St Davids Medical
Center
Board Certifications: None
Language(s): Italian, Spanish
Pflugerville
Gender: Male
NPI: 1710957048
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Falls Community
Hospital And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: Family Practice
Language(s): Spanish
PEDIATRICS
" Thedford-Smith, Lashaundra, MD
Mexia
Gender: Female
NPI: 1104069228
514 S Bonham St
(254) 562-0408
Clinic Affiliation: Parkview Regional
Hospital
Board Certifications: Pediatrics
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
22
Primary Care Physicians
OCTOBER 03, 2016
Walkes, Desmar, MD
Gender: Female
NPI: 1831138767
4495 Wandering Vine Trl
(512) 840-1158
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Jason Martin Medical
Consulting L
Board Certifications: None
Language(s): Spanish
Round Rock
PFLUGERVILLE (cont.)
INTERNAL MEDICINE
" Brister, Susan C, MD
Pflugerville
ROUND ROCK
FAMILY PRACTICE
" Bosquez, Marco E, MD
Round Rock
Gender: Female
NPI: 1033178751
1501 Pecan St W Ste 102
(512) 421-3750
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
!
Dao, Yen K, DO
Gender: Female
NPI: 1770579203
1512 Town Center Dr
Ste 100
(512) 324-4875
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, Seton Medical
Ctr Williamson, St Davids Hospital
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish, Vietnamese
Gender: Male
NPI: 1689787509
16020 Park Valley Dr
(512) 244-0766
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Family Practice
Language(s): Spanish
Pflugerville
" Esparza, Sandra A, MD
J
" Lama Briseno, Tracy R, DO
ROSEBUD
Bhateley, Dileep C, MD
Gender: Male
NPI: 1467456962
312 N Stallworth
J (254) 583-4515
Hospital Affiliations: Falls Community
Hospital And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
Ros ebud
Gender: Male
NPI: 1306852678
4495 Wandering Vine Trl
(512) 840-1158
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Jason Martin Medical
Consulting L
Board Certifications: Internal Medicine
Gender: Female
NPI: 1992986962
1750 Round Rock Ave
(512) 388-9495
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Martin, Jason L, MD
Gender: Male
NPI: 1447441639
4495 Wandering Vine Trl
(512) 840-1158
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Jason Martin Medical
Consulting L
Board Certifications: None
Round Rock
Rangarajan, Anuradha R, MD
Gender: Female
# NPI: 1225057516
2051 Gattis School Rd
Ste 250
J (512) 324-4813
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Gujarati, Hindi, Marathi, Tamil
Round Rock
#
J
Salcedo, Jorge A, MD
Gender: Male
NPI: 1508804618
2051 Gattis School Rd
Ste 250
(512) 324-4813
Hospital Affiliations: Hsps Of Providence
Sierra Campus, Seton Medical Center
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
OBSTETRICS-GYNECOLOGY
Edmondson, Steven R, MD
Gender: Male
NPI: 1164429890
3950 N A W Grimes Blvd
Ste N103
J (877) 800-5722
Hospital Affiliations: Hill Regional Hospital,
Seton Medical Ctr Williamson
Clinic Affiliation: Lone Star Circle of Care
Practice Information: Female Patients only,
No Patients Under 13 yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Round Rock
Tran, Xuan K, MD
Gender: Female
NPI: 1134174881
3000 Joe Dimaggio
Blvd Ste 65
(512) 733-6464
Hospital Affiliations: Round Rock Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Legends Medical Clinic
PLLC
Board Certifications: None
Language(s): Spanish, Vietnamese
Round Rock
Bacares, Edgar, MD
Gender: Male
NPI: 1225021256
2120 N Mays St
Ste 430
J (877) 800-5722
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
#
" Benhammou, Rania O, MD
Round Roc k
Gender: Female
NPI: 1669590444
4112 Links Ln Ste 102
(512) 436-9455
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Board Certifications: Pediatrics
Language(s): French, Spanish
Berhane, Rahel, MD
Gender: Female
NPI: 1740246743
1000 Hesters Crossing Rd
J (512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Round Roc k
Bhatti, Meenu S, MD
Gender: Female
NPI: 1093786394
3950 N Aw Grimes Blvd
Ste N201
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Round Roc k
#
" Brown, Bernadette M, MD
Round Roc k
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1023016235
15930 S Great Oaks Bldg B
(512) 255-8868
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Addy and Unite MD
Board Certifications: Pediatrics
Language(s): Spanish
Round Roc k
" Robinson, Eric E, DO
Round Rock
Ros ebud
" Addy, Debaroti M, MD
Round Roc k
Round Rock
Gender: Male
NPI: 1922324359
4495 Wandering Vine Trl
(512) 840-1158
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Jason Martin Medical
Consulting L
Board Certifications: Internal Medicine
Gender: Female
NPI: 1174560023
2300 Round Rock Ave
Ste 208
(512) 828-3300
Hospital Affiliations: Oakwood Surgery
Center, Round Rock Medical Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications:
Obstetrics-Gynecology
Language(s): American Sign, Spanish
PEDIATRICS
" Jackson Jr, Philip C, MD
" Poole, Lena A, MD
!
J
Round Rock
Round Rock
INTERNAL MEDICINE
Kreis, Siegfried R, MD
Gender: Male
NPI: 1871696765
312 N Stallworth
(254) 583-4515
Hospital Affiliations: Falls Community
Hospital And Clinic, Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Practice Information: No Patients Under 15
yrs old
Board Certifications: None
Gender: Female
NPI: 1598703084
3950 N Aw Grimes Blvd
Ste N104
(877) 800-5722
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Ctr Williamson
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Internal Medicine
Language(s): American Sign, Bengali,
Hindi, Spanish
J
Gender: Female
NPI: 1609871938
1750 Red Bud Ln
(512) 310-9700
Hospital Affiliations: Round Rock Medical
Center, Seton Northwest Hospital
Clinic Affiliation: ABC Medical Center
Board Certifications: Family Practice
Language(s): Spanish
#
Pflugerville
FAMILY PRACTICE
" Dasgupta, Nilanjana S, MD
" Heyliger, Tara A, DO
Round Roc k
Round Rock
Round Rock
PEDIATRICS
Gender: Female
NPI: 1558520544
15822 Foothill Farms
Loop
(512) 978-9840
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
Language(s): Spanish
Gender: Male
NPI: 1164438446
4495 Wandering Vine Trl
(512) 840-1158
Hospital Affiliations: Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Jason Martin Medical
Consulting L
Practice Information: No Patients Under 23
yrs old
Board Certifications: Internal Medicine
Gender: Male
NPI: 1033106380
15930 S Great Oaks Dr
Ste A200
(512) 246-3338
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center
Clinic Affiliation: Great Oaks Family
Practice PA
Board Certifications: Family Practice
Language(s): Russian, Spanish
" Ramos, Alina M, MD
#
" Cruz, Ricardo A, DO
Round Rock
" Diaz, David A, MD
J
Henderson, Kimberlee A, MD
Gender: Female
NPI: 1700837044
2300 Round Rock Ave
Ste 208
(877) 800-5722
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, French,
Spanish
Round Roc k
INTERNAL MEDICINE
Round Rock
Pflugerville
Gender: Female
NPI: 1689606857
15822 Foothill Farms
Loop
(512) 978-9840
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
ROUND ROCK
bmk_pin_pcp
Gender: Female
NPI: 1396859435
1050 Meadows Rd Ste 307
(512) 255-6033
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, St Davids
Medical Center
Board Certifications: Pediatrics
Language(s): French, German, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
23
Primary Care Physicians
ROUND ROCK
" Unite III, Anselmo G, MD
Marshall, Erin E, MD
Gender: Female
NPI: 1982717179
7200 Wyoming Spgs
Ste 200
J (512) 244-5959
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Wyoming Springs
Pediatrics
Board Certifications: None
Language(s): Spanish
Round Rock
ROUND ROCK (cont.)
PEDIATRICS (cont.)
" Chang, Ting Chuan, MD
Round Rock
J
Gender: Male
NPI: 1194810903
15930 S Great Oaks Dr
Ste B
(512) 255-8868
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Addy and Unite MD
Board Certifications: Pediatrics
Language(s): Spanish
" Duble, Shannon L, MD
Round Rock
#
Gender: Female
NPI: 1457428609
15930 Great Oaks Trail
Bldg B
(512) 255-8868
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center
Clinic Affiliation: Addy and Unite MD
Board Certifications: Pediatrics
Language(s): Spanish
" Esparza, Ramon, MD
Round Rock
J
Gender: Male
NPI: 1245235647
1750 Red Bud Ln
(512) 310-9700
Hospital Affiliations: Round Rock Medical
Center
Clinic Affiliation: ABC Medical Center
Board Certifications: Pediatrics
Language(s): Spanish
" Flachs, Lisa S, MD
Round Rock
Gender: Female
NPI: 1366751133
4112 Links Ln
Ste 102
(512) 930-4776
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
Katalenas, Marta M, MD
Gender: Female
# NPI: 1386741171
7700 Cat Hollow Dr
Ste 104
J (512) 733-5437
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center
Clinic Affiliation: Pediatric Center of Round
Rock
Board Certifications: None
Language(s): French, Italian, Spanish
J
" Marroquin, Jaclyn T, MD
J
Gender: Female
NPI: 1912102583
2120 N Mays St Ste 430
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Gender: Female
NPI: 1215163910
1340 Wonder World Dr
Ste 4201
(512) 268-8900
Hospital Affiliations: Methodist Specialty
And Transplant Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Family Practice
Language(s): American Sign, Spanish
J
" Heisler, Gerald P, MD
Gender: Male
NPI: 1245310168
1340 Wonder World Dr
Ste 4201
(210) 233-7062
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Family Practice
Language(s): Spanish
Wallis, Jack W, MD
Gender: Male
NPI: 1962484733
2108 Hunter Rd
Ste 115
(512) 754-7700
Clinic Affiliation: Bhs Physicians Network
Inc
Board Certifications: None
Language(s): Spanish
San Marcos
" Laue, Richard R, MD
San Marcos
#
J
" Pautler, Denise L, MD
Round Rock
Gender: Female
NPI: 1447489547
3950 N Aw Grimes Blvd
Ste 201
(512) 524-9282
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Gender: Male
NPI: 1154353548
2406 Hunter Rd Ste 106
(512) 396-7686
Clinic Affiliation: San Marcos Family
Medicine
Board Certifications: Family Practice
Language(s): Spanish
Willborn, Myriah G, DO
Gender: Female
NPI: 1740557552
2406 Hunter Rd
Ste 206
(512) 396-7686
Clinic Affiliation: San Marcos Family
Medicine
Board Certifications: None
Language(s): Spanish
San Marcos
" Lee, Alan L, MD
San Marcos
#
J
Ramsey, David A, MD
Gender: Male
NPI: 1861586943
4112 Links Ln
Ste 102
J (512) 930-4776
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, St Davids Georgetown Hospital
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Round Rock
Gender: Male
NPI: 1336164425
2406 Hunter Rd
Ste 106
(512) 396-7686
Clinic Affiliation: San Marcos Family
Medicine
Board Certifications: Family Practice
Language(s): Hindi, Spanish
" Mangalick, Vip, MD
San Marcos
#
J
Gender: Male
NPI: 1437347697
2406 Hunter Rd
Ste 106
(512) 396-7686
Clinic Affiliation: San Marcos Family
Medicine
Board Certifications: Family Practice
Language(s): Hindi, Spanish
" Santos III, Alberto, DO
San Marcos
Salinas, Crystal M, MD
Gender: Female
NPI: 1740417872
7700 Cat Hollow Dr
Ste 104
(512) 733-5437
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Pediatric Center of Round
Rock
Board Certifications: None
Language(s): Spanish
Round Rock
!
Gender: Male
NPI: 1659483261
200 Springtown Way
Ste 451
(512) 393-3325
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
" Schneider, David L, MD
San Marcos
Gender: Male
NPI: 1871542936
1601 Redwood Rd
Ste B
(512) 754-6622
Clinic Affiliation: Bhs Physicians Network
Inc, Resolute Health Physicians Networ
Board Certifications: Family Practice
Travis, Wade R, MD
Gender: Male
# NPI: 1558452961
15930 S Great Oaks Dr
J (512) 255-8868
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Georgetown Hospital, St Marks
Medical Center
Clinic Affiliation: Addy and Unite MD
Board Certifications: None
Language(s): Spanish
Round Rock
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Thackeray, Bridget Y, DO
San Marcos
San Marcos
Pankratz, Natacha R, MD
Gender: Female
# NPI: 1710936307
2120 N Mays St
Ste 430
J (877) 800-5722
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Round Rock
Round Rock
Anderson, Charles P, MD
Gender: Male
NPI: 1992735500
1400 N Hwy 123
J (512) 396-3663
Board Certifications: None
Language(s): American Sign, Spanish
#
Round Rock
J
Gender: Female
NPI: 1841512019
200 Springtown Way
Ste 451
(512) 393-3325
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Family Practice
Language(s): Spanish
!
San Marcos
NPI: 1386732675
16040 Park Valley Dr
Ste 227
(512) 255-7337
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Northwest Hospital
Board Certifications: Pediatrics
Language(s): English, Spanish, Tagalog
!
" Smith Knuppel, Teresa K, MD
San Marcos
FAMILY PRACTICE
Gender: Male
NPI: 1386732675
16010 Park Valley Dr
Ste 300
(512) 255-7337
J
Gender: Male
NPI: 1366440646
15930 B Great Oaks Dr
(512) 255-8868
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center
Clinic Affiliation: Addy and Unite MD
Board Certifications: Pediatrics
Language(s): Spanish
SAN MARCOS
" Millar, Jose Gabriel C, MD
" De Haro, Rafael A, MD
J
J
Round Rock
Round Rock
Gender: Male
NPI: 1083727259
7200 Wyoming Spgs
Ste 200
(512) 244-5959
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Wyoming Springs
Pediatrics
Board Certifications: Pediatrics
Language(s): Spanish
Round Rock
#
OCTOBER 03, 2016
bmk_pin_pcp
GENERAL PRACTICE
Vasquez, Hector H, MD
Gender: Male
# NPI: 1518075894
1340 Wonder World Dr
Ste 4201
J (512) 268-8900
Hospital Affiliations: Val Verde Regional
Medical Center
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
San Marcos
INTERNAL MEDICINE
" Pothuluri, Saritha G, MD
San Marcos
!
Gender: Female
NPI: 1457387995
200 Springtown Way
Ste 451
(512) 393-3325
Hospital Affiliations: Houston Northwest
Medical Center, Kingwood Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Internal Medicine
Language(s): Spanish
PEDIATRICS
Shore, Richard W, MD
Gender: Male
# NPI: 1043210800
1340 Wonder World Dr
Ste 4201
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Practice Information: No Patients Over 16
yrs old
Board Certifications: None
San Marcos
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
24
Primary Care Physicians
OCTOBER 03, 2016
WACO
bmk_pin_pcp
" Chai, Carena L, DO
Waco
SCHULENBURG
FAMILY PRACTICE
Kocurek, Donald J, MD
Gender: Male
# NPI: 1932125622
40 E Ave
(979) 743-3520
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Kocurek and James Clinic
PLLC
Board Certifications: None
Language(s): Czech, Spanish
Schulenburg
SOMERVILLE
FAMILY PRACTICE
" Nicolwala, Adil, MD
PEDIATRICS
" Parsi, Kia E, MD
Somerville
James, Michele L, MD
Gender: Female
NPI: 1376557520
40 E Ave
(979) 743-3520
Clinic Affiliation: Kocurek and James Clinic
PLLC
Board Certifications: None
Language(s): Spanish
J
" Van Benthuysen, Suzanne L, MD
" Nepustil, Ivan R, MD
Gender: Female
NPI: 1962673301
305A Mallard Ln
(877) 800-5722
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Pediatrics
Language(s): American Sign, Spanish
Gender: Male
NPI: 1295709319
6101 Woodway Dr Ste 200
(254) 537-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
J
" Smith, Janice K, MD
Gender: Female
NPI: 1811055049
509 S Ninth
(254) 778-4766
Hospital Affiliations: Univ Of Tx Med
Branch Galveston
Clinic Affiliation: Bell County Public Health
Distric
Board Certifications: Family Practice
Language(s): Spanish
" Benchekroune, Ghizlane, MD
Smithville
Gender: Female
NPI: 1740298397
7003 Woodway Dr
Ste 312
(254) 772-7300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Burbidge Jr, John M, DO
Gender: Male
NPI: 1841277639
7003 Woodway Dr
Ste 312
J (254) 772-7300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Language(s): Spanish
" Ali, Hameed Q, DO
Temple
Gender: Male
NPI: 1104974955
1602 W Ave A Ste B
(254) 778-6474
Clinic Affiliation: Comprehensive Injury
Treatment SE
Board Certifications: Internal Medicine
" Carl, Jenny S, MD
Waco
J
Gender: Female
NPI: 1396712691
120 Hillcrest Medical
Blvd Ste 300 Bldg II
(254) 313-6500
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1639156425
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Claus, Stephanie E, MD
Waco
#
J
Gender: Female
NPI: 1659673036
1800 Gurley Ln
(254) 313-6000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
" Cover, Jesse, MD
Waco
#
J
Gender: Male
NPI: 1366730301
1610 Providence Dr
(254) 313-4800
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Dietrick, John D, MD
Waco
#
J
Gender: Male
NPI: 1982681649
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Sign Language, Spanish
" Gill, John H, MD
Waco
#
J
Gender: Male
NPI: 1578540183
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Griggs, Jackson O, MD
Waco
#
J
Waco
INTERNAL MEDICINE
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Waco
Gender: Female
NPI: 1295020071
600 S 25th St Ste 115
(254) 899-8650
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Temple
PEDIATRICS
#
" Burbidge, Cathryn D, DO
" Sapp, Jennifer L, DO
Temple
J
" Chop, William M, MD
" Blattman, Todd E, MD
FAMILY PRACTICE
" Yens, Diana A, MD
Gender: Male
NPI: 1023082146
6101 Woodway Dr
Ste 200
(254) 537-0200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1063579704
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Waco
Waco
TEMPLE
Smithville
Gender: Female
NPI: 1497922132
1501 Dorothy Nichols Ln
(512) 360-3698
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Arabic, French, Spanish
#
Taylor
J
J
" Blattman, Scott E, MD
PEDIATRICS
#
Gender: Female
NPI: 1245217058
1911 N Martin Luther King
Jr Blvd
(254) 313-5000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Sign Language, Spanish
#
Waco
Gender: Male
NPI: 1417952003
305 Mallard Ln
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Smithville
J
J
" Gutierrez-Macias, Rodolfo G, MD
INTERNAL MEDICINE
Gender: Female
NPI: 1255394375
1201 A Hill Rd
(512) 360-5272
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): Spanish
#
Gender: Male
NPI: 1740573260
305 Mallard Ln
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: Family Practice
Language(s): Spanish
Taylor
Smithville
!
" Barron, Lauren G, MD
Waco
" Duenes Jr, Aristeo S, MD
FAMILY PRACTICE
Gender: Male
NPI: 1407879463
1201 A Hill Rd
(512) 360-5272
Hospital Affiliations: Seton Edgar B Davis
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Gender: Male
NPI: 1134195449
2100 Lakeshore
(254) 537-6160
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Taylor
SMITHVILLE
Gutierrez Lopez, Karina, MD
Gender: Female
NPI: 1992148605
1201 A Hill Rd
(512) 360-5272
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
" Bailey, Colin R, MD
FAMILY PRACTICE
J
Arnold, Jeffrey L, MD
Gender: Male
NPI: 1740289800
6614 Sanger Ave
(254) 537-6100
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Waco
Gender: Male
NPI: 1922058502
600 Memory Ln
(979) 596-1441
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
TAYLOR
Schulenburg
#
Waco
NPI: 1922060391
600 Memory Ln
(979) 596-1441
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: Family Practice
Language(s): Spanish
" Tijerina, Lindsey E, MD
Gender: Female
NPI: 1225359235
40 E Ave
(979) 743-3520
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Kocurek and James Clinic
PLLC
Board Certifications: Family Practice
Language(s): Spanish
FAMILY PRACTICE
Somerville
Schulenburg
#
WACO
Waco
Gender: Male
NPI: 1861479818
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Hartman, Kristi L, MD
Gender: Female
NPI: 1184919987
6614 Sanger Ave
(254) 537-6100
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
" Haws, Rita L, MD
Waco
Gender: Female
NPI: 1043297005
1600 Providence Dr
(250) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
25
Primary Care Physicians
WACO
" Lessman, Stacy L, MD
" Martinez Nieves, Lianda M, MD
Waco
WACO (cont.)
FAMILY PRACTICE (cont.)
" Hess, Burritt W, MD
Wac o
#
J
Gender: Male
NPI: 1902866569
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Horner, Keith D, MD
J
J
Gender: Male
NPI: 1235103334
6101 Woodway Dr
Ste 200
(254) 537-6300
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
" Jahrmarkt, Michael L, MD
J
#
J
J
" Julian, Danny S, MD
#
J
Wac o
Kirk, Lisa J, DO
Gender: Female
NPI: 1578562146
318 Richland W Cir
Ste B
(254) 776-8008
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Brazos Integrative
Medicine
Board Certifications: None
Language(s): Spanish
J
" Korteweg, Jeremy, MD
J
Gender: Male
NPI: 1366403545
1911 N Martin Luther
King Jr Blvd
(254) 313-5000
J
#
J
J
#
Gender: Male
NPI: 1922056357
1800 Gurley Ln
(254) 313-6000
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
" Spain, Latrisha F, MD
J
J
Gender: Male
NPI: 1780689992
6600 Fish Pond Rd
Ste 202A
(254) 265-7300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
" Spelman Ojeda, Dawn B, MD
#
" Steele, Kevin C, MD
#
J
" Porter, Matthew R, MD
J
" Mahan, Rebecca D, MD
Gender: Female
NPI: 1255582607
1800 Gurley Ln
(254) 313-6000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Gender: Male
NPI: 1023095676
600 W State Hwy 6
(254) 313-6700
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
" Watley, Sonia R, MD
J
" Rainey, Robert C, MD
J
" Martindale, Timothy D, MD
Waco
Gender: Male
NPI: 1003824632
7104 New Sanger Rd
(254) 741-1113
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1871781302
1226 Washington Ave
(254) 313-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1245268929
3400 Bellmead Dr
(254) 313-5400
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Waco
Waco
#
Gender: Female
NPI: 1689729519
2100 Lake Shore Dr
Ste 200
(254) 537-6158
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Waco
Waco
Gender: Male
NPI: 1720239106
609 Elm St
(254) 313-6900
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1336399625
911 S 20th
(254) 313-5700
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Waco
" Pietsch, Darrell R, MD
Gender: Male
NPI: 1922089382
2100 Lake Shore Dr
(254) 537-6160
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): German, Spanish
Gender: Male
NPI: 1083688964
6101 Woodway Dr
Ste 200
(254) 537-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Waco
Waco
Waco
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Shelton, John B, MD
" Patel, Manish P, DO
" Mahan, Joel B, MD
J
Gender: Female
NPI: 1285611806
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
Gender: Male
NPI: 1598742124
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Nacogdoches Medical
Center, Providence Health Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Waco
Waco
Waco
J
J
" Parker Hudson, Courtney B, MD
" Loden, Michael A, MD
#
#
Waco
Waco
Wac o
Gender: Male
NPI: 1073801015
1911 N Martin Luther King
Jr Blvd
(254) 313-5000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Newman, Gregory A, DO
Gender: Male
# NPI: 1891732806
7003 Woodway Dr
Ste 311
(254) 537-6000
Hospital Affiliations: Limestone Medical
Center, Providence Health Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Language(s): Spanish
" Schwedock, Nicholas, MD
Waco
Waco
Lippe, Natalie C, MD
Gender: Female
NPI: 1568470102
6101 Woodway Dr
Ste 200
J (254) 537-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
" Koester, Donald R, MD
Gender: Male
NPI: 1275510968
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Gender: Female
NPI: 1659475978
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Waco
Wac o
#
Gender: Male
NPI: 1396008611
2100 Lake Shore Dr
(254) 537-6160
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
NPI: 1366403545
6901 Medical Parkway
(254) 537-6158
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center,
Providence Family Clinic Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Wac o
Gender: Male
NPI: 1588645931
2100 Lake Shore Dr
(254) 537-6160
Hospital Affiliations: Lakeshore Village
Hlthcare Ctr, Providence Health Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): German, Spanish
" McHenry, Clint W, DO
" Lippe, Isaac J, MD
#
Gender: Male
NPI: 1891767539
6101 Woodway Dr
Ste 200
(254) 537-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
Waco
Waco
Wac o
Gender: Male
NPI: 1598742108
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): American Sign, Spanish
NPI: 1821095316
609 Elm St
(254) 313-6900
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
" Lind, Isabel A, MD
#
" Ralston, Samuel W, MD
Waco
Gender: Female
NPI: 1023379104
7003 Woodway Dr
Ste 311
(254) 537-6000
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Waco
Wac o
#
Waco
Gender: Female
NPI: 1821095316
1226 Washington Ave
(254) 313-6300
OCTOBER 03, 2016
bmk_pin_pcp
Gender: Female
NPI: 1770878498
911 S 20th
(254) 313-5700
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
" Watson, Floyd C, MD
Waco
J
Gender: Male
NPI: 1447268164
1800 Gurley Ln
(254) 313-6000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
26
Primary Care Physicians
OCTOBER 03, 2016
" Cowart, Roger W, MD
" Chakmakjian, Stephen S, MD
Wac o
WACO (cont.)
FAMILY PRACTICE (cont.)
" Watson, Josephine E, MD
Waco
#
J
Gender: Female
NPI: 1699915066
1800 Gurley Ln
(254) 313-6000
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
J
J
Wilcox, Patricia A, MD
Gender: Female
NPI: 1427039056
6614 Sanger Ave
J (254) 537-6100
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Language(s): Spanish
Waco
Gender: Male
NPI: 1346488368
301 Richland W
Circle
(254) 537-6200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Internal Medicine
" Wilson, Rebekkah L, MD
INTERNAL MEDICINE
J
Wac o
Gender: Male
NPI: 1568436780
301 Richland W Cir
(254) 756-7091
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Internal Medicine
Barkley, Brian E, DO
Gender: Male
NPI: 1093158388
601 W Hwy 6
Ste 102
(254) 399-8364
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Heart of TX Pediatrics PA
Board Certifications: None
Language(s): Spanish
" Castillo, Juanita, MD
Gender: Female
NPI: 1750554093
110 S 12th St
(254) 313-6350
Clinic Affiliation: Family Practice Center
Board Certifications: Internal Medicine
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
PEDIATRICS
" Hamilton, Elaine L, MD
West Lak e Hills
J
Barrezueta, Hector A, MD
Gender: Male
NPI: 1649564014
6101 Woodway Dr Ste 230
(254) 537-6400
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1962485516
601 W Hwy 6
Ste 102
(254) 399-8364
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Heart of TX Pediatrics PA
Board Certifications: Pediatrics
Language(s): Spanish
Stanko, Sue E, MD
Gender: Female
NPI: 1740246909
1201 Hewitt Dr
Ste 204
J (254) 741-9933
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
" Reidy, Elizabeth T, MD
Gender: Female
NPI: 1063483147
4201 Bee Caves Rd
Ste C100
(512) 327-1155
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Healthy Schools Texas
PLLC
Board Certifications: Pediatrics
Language(s): Pakistani, Spanish
WHITNEY
FAMILY PRACTICE
" Henderson, Randall D, DO
Whitney
Gender: Male
NPI: 1700879848
1314 N Brazos St
(254) 694-3621
Clinic Affiliation: Whitney Family Medicine
Board Certifications: Family Practice
Language(s): Spanish
Waco
" Pickering, Clayton L, DO
Whitney
Gender: Male
NPI: 1689667826
202 E Jefferson Ave
(254) 694-2221
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Family Practice
Language(s): Spanish
WEST
Butler, Renesha C, MD
Gender: Female
NPI: 1033403522
6101 Woodway Dr
Ste 230
(254) 537-6400
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
FAMILY PRACTICE
" Chudej, Eric, MD
Gender: Female
NPI: 1215036173
5656 Bee Caves Rd
Ste C 104
(512) 327-1177
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center
Clinic Affiliation: Westlake Pediatrics
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
Language(s): Spanish
West Lak e Hills
" Nesmith, William R, MD
Gender: Male
NPI: 1750340568
2201 MacArthur Dr
Ste 103
(254) 313-5300
Clinic Affiliation: Family Practice Center
Board Certifications: Pediatrics
Waco
Angerstein, Jacqueline, DO
Gender: Female
NPI: 1750367629
3530 Bee Caves Rd
Ste 110
J (512) 328-3311
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: J Angerstein DO
Board Certifications: None
West Lak e Hills
Waco
" Bierwirth, Matthew B, MD
Wac o
Gender: Male
NPI: 1558310839
405 Londonderry Ste 300
(254) 772-2722
Hospital Affiliations: Providence Health
Center
Board Certifications: Pediatrics
Janish, Kelly M, MD
Gender: Female
NPI: 1942463062
6101 Woodway Dr
Ste 230
J (254) 537-6400
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: None
Language(s): Spanish
Wac o
" Barbin, Gary K, MD
Waco
WEST LAKE HILLS
FAMILY PRACTICE
Waco
PEDIATRICS
Waco
J
!
Gender: Male
NPI: 1225002389
301 Richland W Cir
(254) 537-6200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Internal Medicine
#
Conner, Catherine S, MD
Gender: Female
NPI: 1669676227
601 W State Hwy 6
Ste 102
(254) 399-8364
Hospital Affiliations: Providence Health
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Heart of TX Pediatrics PA
Board Certifications: None
Language(s): Spanish
" Ferguson, James W, MD
" Sudan, Arthur W, MD
Wac o
Gender: Male
NPI: 1780681114
407 W Oak St
(254) 826-3865
Hospital Affiliations: Weatherford Regional
Med Ctr
Clinic Affiliation: West Oak Medical Clinic
PA
Board Certifications: Family Practice
Language(s): Spanish
Waco
Wac o
Waco
Gender: Female
NPI: 1861780819
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1841304540
405 Londonderry Ste 200
(254) 537-6400
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Pediatrics
" Patchin, Jerod B, DO
" Wilcox, Robert W, MD
Wilson, Benjamin, MD
Gender: Male
NPI: 1992091003
3400 Bellmead Dr
J (254) 313-5400
Clinic Affiliation: Family Practice Center
Board Certifications: None
Language(s): American Sign, Spanish
" Coleman Jr, Ronald, DO
Waco
Gender: Male
NPI: 1386957769
301 Richland W Cir
(254) 537-6200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Internal Medicine
" Wusterhausen, Kris H, DO
West
Gender: Male
NPI: 1770566333
601 W Hwy 6
Ste 102
(254) 399-8364
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Heart of TX Pediatrics PA
Board Certifications: Pediatrics
Language(s): Spanish
Waco
Wac o
Waco
Gender: Male
NPI: 1265413140
6614 Sanger Ave
(254) 537-6100
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
J
" Najera Flores, Jose A, MD
" Weaver, Sally P, MD
#
Waco
Gender: Male
NPI: 1750391546
301 Richland W Cr
(254) 537-6200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Practice Information: No Patients Under 16
yrs old
Board Certifications: Internal Medicine
Language(s): Spanish
Wac o
Waco
Gender: Female
NPI: 1457338733
1600 Providence Dr
(254) 313-4200
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Family Practice Center
Board Certifications: Family Practice
Language(s): Spanish
WIMBERLEY
bmk_pin_pcp
West
J
J
Gender: Male
NPI: 1053620013
1401 Jane Ln
(254) 826-3073
NPI: 1053620013
401 Meadow Dr
(254) 826-3073
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Family Diagnostic Med
Center LLP, Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
WIMBERLEY
FAMILY PRACTICE
Ramirez, Juan I, MD
Gender: Male
NPI: 1205835071
9670 Ranch Rd 12
J (512) 847-6789
Clinic Affiliation: Juan I Ramirez MD
Board Certifications: None
Language(s): Spanish
Wimberley
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
27
WIMBERLEY
Primary Care Physicians
bmk_pin_pcp
OCTOBER 03, 2016
WIMBERLEY (cont.)
GENERAL PRACTICE
Demetri Sr, Leslie R, MD
Gender: Female
NPI: 1760503577
201 Stillwater
Ste 6
J (521) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
Wimberley
Vasquez, Hector H, MD
Gender: Male
# NPI: 1518075894
201 Still Water
Ste 6
J (512) 268-8900
Hospital Affiliations: Val Verde Regional
Medical Center
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
Wimberley
PEDIATRICS
" Collins, Karyn W, MD
Wimberley
J
Gender: Female
NPI: 1245246420
201 Stillwater Ste 6
(512) 268-8900
Hospital Affiliations: Seton Southwest
Clinic Affiliation: Communicare Health
Centers
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatrics
" Linnell, Marjan A, MD
Wimberley
Gender: Female
NPI: 1154620623
201 Stillwater
Ste 6
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Pediatrics
Shore, Richard W, MD
Gender: Male
# NPI: 1043210800
201 Stillwater
Ste 6
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Practice Information: No Patients Over 16
yrs old
Board Certifications: None
Wimberley
WOODWAY
FAMILY PRACTICE
" Marroquin, Gerard A, MD
Woodway
Gender: Male
NPI: 1932173044
6101 Woodway Dr
Ste 200
(254) 537-6300
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Providence Family Clinic
Hillsbor
Board Certifications: Family Practice
Language(s): Spanish
" Trippe, Karl M, MD
Woodway
J
Gender: Male
NPI: 1285615674
7100 Old McGregor Rd
(254) 399-6545
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Waco Primary Care PA
Board Certifications: Family Practice
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
28
OCTOBER 03, 2016
October 03, 2016
ACUPUNCTURE
" Bangs, Jessie A, LAC
Austin
Gender: Female
NPI: 1134540438
2111 Dickson Dr
Ste 10
(832) 248-4884
Board Certifications: Acupuncture
" Cao, Haitao, LAC
Austin
#
J
Gender: Female
NPI: 1720221799
1707 Fortview Rd
(512) 707-8828
Clinic Affiliation: Austin Acupuncture Clinic
Practice Information: No Patients Under 1
yrs old
Board Certifications: Acupuncture
Language(s): Chinese
" Cazares, Anna M, LAC
Austin
#
Gender: Female
NPI: 1356622526
2911 Medical Arts St
Ste 19B
(512) 228-9158
Board Certifications: Acupuncture
Chang, PO H, LAC
Gender: Male
# NPI: 1194976977
1702 Shag Bark Trl
J (512) 797-1314
Board Certifications: None
Language(s): Mandarin, Spanish
Austin
" Coelho, Rosie, LAC
Austin
#
Gender: Female
NPI: 1679966253
5750 Balcones Dr Ste 117
Office B
(512) 775-7504
Clinic Affiliation: Kantua
Board Certifications: Acupuncture
Language(s): English, Portuguese
Dollar, Jonathan D, LAC
Gender: Male
NPI: 1558670554
4220 W William Cannon Dr
Ste 130
J (512) 892-3434
Clinic Affiliation: Texas Chiropractic and
Therapy
Board Certifications: None
Austin
" Duncan, Dianne, LAC
Austin
#
J
" Hsu, Shing Jane C, LAC
Forcier, Julianne M, LAC
Gender: Female
# NPI: 1750399366
1708 Walnut Ave
J (512) 296-1541
Board Certifications: None
Gender: Female
NPI: 1811024284
5609 Adams Ave Ste B
(512) 374-9800
Practice Information: No Patients Under 6
yrs old
Board Certifications: Acupuncture
Fan, Yong Xin, LAC
Gender: Male
# NPI: 1528236528
2700 W Anderson Ln
Ste 512
J (512) 467-0370
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
Language(s): Chinese
Aus tin
#
J
" Finegold, Jennifer, LAC
Austin
Gender: Female
NPI: 1740587104
2525 Wallingwood Dr
Ste 7C
(512) 815-3555
Clinic Affiliation: Fiery Sage Healing PLLC
Board Certifications: Acupuncture
Finnell, John, LAC
Gender: Male
NPI: 1114172194
4701 Westgate Blvd
J (512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
Language(s): Spanish, Swedish
Austin
#
Foreman, Brooke C, LAC
Gender: Female
NPI: 1659678092
3220 Manor Rd
(512) 291-3984
" Huynh, Ann, LAC
#
NPI: 1659678092
8015 Shoal Creek Blvd
Ste 110
(512) 788-4743
Clinic Affiliation: Copulos and Assoc
Physical T, Hausman Chiropractic and
Acupunct
Board Certifications: None
J
Laguna, Jose R, LAC
Gender: Male
# NPI: 1265671713
2700 W Anderson Ln
Ste 512
J (512) 467-0370
#
J
Gong, Guoji, LAC
Gender: Male
# NPI: 1518086610
13010 Research Blvd
Ste 103
J (512) 219-0903
Clinic Affiliation: S Tct Health Inc
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): Mandarin
Aus tin
Lee, Sherry H, LAC
Gender: Female
# NPI: 1215013685
4131 Spicewood Springs Rd
Ste G1
J (512) 342-9125
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Language(s): Chinese, Mandarin
Gu, Jingyu, LAC
Gender: Male
# NPI: 1083702872
1502 W Koenig Ln
J (512) 452-5757
Clinic Affiliation: Wellspring Acupuncture
and Holist
Board Certifications: None
Language(s): Chinese, Mandarin
Lentfer, J Nicole, LAC
Gender: Female
# NPI: 1730226903
3809 S Second St Ste D100
J (512) 892-3366
Clinic Affiliation: Natural Healthcare
Alliance PLLC
Board Certifications: None
Austin
J
" Li, Shaozhi, LAC
Gender: Female
NPI: 1629223268
2700 W Anderson Ln
Ste 512
(512) 467-0370
#
NPI: 1629223268
4701 W Gate Blvd
(512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: Acupuncture
Austin
#
" He, Yan, LAC
Aus tin
#
Gender: Female
NPI: 1144498148
11651 Jollyville Rd
Ste 150
(512) 331-3866
Clinic Affiliation: Acupuncture Healing Art
Ctr Inc
Board Certifications: Acupuncture
Language(s): Chinese
Austin
" He, Yuxin, LAC
Aus tin
#
#
Austin
Gender: Male
NPI: 1194906198
10601 Pecan Park Blvd
(512) 419-7355
Gender: Male
NPI: 1649571886
1707 Fortview Rd
(512) 445-2222
Clinic Affiliation: Austin Acupuncture Clinic
Board Certifications: Acupuncture
Language(s): Chinese, Spanish
Lin, Lisa P, LAC
Gender: Female
NPI: 1831286392
1707 Fortview Rd
(512) 445-2222
(512) 707-8828
Clinic Affiliation: Austin Acupuncture Clinic,
TX Health and Science University
Board Certifications: None
Language(s): Chinese
Lin, Paul C, LAC
Gender: Male
NPI: 1578650560
1707 Fortview Rd
(512) 707-8828
Clinic Affiliation: Austin Acupuncture Clinic,
TX Health and Science University
Board Certifications: None
Language(s): American Sign, Chinese
" Liu, Yuxing, LAC
Austin
NPI: 1194906198
8303 Shoal Creek Blvd
(512) 419-7355
Clinic Affiliation: Acupuncture and Chinese
Medical
Board Certifications: Acupuncture
Language(s): Chinese
Hsiao, Mu-Fan, LAC
Gender: Male
# NPI: 1548506322
127 E Riverside Dr
Ste 111
(512) 775-6228
Board Certifications: None
Language(s): Chinese
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Lu, Nailin, LAC
Gender: Female
NPI: 1497060107
3432 Greystone Dr
Ste 110
J (512) 669-5164
Clinic Affiliation: Lu Acupuncture Center
LLC
Board Certifications: None
Language(s): Chinese
Austin
Luo, Song, LAC
Gender: Male
# NPI: 1740458645
2700 W Anderson Ln
Ste 512
J (512) 467-0370
Austin
#
J
#
Gender: Male
NPI: 1982886057
8711 Burnet Rd
Ste A18 A20
(512) 374-4988
Clinic Affiliation: Honeysuckle Acupuncture
Clinic
Board Certifications: Acupuncture
Language(s): Chinese
NPI: 1740458645
4701 W Gate Blvd
(512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
Language(s): Chinese
" Luo, Wen Chiang K, LAC
Austin
#
J
Gender: Male
NPI: 1740318088
4131 Spicewood Springs I1
(512) 795-8021
Board Certifications: Acupuncture
Language(s): Chinese, Mandarin,
Taiwanese
" Moose, Elizabeth S, LAC
Austin
#
Gender: Female
NPI: 1255647590
12741 Research Blvd
Ste 505
(512) 419-1076
Clinic Affiliation: Balcones Acupuncture Inc
Board Certifications: Acupuncture
" Morris, William R, LAC
Austin
#
J
#
Austin
" Hamilton, Lesley H, LAC
Aus tin
#
NPI: 1265671713
4701 W Gate Blvd
(512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
Language(s): Chinese, Spanish
AUSTIN
Austin
Aus tin
J
Gender: Female
NPI: 1326293242
8500 Shoal Creek Blvd
Bldg 4 Ste 106
(512) 731-3363
Clinic Affiliation: Acuherbia LLC
Board Certifications: Acupuncture
Language(s): Chinese, Vietnamese
Austin
Gomes, Elizabete A, LAC
Gender: Female
# NPI: 1679703102
2525 Wallingwood Dr
Bldg 12
J (512) 771-0005
Board Certifications: None
Language(s): Portuguese
#
Gender: Female
NPI: 1295911576
1702 Shag Bark Tr
(512) 797-1517
Board Certifications: Acupuncture
Language(s): Chinese
Austin
Aus tin
Austin
#
Specialists
Aus tin
AUSTIN
#
bmk_pin_spec
J
Gender: Male
NPI: 1174769491
2700 W Anderson Ln
Ste 512
(512) 467-0370
NPI: 1174769491
4701 W Gate Blvd
(512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: Acupuncture
Language(s): Chinese
Pan, Zimei, LAC
Gender: Female
# NPI: 1801077748
10601 Pecan Park Blvd
Ste 302
J (512) 419-7355
Austin
#
J
NPI: 1801077748
8303 Shoal Creek Blvd
(512) 419-7355
Clinic Affiliation: Acupuncture and Chinese
Medical
Board Certifications: None
Language(s): Chinese
Pryne, Rama C, OT
Gender: Female
# NPI: 1164530192
2312 Western Trails Blvd
Ste 401
(512) 293-5388
Clinic Affiliation: Acupuncture and Rehab
Clinic of A
Board Certifications: None
Language(s): Hindi, Spanish
Austin
" Qin, Shuangzhu, LAC
Austin
#
J
Gender: Female
NPI: 1144357260
4131 Spicewood
Springs Rd Ste C
(512) 921-7699
Clinic Affiliation: Acupuncture and Chinese
Medicine
Board Certifications: Acupuncture
Language(s): Chinese, German
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
29
Specialists
AUSTIN
ALLERGY-IMMUNOLOGY
Zachary, William J, LAC
Gender: Male
# NPI: 1134278260
3203 Larry Ln
J (512) 825-3305
Board Certifications: None
Language(s): Vietnamese
Austin
AUSTIN (cont.)
ACUPUNCTURE (cont.)
" Raymond, Rhonda K, LAC
Aus tin
Gender: Female
NPI: 1366683278
6836 Bee Cave Rd
Ste 262
(512) 348-8943
Board Certifications: Acupuncture
Schnyer, Rosa N, LAC
Gender: Female
NPI: 1497960322
4131 Spicewood Springs
Rd Ste D5
J (512) 743-6321
Board Certifications: None
Language(s): Hebrew, Spanish
" Shen, Xiaotian, LAC
Gender: Male
NPI: 1114053675
2700 W Anderson Ln
Ste 512
(512) 467-0370
Clinic Affiliation: Aoma Academy LP
Board Certifications: Acupuncture
Language(s): Chinese
Song, Yaoping, LAC
Gender: Female
# NPI: 1447545124
2700 W Anderson Ln
Ste 512
J (512) 467-0370
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
" Zeng, Zheng, LAC
#
" Tan, Shengyan, LAC
#
J
Aus tin
#
Gender: Female
NPI: 1902150808
2700 W Anderson Ln
Ste 512
(512) 467-0370
Clinic Affiliation: Aoma Academy LP
Board Certifications: Acupuncture
Language(s): Chinese
Wang, Guoen E, LAC
Gender: Male
NPI: 1235296757
11851 Jollyville Rd
Ste 102
(512) 453-5352
Clinic Affiliation: Acupuncture Plus
Board Certifications: None
Language(s): Chinese
" Wu, Qian Z, LAC
Aus tin
#
J
#
J
Gender: Male
NPI: 1558443218
4005 Manchaca Rd
(512) 444-8082
Gender: Male
NPI: 1326166273
3410 Far West Blvd
Ste 146
(512) 349-0777
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
" Harden, Roger A, MD
#
J
J
#
J
Zhou, Ziyang, LAC
Gender: Male
# NPI: 1154516821
711 W 38th St
Ste G3
J (512) 478-7112
Clinic Affiliation: Pine Mtn Chinese Accup
& Herb PC
Board Certifications: None
Language(s): Chinese
Austin
Gender: Male
NPI: 1407813645
4150 N Lamar Blvd
(512) 467-0978
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Heart Hospital Of Austin, North
Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Central Texas Allergy &
Asthma Center
Board Certifications: Allergy-Immunology
Language(s): Spanish
#
J
Gender: Male
NPI: 1245232487
6600 S Mo Pac Expwy
Ste 2180
(512) 892-3336
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Georgetown Hospital
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
" Hollander, Seth M, MD
Austin
Gender: Male
NPI: 1255451886
11770 Jollyvile Rd
(512) 732-2774
" Cox, Ronald L, MD
Austin
Zhu, Bindi, LAC
Gender: Male
# NPI: 1801062609
1008 Mo Pac Cir
Ste 201
J (512) 457-0886
Clinic Affiliation: Acupuncture and Herb
Health Center
Board Certifications: None
Language(s): Chinese, Spanish
NPI: 1760420582
4007 James Casey St
Ste D 240
(512) 338-1366
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Board Certifications: Allergy-Immunology
" Henry, Anthony R, MD
" Cook, Robert D, MD
NPI: 1558443218
4029 S Capital of Texas
Hwy Ste 105
(512) 657-8117
Clinic Affiliation: Actual Acupuncture and
Chinese Me, TX Health and Science
University
Board Certifications: Acupuncture
Language(s): Chinese
Gender: Male
NPI: 1760420582
11623 Angus Rd Ste 11
(512) 338-1366
Austin
Austin
#
Gender: Female
NPI: 1679678213
720 W 34th St
Ste 200
(512) 454-5821
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Gutierrez Maria G MD
Board Certifications: Allergy-Immunology
Language(s): Spanish
Austin
" Barstow Jr, Douglas G, MD
" Zheng, Guili, LAC
Gender: Male
NPI: 1962404699
11770 Jollyville Rd
(512) 732-2774
NPI: 1255451886
5625 Eiger Rd
Ste 200
(512) 892-7076
NPI: 1962404699
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Ronald L Cox MD Inc
Board Certifications: Allergy-Immunology
Language(s): Spanish
NPI: 1255451886
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seth M Hollander MD
Board Certifications: Allergy-Immunology
Austin
ADOLESCENT MEDICINE
" Dyer, Philip D, MD
Austin
" Monge, Maria C, MD
Austin
Gender: Male
NPI: 1508034505
11651 Jollyville Rd
Ste 150
(512) 331-3866
Clinic Affiliation: Acupuncture Healing Art
Ctr Inc
Board Certifications: Acupuncture
Language(s): Chinese
" Xu, Chelsea Q, LAC
#
Gender: Female
NPI: 1851567556
1600 W 38th St
Ste 212
(512) 324-3315
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Practice Information: No Patients Over 18
yrs old
Board Certifications: Adolescent Medicine
J
Gender: Female
NPI: 1972724730
4701 W Gate Blvd
(512) 693-4373
Clinic Affiliation: Aoma Academy LP
Board Certifications: Acupuncture
Language(s): Chinese
" Gaglani, Binaca, MD
J
" Yu, Allison Y, LAC
Gender: Female
NPI: 1073843132
1707 Fortview Rd
(512) 445-2222
Clinic Affiliation: Austin Acupuncture Clinic
Board Certifications: Acupuncture
Language(s): Chinese, Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1205050267
3303 Northland Dr Ste 301
(512) 458-9191
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, St Davids Medical Center, St Davids
S Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Allergy Assoc
Board Certifications: Allergy-Immunology
Language(s): Spanish
Austin
Aus tin
#
NPI: 1225063951
4303 Victory Dr
(512) 462-3627
Hospital Affiliations: Round Rock Medical
Center, Ward Memorial Hospital
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): Spanish, Tagalog
" Gutierrez, Maria G, MD
Austin
Austin
Austin
Aus tin
J
Albertson, Gary R, DO
Gender: Male
NPI: 1225063951
3003 Bee Caves Rd
Ste 201
(512) 462-3627
#
Zhang, Zhong L, LAC
Gender: Female
# NPI: 1790953792
2700 W Anderson Ln
Ste 512
J (512) 467-0370
Clinic Affiliation: Aoma Academy LP
Board Certifications: None
Language(s): Chinese
Aus tin
Aus tin
Gender: Female
NPI: 1942482005
8711 Burnet Rd
Ste A18 A20
(512) 374-4988
Clinic Affiliation: Honeysuckle Acupuncture
Clinic
Board Certifications: Acupuncture
Language(s): Chinese
Austin
Aus tin
Su, Shiqiang, LAC
Gender: Male
# NPI: 1023190725
4207 James Casey St
Ste 115
(512) 383-1881
Board Certifications: None
Language(s): Chinese, Spanish
Austin
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1831194240
2312 Western Trails Blvd
Ste A101
(512) 804-0000
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Binaca Gaglani MD
Board Certifications: Allergy-Immunology
Language(s): Bengali, Gujarati, Hindi,
Spanish
" Howland III, William C, MD
Austin
#
J
Gender: Male
NPI: 1770550535
10801 N Mo Pac Expwy
Ste 150 Bldg 2
(512) 345-7635
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Allergy & Asthma Center
of Austin
Board Certifications: Allergy-Immunology
" Leath, Thomas M, MD
Austin
#
J
Gender: Male
NPI: 1497767420
3410 Far West Blvd
Ste 146
(512) 349-0777
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
30
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Rosenblatt, Howard M, MD
Allegretti, Christina M, APN
Gender: Female
NPI: 1992901961
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Aus tin
AUSTIN (cont.)
ALLERGY-IMMUNOLOGY (cont.)
" Legere III, Henry J, MD
Austin
J
Gender: Male
NPI: 1669464723
11770 Jollyville Rd
(512) 732-2774
J
NPI: 1669464723
5656 Bee Caves Rd
Ste G201
(512) 732-2774
J
J
" Scibielski, Paul, MD
Gender: Male
NPI: 1609070291
11770 Jollyville Rd
(512) 732-2774
J
J
" Painter, Theophilus S, MD
Austin
#
J
Gender: Male
NPI: 1073629929
720 W 34th St Ste 200
(512) 454-5821
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Theophilus S Painter Jr
MD
Board Certifications: Allergy-Immunology
Language(s): Spanish
" Reshamwala, Neha, MD
Austin
J
Austin
" Smith, Thomas F, MD
J
Gender: Male
NPI: 1346207917
11770 Jollyville Rd
(512) 732-2774
J
NPI: 1346207917
5652 Eiger Rd Ste 200
(512) 892-7076
J
Borger, Bonita T, APN
Gender: Female
NPI: 1790019271
1221 W Ben White Blvd
(877) 800-5722
NPI: 1790019271
1221 W Ben White Blvd
B100/B200
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, English,
Spanish
J
NPI: 1437197365
901 W 38 St
Ste 200
(512) 421-4100
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
NPI: 1346207917
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Greater Austin Allergy
Asthma and
Board Certifications: Allergy-Immunology
Barry, Shanna B, APN
Gender: Female
# NPI: 1245241066
2811 E Second St
(512) 324-4930
Austin
Gender: Male
NPI: 1083838015
3303 Northland Dr
Ste 301
(512) 458-9191
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Allergy Assoc
Board Certifications: Allergy-Immunology
Language(s): Spanish
NPI: 1245241066
3706 S First St
(512) 324-4930
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Austin
ANP/CERT/CLNP
Aus tin
NPI: 1780874578
5625 Eiger Rd Ste 200
(512) 892-7076
Ali, Nazis S, APN
Gender: Female
NPI: 1598122731
4544 S Lamar Blvd
Ste 700
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 17
yrs old
Board Certifications: None
" Aline, Zeringue C, APN
Austin
#
Gender: Female
NPI: 1750505020
2301 W N Loop Blvd
(512) 452-2506
Clinic Affiliation: Aline C Zeringue Acns Bc
PLLC
Practice Information: No Patients Under 15
yrs old
Board Certifications: Anp/Cert/Clnp
Bayliss, Lawrence S, APN
Gender: Male
NPI: 1316164163
825 E Rundberg Ln Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Beaudry, Lauren, APN
Gender: Female
NPI: 1144650235
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
" Burg, Brianna L, APN
Gender: Female
NPI: 1629203476
1301 Barbara Jordan
Blvd Ste 4
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
J
Burr, Lisa L, APN
Gender: Female
NPI: 1962413716
3706 S First St
J (512) 324-4930
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Austin
Austin
Butrum, Kimberly C, APN
Gender: Female
NPI: 1013102599
1600 W 38th St
Ste 308
(512) 324-3540
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
" Calais, Laura, APN
Austin
Gender: Female
NPI: 1952618704
1301 W 38th St
Ste 705
(512) 791-1224
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 16
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Calloway, Susan K, APN
Austin
Gender: Female
NPI: 1043236383
15605 Fox Run Dr
(512) 484-4005
Board Certifications: Anp/Cert/Clnp
" Bigelow, Vivian E, APN
J
Gender: Female
NPI: 1629131560
1823 E Seventh St
(512) 447-5846
Gender: Female
NPI: 1124446091
9041 Research
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
Austin
#
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Azeez, Bukola S, APN
NPI: 1457776064
825 E Rundberg
Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare
Board Certifications: None
" Brand, Heather N, APN
Austin
" Baley, Sharon L, CNS
" Vaughan, Thurman R, MD
#
Gender: Male
NPI: 1982951166
4450 Frontier Trail
(512) 373-8475
Clinic Affiliation: Low-T Physicians
Professional Mbr
Practice Information: No Patients Under 21
yrs old
Board Certifications: Anp/Cert/Clnp
Austin
Aus tin
Gender: Female
NPI: 1780874578
11770 Jollyville Rd
(512) 732-2774
NPI: 1780874578
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Neha Reshamwala MD
Board Certifications: Allergy-Immunology,
Pediatrics
#
Aus tin
" Miller, Brian T, DO
Gender: Male
NPI: 1790882108
6600 S Mo Pac Expwy
Ste 2180
(512) 892-3336
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
Austin
Blackburn, Mary Z, APN
Gender: Female
NPI: 1699930628
711 W 38th St
Bldg F 3
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Board Certifications: None
Language(s): American Sign
" Athmer, Andrew J, APN
NPI: 1609070291
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Clinic Affiliation: Paul Scibielski MD
Board Certifications: Allergy-Immunology
Language(s): Hindi, Spanish
Austin
#
Austin
Austin
NPI: 1609070291
5625 Eiger Rd Ste 200
(512) 892-7076
" Lieberman, Allen K, MD
Gender: Male
NPI: 1922075787
10801 N Mo Pac Expwy
Bldg 2 Ste 150
(512) 345-7635
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Allergy & Asthma Center
of Austin
Board Certifications: Allergy-Immunology
Ashton, Candace, APN
Gender: Female
NPI: 1962691550
313 E 12th St
Ste 102
J (512) 324-9650
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
NPI: 1669464723
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Henry Joseph Legere III
MD
Board Certifications: Allergy-Immunology
Language(s): Spanish
Austin
#
Austin
Gender: Male
NPI: 1326140195
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1870
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Round Rock Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Allergy-Immunology
Language(s): American Sign, Spanish
AUSTIN
" Campbell, Suzanne H, APN
Austin
#
J
NPI: 1629131560
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
#
Gender: Female
NPI: 1568527638
1823 E Seventh St
(512) 477-5846
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
31
Specialists
AUSTIN
" Coffey, Michelle, APN
Dach, Brandi M, APN
Gender: Female
NPI: 1417162025
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
AUSTIN (cont.)
ANP/CERT/CLNP (cont.)
#
" Cardwell, Elizabeth G, APN
Aus tin
#
J
#
J
Gender: Female
NPI: 1821152190
1823 E Seventh St
(512) 447-5846
NPI: 1821152190
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
" Carlisle, Amanda L, APN
Aus tin
Carpenter, Ryan P, APN
Gender: Male
NPI: 1255740098
3724 Executive Center Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Casey, Sarah B, APN
Gender: Female
NPI: 1780960401
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1820
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
#
J
#
J
Austin
NPI: 1225289655
201 E Ben White Blvd
(512) 331-1288
#
NPI: 1225289655
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Language(s): Spanish
J
NPI: 1316218423
4007 James Casey
Ste B200
(512) 441-9799
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
NPI: 1659687416
4007 James Casey St
Ste B200
(512) 441-9799
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
J
Deutschendorf, Danielle J, APN
Gender: Female
# NPI: 1629206370
1823 E Seventh St
(512) 477-5846
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Austin
Austin
Gender: Female
NPI: 1326188301
3500 Jefferson St 200
(512) 451-0139
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
Croce, Emily A, APN
Gender: Female
NPI: 1871792317
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1920
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Dezell, Alexandra, APN
Gender: Female
NPI: 1336546282
4007 James Casey St
Ste A150
(512) 447-0707
Clinic Affiliation: Pediatric Care of Austin
PA
Board Certifications: None
Language(s): American Sign, Spanish
Dietz, Maryetta, APN
Gender: Female
NPI: 1316957582
1600 W 38th St
Ste 304
(512) 324-3540
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Divin-Cosgrove, Christine A, APN
Gender: Female
# NPI: 1285756734
1101 Camino La Costa
J (512) 478-4939
Gender: Female
NPI: 1356423842
5301 Duval Rd
Ste A500
(512) 222-0000
Clinic Affiliation: Austin Adult Primary Care
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Farley, Jennifer G, APN
Gender: Female
NPI: 1427331842
1301 Barbara Jordan
Blvd Ste 307
J (512) 324-0907
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
#
" Choi, Nahyung, APN
J
" DO, Danny, APN
Clifton, Truett B, APN
Gender: Male
NPI: 1902027386
11111 Research Blvd
Ste 310
J (512) 828-3300
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Donaghey, Heather D, APN
Gender: Female
NPI: 1871896258
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Austin
Austin
Gender: Male
NPI: 1639584527
11673 Jollyville Rd
Ste B 101
(512) 339-1535
Clinic Affiliation: Edie E Shulman MD PLLC
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
NPI: 1285756734
1515 Grove Blvd
(512) 267-7233
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: None
Language(s): Spanish
Fields, Dara, APN
Gender: Female
NPI: 1730320888
1313 Red River St
Ste 320
(512) 978-8870
Clinic Affiliation: Communitycare
Board Certifications: None
Frank, Jill R, APN
Gender: Female
# NPI: 1982905758
2811 E Second St
(512) 324-4930
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Austin
" Gainer, Kristin D, APN
Austin
Gender: Female
NPI: 1346697711
2200 Park Bend Dr
Bldg 1 Ste 201
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 17
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
" Gann, Amy J, APN
Austin
Austin
Gender: Female
NPI: 1437367133
4101 James Casey Blvd
Ste 100
(512) 447-2202
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Eom, Youkyoung, APN
Gender: Female
NPI: 1730543158
3724 Executive Center Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
" Fagner, Karin S, APN
Austin
" Cromer, Destiny J, APN
Ellison, Kimberly, APN
Gender: Female
NPI: 1710340963
1400 N IH35
Ste 300
(512) 324-7378
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Austin
Gender: Female
NPI: 1659687416
3600 W Parmer Ln
Ste 106
(512) 977-0123
J
" Crespin, Sherri L, APN
Aus tin
Gender: Female
NPI: 1063822443
1600 W 38th St Ste 312
(512) 324-7131
Clinic Affiliation: Seton Heart Institute
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
" Dayal, Melani I, APN
Austin
Austin
Gender: Female
NPI: 1366771321
1211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Practice Information: No patients under 50
years old
Board Certifications: Anp/Cert/Clnp
Austin
Austin
Cornella, Rachel L, APN
Gender: Female
NPI: 1598170433
706 W Ben White Blvd
Bldg A Ste 100
(512) 442-1996
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: None
#
" Chapman, Allison W, APN
J
NPI: 1063693190
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Coyner, Caroline J, APN
Gender: Female
# NPI: 1225289655
1823 E Seventh St
(512) 447-5846
Aus tin
Gender: Female
NPI: 1316218423
3600 W Parmer Ln
Ste 106
(512) 977-0123
#
Gender: Female
NPI: 1063693190
1823 E Seventh St
(512) 447-5846
Austin
" Chan, Clare S, APN
J
" Daniel, Melinda G, APN
Austin
" Corder, Traci E, APN
Aus tin
Gender: Female
NPI: 1669615290
3708 Jefferson St
Ste A
(512) 459-6503
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: Anp/Cert/Clnp
Austin
Gender: Female
NPI: 1023392461
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Practice Information: No patients under 50
years old
Board Certifications: Anp/Cert/Clnp
Austin
Aus tin
Gender: Female
NPI: 1942681127
4100 Duval Rd Bldg 3
Ste 200
(512) 485-7200
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: Anp/Cert/Clnp
OCTOBER 03, 2016
bmkp_in_spec
J
Gender: Female
NPI: 1730380700
1301 Barbara Jordan
Blvd Ste 400
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Garza, Pamela D, APN
Austin
Gender: Female
NPI: 1841232758
4101 James Casey St
Ste 100
(972) 490-2900
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
32
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Hamilton, Stacey D, APN
Gender: Female
# NPI: 1801810767
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Practice Information: No patients under 50
years old
Board Certifications: None
Aus tin
AUSTIN (cont.)
ANP/CERT/CLNP (cont.)
Austin
Geller, Barbara L, APN
Gender: Female
NPI: 1235395344
1010 W 40th St
(512) 459-8753
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Gibbs, Tessa L, APN
Gender: Female
NPI: 1699169276
2501 W William Cannon Dr
Ste 401
J (512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Austin
Austin
Goldshtrom, Sarah B, APN
Gender: Female
NPI: 1730414673
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: None
Language(s): Abkhazian, Afar, Afrikaans,
Albanian, Amharic
" Gomez, Mary F, APN
Austin
Higginbotham, Nicole H, APN
Gender: Female
NPI: 1902828759
1301 Barbara Jordan
Blvd Ste 307
J (512) 324-0907
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Aus tin
Aus tin
Jordan, Annaliese M, APN
Gender: Female
NPI: 1760674246
1301 W 38th St
Ste 514
J (512) 791-1224
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
Higgs, Lisa M, APN
Gender: Female
NPI: 1508234105
3724 Executive Center Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Austin
Hiltenbrand, Jena, APN
Gender: Female
# NPI: 1205174778
1210 W Braker Ln
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: None
Aus tin
Austin
Aus tin
Hopper, Emily S, APN
Gender: Female
NPI: 1841342078
1301 Barbara Jordan
Blvd Ste 307
(512) 324-0907
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
" Keefe, Marcy L, APN
#
J
Keeler, Claire, APN
Gender: Female
NPI: 1326134024
5359 N IH 35 Frontage Rd
Ste 100
J (512) 628-1830
Clinic Affiliation: Specially For Children
Board Certifications: None
Hunt, Matthew D, APN
Gender: Male
NPI: 1609215888
1705 E 11th St
(512) 978-8400
" Kennedy, Jill M, APN
Austin
Guerra, Maria, APN
Gender: Female
# NPI: 1417235623
2811 E Second St
(512) 324-4930
NPI: 1609215888
500 E Seventh St
(512) 978-9920
Clinic Affiliation: Communitycare
Board Certifications: None
Aus tin
#
Austin
#
J
#
Imeson, Erin M, APN
Gender: Female
NPI: 1275818270
1221 W Ben White Blvd
Ste B100
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
J
Austin
Haberman, Tanya D, APN
Gender: Female
NPI: 1871544502
4100 Duval Rd Bldg 3
Ste 200
(512) 485-7200
Hospital Affiliations: Univ Of Tx Med
Branch Galveston
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1033255765
1823 E Seventh St
(512) 447-5846
NPI: 1033255765
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
" King, Elisabeth M, APN
Gender: Female
NPI: 1659644748
6204 Balcones Dr
(572) 427-9400
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
Language(s): German, Spanish
Jackson, Katherine A, APN
Gender: Female
# NPI: 1275976169
1100 W 39th 1/2 St
J (512) 454-4545
Clinic Affiliation: Capital Pediatric Group
Asso
Board Certifications: None
Language(s): Spanish
Aus tin
Kubaney, Holly R, APN
Gender: Female
NPI: 1083679419
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Austin
Kuehn, Morganna L, APN
Gender: Female
NPI: 1659503969
1301 Barbara Jordan
Blvd Ste 307
J (512) 324-0907
Clinic Affiliation: Pediatric Surgical
Subspecialists
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Kugler, Lori L, APN
Gender: Female
NPI: 1679848394
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Austin
Austin
Koelker, Gail, APN
Gender: Female
# NPI: 1902801756
6801 S IH 35
Ste 1 E
(512) 978-9960
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
Jackson, Miriam E, APN
Gender: Female
NPI: 1588905541
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1850
Clinic Affiliation: Specially For Children
Board Certifications: None
Joiner Rogers, Glenda L, APN
Gender: Female
NPI: 1265477947
4107 Medical Pkwy Ste 210
(512) 451-4488
Board Certifications: None
Lee, Emily C, APN
Gender: Female
NPI: 1932415064
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
Liu, Haiyan, APN
Gender: Female
# NPI: 1144481003
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: None
Austin
Austin
Austin
Aus tin
NPI: 1417235623
3706 S First St
(512) 324-4930
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Gender: Female
NPI: 1245230234
408 W 23rd St Ste 300
(512) 735-2300
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Anp/Cert/Clnp
Language(s): Chinese, Spanish
Kreifels, Erika L, APN
Gender: Female
NPI: 1104152057
1301 Barbara Jordan Blvd
Ste 400
J (512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Gender: Female
NPI: 1508106337
2200 Park Bend BLDG2
Ste 202
(512) 836-0900
Clinic Affiliation: Austin Neurosurgical
Institute
Board Certifications: Anp/Cert/Clnp
Jordan, Nan J, APN
Gender: Female
NPI: 1992099048
3724 Executive Ctr Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Language(s): Spanish
Austin
NPI: 1609215888
2802 Webberville Rd
(512) 976-9400
" Gregory, Michelle C, APN
Jones, Christa D, APN
Gender: Female
NPI: 1205110806
8656A Hwy 71 W
Ste C
(512) 978-9820
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
Aus tin
Gender: Female
NPI: 1861878464
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Anp/Cert/Clnp
Gondran, Sue E, APN
Gender: Female
NPI: 1366418998
6406 N IH 35
Ste 2600
J (512) 465-4800
Clinic Affiliation: Wellmed Medical Group
PA
Board Certifications: None
Language(s): Spanish
Jones, Anita A, APN
Gender: Female
# NPI: 1225210958
1515 Grove Blvd
J (512) 267-7233
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: None
Language(s): Spanish
Austin
AUSTIN
Love, Karen E, APN
Gender: Female
NPI: 1629379508
500 N Capital of TX Hwy
Bldg 6 Ste 125
(512) 443-9355
Clinic Affiliation: Austin Family Medicine
Assoc
Board Certifications: None
Maa, Matthew, APN
Gender: Male
NPI: 1225463458
1221 W Ben White Blvd
Ste B300
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Maclaurin, Valerie G, APN
Gender: Female
NPI: 1003054735
7020 Easy Wind Dr
Ste 130 Bldg 5
J (512) 628-1898
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
33
Specialists
AUSTIN
Austin
AUSTIN (cont.)
ANP/CERT/CLNP (cont.)
Mann, Mary N, APN
Gender: Female
# NPI: 1164446035
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Practice Information: No patients under 50
years old
Board Certifications: None
Aus tin
" Massey, Karen M, APN
Meredith, Linda A, APN
NPI: 1093798167
1108 Lavaca St
Ste 110-320
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Board Certifications: None
J
#
J
Aus tin
Gender: Female
NPI: 1518020452
1823 E Seventh St
(512) 447-5846
NPI: 1518020452
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
McCartney, Michelle C, APN
Gender: Female
NPI: 1548622707
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1850
Clinic Affiliation: Specially For Children
Board Certifications: None
McClain, Kymberli K, APN
Gender: Female
# NPI: 1487095717
6801 S IH 35
Ste 1-E
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: None
" Merritt, Dana R, APN
#
Austin
Aus tin
Aus tin
McGraw, Jennifer, APN
Gender: Female
NPI: 1437107315
1210 W Braker Ln
(512) 978-9300
Clinic Affiliation: Communitycare
Board Certifications: None
McGwier, Sarah E, APN
Gender: Female
NPI: 1578994950
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Abkhazian, Afar, Afrikaans,
Albanian, Amharic
McMahon, Shannon L, APN
Gender: Female
NPI: 1033532932
1221 W Ben White
Ste B100
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
" Neiman, Stephanie M, APN
#
J
#
J
Austin
Moczygemba, Daryl R, APN
Gender: Male
NPI: 1780730770
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1900
NPI: 1780730770
5339 N IH 35 Frontage
Rd Ste 100
(512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
J
Austin
" Mooney, Joan M, APN
Austin
J
Gender: Female
NPI: 1558425066
1823 E Seventh St
(512) 447-5846
J
NPI: 1558425066
201 E Ben White
Blvd
(512) 276-8000
#
#
J
Austin
NPI: 1558425066
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Medina, Maria S, APN
Gender: Female
NPI: 1346278199
2529 S First St
J (512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1114237039
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Odozynski, Sharon T, APN
Gender: Female
NPI: 1780854000
1301 Barbara Jordan Blvd
Ste 402
(512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
" Oneill, Shannon K, APN
Gender: Female
NPI: 1588960819
2200 Park Bend Dr
Bldg 1 Ste 201
(512) 416-7246
Morris, Jason S, APN
Gender: Male
NPI: 1184089534
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: None
J
NPI: 1588960819
2200 Park Bend Dr
Ste 201 Bldg 1
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
" Pais, Peggy A, APN
Gender: Female
NPI: 1376834499
4544 S Lamar Blvd
Ste 700
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 12
yrs old
Board Certifications: Anp/Cert/Clnp
" Papermaster, Amy E, APN
Austin
Gender: Female
NPI: 1417200429
1313 Red River St
Ste 320
(512) 978-8870
J
Austin
!
!
NPI: 1710085063
6012 W William Cannon Dr
Ste D102
(512) 440-5757
Clinic Affiliation: Texas Sleep Medicine
Board Certifications: Anp/Cert/Clnp
Language(s): Sign Language, Spanish
" Pena, Angela M, APN
Austin
Gender: Female
NPI: 1528309739
12221 N Mopac Expwy
(512) 505-5500
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
" Pfeifer, David P, APN
Gender: Male
NPI: 1477658482
3724 Executive Center
Dr Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: Anp/Cert/Clnp
" Opdahl, Deborah K, APN
J
#
Gender: Female
NPI: 1346539558
1108 Lavaca St
Ste 110-320
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Anp/Cert/Clnp
J
Gender: Female
NPI: 1336295120
1823 E Seventh St
(512) 447-5846
NPI: 1336295120
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Peters, Lindsie N, APN
Gender: Female
NPI: 1184904294
2200 Park Bend Dr
Bldg 2 300
(512) 836-5665
Clinic Affiliation: Austin Primary Care
Physicians
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Austin
Austin
#
Paskiewicz, Kate, APN
Gender: Female
NPI: 1194155689
5339 IH 35 N
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Pattillo, Marilyn C, APN
Gender: Female
NPI: 1427010883
4107 Medical Pkwy Ste 210
J (512) 451-4488
Practice Information: No patients under 50
years old
Board Certifications: None
" Ontiveros, Jennifer L, APN
Gender: Female
NPI: 1770876765
1101 Camino La Costa
(512) 478-4939
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
NPI: 1417200429
911 W 38th St
Ste 202
(512) 324-9650
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
Austin
Gender: Female
NPI: 1710085063
1301 W 38th St
Ste 605
(512) 440-5757
Gender: Female
NPI: 1437191434
12221 N Mopac Expwy
(512) 505-5500
Clinic Affiliation: Austin Cancer Centers
Practice Information: No Patients Under 15
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
Nelson, Jeremy L, APN
Gender: Male
NPI: 1144557679
3724 Executive Center Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Austin
" Murray, Michelle M, APN
#
Gender: Female
NPI: 1114237039
1823 E Seventh St
(512) 447-5846
Gender: Female
NPI: 1225469976
1600 W 38th St Ste 308
(512) 324-3540
Clinic Affiliation: Seton Heart Institute
Board Certifications: Anp/Cert/Clnp
Language(s): Yoruba
Austin
Aus tin
J
" Ogunmuyiwa, Muminot O, APN
" Mulvany, Monique D, APN
J
" Painter, Lisa W, APN
Austin
Austin
Austin
J
Nash, Lorin C, APN
Gender: Female
NPI: 1922311810
1301 W 38th St
Ste 400
(512) 324-3440
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Austin
Austin
Aus tin
Aus tin
Gender: Female
NPI: 1275810590
201 E Ben White Blvd
(512) 276-8000
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Meyer, Arlene, APN
Gender: Female
NPI: 1053720631
3724 Executive Center
Dr Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Aus tin
McClendon, Melinda M, APN
Gender: Female
NPI: 1003212184
2200 Park Bend Dr
Bldg 1 Ste 201
J (512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Austin
Austin
Aus tin
#
OCTOBER 03, 2016
bmkp_in_spec
Austin
Pradhan, Arjina, APN
Gender: Female
NPI: 1821479320
1301 W 38th St
Ste 400
(512) 324-3440
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
34
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
ANP/CERT/CLNP (cont.)
" Prall, Kimberly A, APN
Austin
Gender: Female
NPI: 1669737268
4544 S Lamar Blvd
Ste 700
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: Anp/Cert/Clnp
Austin
Austin
Austin
Preble, Donna E, APN
Gender: Female
NPI: 1669700803
6204 Balcones Dr
(512) 427-9400
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): American Sign, Russian,
Spanish, Tagalog, Vietnamese
Preston, Leslie K, APN
Gender: Female
NPI: 1598068108
2901 Montopolis Dr
(512) 978-9740
Clinic Affiliation: Communitycare
Board Certifications: None
Pulley Alberts, Virginia S, APN
Gender: Female
NPI: 1841493939
3500 Jefferson St 200
(512) 451-0139
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Aus tin
Aus tin
Aus tin
Specialists
Reach, Lauren E, APN
Gender: Female
NPI: 1447686829
1301 Barbara Jorden
Blvd Ste 401
(512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Smith, Joan M, APN
Gender: Female
NPI: 1477668648
4100 Duval Bldg II
Ste 101
J (512) 346-3224
Clinic Affiliation: Austin Area Birthing Ctr
Inc
Board Certifications: None
Language(s): German, Spanish
Austin
Rodriguez, Amanda M, APN
Gender: Female
NPI: 1760892475
2529 S First St
(512) 978-9500
Clinic Affiliation: Communitycare
Board Certifications: None
Smith, Marcy L, APN
Gender: Female
NPI: 1629093067
1301 W 38th St Ste 400
J (512) 324-3440
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Austin
Rohlich, Elizabeth M, APN
Gender: Female
NPI: 1942531348
1313 Red River St Ste 200
(512) 391-1751
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: None
Language(s): Spanish
Sadiq, Adetoun A, APN
Gender: Female
NPI: 1922430552
11111 Research Blvd
Ste 310
(512) 686-0207
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Austin
#
Gender: Male
NPI: 1306251954
11770 Jollyville Rd
(512) 732-2774
NPI: 1306251954
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Clinic Affiliation: Eric D Schultz DO PA,
Henry Joseph Legere III MD, Seth M
Hollander MD
Board Certifications: Anp/Cert/Clnp
" Quintanilla Mikan, Sabrina, APN
Austin
Gender: Female
NPI: 1578845152
6204 Balcones Dr
(512) 427-9400
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
Language(s): Russian, Spanish
NPI: 1417211970
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Board Certifications: Anp/Cert/Clnp
Gender: Female
NPI: 1093853921
1000 E 41st St
Ste 925
(512) 978-9940
Clinic Affiliation: Communitycare
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Austin
" Saulsgiver, Lindsay T, APN
Gender: Female
NPI: 1184055410
11851 Jollyville Rd
Ste 202
(512) 249-5583
Clinic Affiliation: Physical Medicne and
Neurotoxin
Board Certifications: Anp/Cert/Clnp
Austin
Ransom, Sandra J, APN
Gender: Female
NPI: 1053474445
201 E Ben White Blvd
(512) 276-8000
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Language(s): American Sign, Spanish
" Ray, Lisa A, APN
Austin
#
J
#
J
Gender: Female
NPI: 1447313382
1823 E Seventh St
(512) 447-5846
#
Schiller, Jessica L, APN
Gender: Female
NPI: 1659668614
1823 E Seventh St
J (512) 477-5846
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Austin
" Schulte, Kerry Q, APN
Aus tin
Gender: Female
NPI: 1871900308
2600 E MLK Jr Blvd
(512) 505-5500
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Seris, Laura A, APN
Gender: Female
NPI: 1073806287
1301 Barbara Jordan
Blvd Ste 4
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: None
NPI: 1992716724
8913 Collinfield Dr
(512) 324-5801
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
Stehling, Lauren M, APN
Gender: Female
NPI: 1437529229
3724 Executive Center Dr
Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Stout, Diana M, APN
Gender: Female
# NPI: 1790029460
1210 W Braker Ln
(512) 978-9300
Austin
" Shirley, Kathryn R, APN
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Steffano, Catherine E, APN
Gender: Female
NPI: 1992716724
2811 E Second St
(512) 324-4930
NPI: 1790029460
4614 N IH-35
(512) 978-9100
Clinic Affiliation: Communitycare
Board Certifications: None
Gender: Female
NPI: 1639500465
11111 Research Blvd
Ste 450
(512) 505-5500
NPI: 1639500465
12221 N Mopac Expwy
(512) 505-5500
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Anp/Cert/Clnp
Gender: Female
NPI: 1154634970
2200 Park Bend Dr
Bldg 1 Ste 201
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
Sunden, Lisa M, APN
Gender: Female
NPI: 1922160936
1313 Red River St
Ste 320
(512) 978-8870
Clinic Affiliation: Communitycare
Board Certifications: None
Ta, Anvi C, APN
Gender: Female
NPI: 1134537095
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
" Tam, Kenneth, APN
Austin
Gender: Male
NPI: 1477884138
3724 Executive Center
Dr Ste 230
(512) 452-2100
Clinic Affiliation: Chudleigh PA
Board Certifications: Anp/Cert/Clnp
Austin
Austin
Austin
Austin
Austin
Aus tin
NPI: 1447313382
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Austin
Stephens, Linda M, APN
Gender: Female
# NPI: 1265562102
1100 W 39 1/2 St
J (512) 454-4545
Clinic Affiliation: Capital Pediatric Group
Asso
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
Aus tin
J
Austin
Gender: Female
NPI: 1417211970
1108 Lavaca St
Ste 110-320
(512) 482-0390
Aus tin
NPI: 1306251954
5625 Eiger Rd Ste 200
(512) 892-7076
J
" Sondgeroth, Jordan M, APN
" Sanders, Leoa A, APN
" Queen, David A, APN
" Strother, Sara J, APN
Austin
Austin
Aus tin
Austin
NPI: 1306251954
5625 Eiger Rd
Ste 200
(512) 892-7076
Soller, Charisse, APN
Gender: Female
NPI: 1629354618
500 N Capital of TX Hwy
Bldg 6 Ste 125
(512) 443-9355
Clinic Affiliation: Austin Family Medicine
Assoc
Board Certifications: None
AUSTIN
Targac Cortes, Stephanie N, APN
Gender: Female
NPI: 1235507757
1301 W 38th St
Ste 400
(512) 324-3440
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Thompson, Emily C, APN
Gender: Female
NPI: 1689015216
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1850
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Tiller, Jennifer L, APN
Gender: Female
NPI: 1144324666
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Turner, Jacki L, APN
Gender: Female
NPI: 1700897550
2811 E Second St
(512) 324-4930
NPI: 1700897550
3706 S First St
(512) 324-4940
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
" Turner, Krista L, APN
Austin
Gender: Female
NPI: 1356707913
800 W Fifth St
Ste 201
(337) 991-9276
Clinic Affiliation: TX Phs Management LLC
Practice Information: No Patients Under 18
yrs old
Board Certifications: Anp/Cert/Clnp
Austin
Vandoren, Laura E, APN
Gender: Female
NPI: 1184700874
911 W 38th
Ste 202
(512) 324-8670
Clinic Affiliation: University Physicians
Group
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
35
Specialists
AUSTIN
Wing, Wendy W, APN
Gender: Female
# NPI: 1740588623
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Practice Information: No patients under 50
years old
Board Certifications: None
Franklin, Allan L, AUDIO
Gender: Male
NPI: 1790814507
3811 Bee Caves Rd
Ste 101
J (512) 443-3500
Clinic Affiliation: Victory Hearing & Balance
Center PC
Board Certifications: None
Language(s): American Sign, Spanish
Austin
AUSTIN (cont.)
ANP/CERT/CLNP (cont.)
Aus tin
#
Villani, Katharine H, APN
Gender: Female
NPI: 1497197651
1221 W Ben White Blvd
Ste B100 B200
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Austin
" Vogelson, Leanne M, APN
Aus tin
#
J
Aus tin
Aus tin
Gender: Female
NPI: 1508193038
9041 Research Blvd
Ste 250
(512) 331-1288
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Vu, Kelley, APN
Gender: Female
NPI: 1588042162
2901 Montopolis Dr
(512) 978-9901
Clinic Affiliation: Communitycare
Board Certifications: None
Warren, Tammie, APN
Gender: Female
NPI: 1386850667
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: None
Language(s): Spanish
" Watkins, April, APN
Aus tin
Gender: Female
NPI: 1659689941
1301 W 38th St
Ste 400
(512) 324-3440
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 16
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Aus tin
Aus tin
#
Aus tin
Wedberg, Elizabeth A, APN
Gender: Female
NPI: 1497056113
1600 W 38th St
Ste 308
(512) 324-3540
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Abkhazian, Afrikaans,
Albanian, American Sign, Oromo
Wilson, Mark L, APN
Gender: Male
NPI: 1932164746
1000 E 41st St
Ste 925
(512) 978-9940
Clinic Affiliation: Communitycare
Board Certifications: None
Wilson, Sarah A, APN
Gender: Female
NPI: 1841397486
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: None
Language(s): American Sign, Spanish
" Winegar, Rhonda D, APN
Aus tin
Gender: Female
NPI: 1669570131
711 W 38th St
Bldg E1
(512) 477-5337
Clinic Affiliation: Soe Aung MD
Board Certifications: Anp/Cert/Clnp
OCTOBER 03, 2016
bmkp_in_spec
Austin
Austin
Wolfe, Emily C, APN
Gender: Female
NPI: 1720422504
5359 N IH 35 Frontage Rd
Ste 100
(512) 628-1830
Clinic Affiliation: Specially For Children
Board Certifications: None
Austin
Wynn, Sara S, APN
Gender: Female
NPI: 1225207913
2200 Park Bend Dr Bldg
2-202
(512) 836-0900
Clinic Affiliation: Austin Neurosurgical
Institute
Board Certifications: None
* Leaving Network: 2016-11-01
Austin
" Xiao, Dongli, APN
Austin
Austin
Gender: Female
NPI: 1689046435
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Anp/Cert/Clnp
Ye, Ping, APN
Gender: Female
# NPI: 1740461375
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Russell Peggy M DO
Practice Information: No patients under 50
years old
Board Certifications: None
Austin
Austin
Gender: Male
NPI: 1073710067
1301 W 38th St Ste 400
(512) 324-3440
NPI: 1073710067
301 Seton Pkwy
Ste 302
(512) 324-4812
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiac
Electrophysiology
Language(s): Spanish
Austin
Keener, Kristen D, AUDIO
Gender: Female
NPI: 1164786158
711 W 38th St
Ste B14
(512) 407-9215
Clinic Affiliation: Illuminear Tinnitus and
Audiology
Board Certifications: None
Langham, Amanda H, AUDIO
Gender: Female
NPI: 1912022583
3202 W Anderson Ln
Ste 208
(512) 879-3993
Clinic Affiliation: Central Texas Hearing
Center
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Austin
Melancon, Bradford B, AUDIO
NPI: 1528057833
5608 Parkcrest Dr
Ste 100
J (512) 345-4664
Clinic Affiliation: Texas Balance Therapy
Board Certifications: None
Language(s): Spanish
Austin
Zander, Alicia L, APN
Gender: Female
NPI: 1578517017
211 Comal St
(512) 978-9200
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
Zinser, Kristina D, APN
Gender: Female
NPI: 1619133816
1301 Barbara Jordan
Blvd Ste 307
J (512) 324-0907
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Samoan,
Spanish
Austin
Tyler, Carmen S, AUDIO
Gender: Female
NPI: 1023410206
2802 Webberville
Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
Von Hapsburg, Sofia E, AUDIO
Gender: Female
NPI: 1629093323
11111 S Interstate 35
Ste 105
J (512) 584-1362
Board Certifications: None
Language(s): Spanish
Austin
CARDIAC ELECTROPHYSIOLOGY
" Zolotukhina, Svetlana, APN
Austin
Austin
Gender: Female
NPI: 1073897096
6204 Balcones Dr
(512) 427-9400
Clinic Affiliation: Texas Oncology PA
Board Certifications: Anp/Cert/Clnp
AUDIOLOGY
Estes, Soriya M, AUDIO
Gender: Female
NPI: 1487652574
1206 W 38th St
Ste 3101
J (512) 900-8888
Clinic Affiliation: Estes Audiology PA
Board Certifications: None
Language(s): American Sign, English,
Spanish
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
House, Kelli, AUDIO
Gender: Female
NPI: 1689620486
1206 W 38th St
Ste 3101
(512) 900-8888
Clinic Affiliation: Estes Audiology PA
Board Certifications: None
Language(s): American Sign, Spanish
" Hong, Mauricio F, MD
Austin
Heinzman, Kristopher M, MD
Gender: Male
NPI: 1669640892
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Sanchez, Javier E, MD
Gender: Male
NPI: 1518942226
1301 W 38th St
Ste 400
(512) 791-1224
Hospital Affiliations: College Station
Medical Center, Heart Hospital Of Austin,
Laredo Medical Center, Las Palmas Camp
Lpdsh, Providence Health Center, Seton
Medical Center, Seton Medical Ctr Harker
Heights, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Zagrodzky, Jason D, MD
Gender: Male
NPI: 1912982018
1301 W 38th St
Ste 400
(512) 791-1224
Hospital Affiliations: College Station
Medical Center, Medical Center Hospital,
Providence Health Center, Seton Highland
Lakes, Seton Medical Center, Seton Medical
Center Hays, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
CARDIAC THORACIC SURGERY
Conner, William C, MD
Gender: Male
NPI: 1801887864
1010 W 40th
J (512) 459-8753
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
Dewan, Stephen J, MD
Gender: Male
NPI: 1245254515
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
Dilling, Emery W, MD
Gender: Male
NPI: 1073527008
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
36
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Cishek, Mary B, MD
New, Ronald B, MD
Gender: Male
NPI: 1912019019
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Aus tin
AUSTIN (cont.)
CARDIAC THORACIC SURGERY (cont.)
Felger, Mark C, MD
Gender: Male
NPI: 1770507030
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
Austin
Fortes, Daniel L, MD
Gender: Male
NPI: 1124037486
1010 W 40th
(512) 459-8753
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Oswalt, John D, MD
Gender: Male
NPI: 1174547509
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Aus tin
Hoenicke, Eric M, MD
Gender: Male
NPI: 1356313043
1010 W 40th St
J (512) 459-8753
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Hyde, Brannon R, MD
Gender: Male
NPI: 1487858056
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Kessler, William F, MD
Gender: Male
# NPI: 1013925585
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
McNeil, Jeffrey D, MD
Gender: Male
NPI: 1043290935
1010 W 40th
(512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, Round Rock Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
J
Yang, Jonathan, MD
Gender: Male
NPI: 1528206901
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
" Frischhertz, Eric J, MD
NPI: 1982658589
4207 James Casey Ste 317
(512) 324-3447
Hospital Affiliations: North Austin Medical
Center, Seton Edgar B Davis, Seton Medical
Center, Seton Medical Center Hays, Seton
Southwest, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
J
" Heinzman, Kristopher M, MD
Gender: Male
NPI: 1669640892
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
NPI: 1700898905
7900 FM 1826
Ste 170
(512) 791-1224
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): American Sign, Spanish
NPI: 1730396862
1301 W 38th St
Ste 514
(512) 681-0500
NPI: 1730396862
7900 FM 1826
Ste 170
(512) 324-9250
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
" Chalkias, Fotini M, MD
Aus tin
Gender: Female
NPI: 1518065317
11111 Research Blvd
Ste 360
(512) 617-1916
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Greek, Spanish
" Mehta, Sachin, MD
Austin
Gender: Male
NPI: 1295970820
4207 James Casey St
Ste 317
(512) 324-3447
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Gender: Female
NPI: 1700898905
4207 James Casey
Ste 317
(512) 324-3447
Gender: Male
NPI: 1730396862
1301 W 38th St
Ste 400
(512) 324-3440
" Grad, Michael S, MD
Austin
Gender: Male
NPI: 1386629012
901 W 38th St Ste 403
(512) 419-1100
Hospital Affiliations: Cornerstone Hospital
Austin, Cornerstone Regional Hospital Llc,
North Austin Medical Center, Round Rock
Medical Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge, West
Houston Medical Center
Clinic Affiliation: Legacy Heart Care of
Austin LLC
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Gender: Male
NPI: 1093801581
2911 Medical Arts St
Ste 10
(512) 474-5551
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, Seton
Smithville Reg Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Heart of Texas Cardiology
PA
Practice Information: No Patients Under 18
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Austin
" Giesler, Caitlin M, MD
" Cauthen, Clay A, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Hayes, David W, MD
Austin
Aus tin
Gender: Male
NPI: 1780617571
1301 W 38th St
Ste 514
(512) 791-1224
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Austin
Gender: Male
NPI: 1982658589
1301 W 38th St
Ste 400
(512) 324-3440
Gender: Male
NPI: 1114974011
901 W 38th St Ste 403
(512) 419-1100
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center, St Davids S
Austin Medical Center, Transitional Learning
Ctr Lubbock, University Med Ctr
Brackenridge
Clinic Affiliation: Legacy Heart Care of
Austin LLC
Board Certifications: Cardiovascular
Disease
Language(s): Arabic, Spanish, Vietnamese
#
Gender: Male
NPI: 1649239872
200 Medical Pkwy
Ste 270
(512) 263-0123
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Star State Heart PLLC
Board Certifications: Cardiovascular
Disease, Interventional Cardiology
Language(s): Spanish
Austin
" Amjadi, Nima, MD
Kirkland, Hunter Q, MD
Gender: Male
NPI: 1942214788
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
J
" Demaio Jr, Samuel J, MD
Aus tin
Austin
" Haeusslein, Ernest A, MD
Austin
Austin
CARDIOVASCULAR DISEASE
Austin
Austin
Gender: Female
NPI: 1821073305
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 16
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Aus tin
Austin
Austin
Austin
AUSTIN
Narra, Subrahmanyam, MD
Gender: Male
NPI: 1154313013
12411 Hymeadow Dr Ste 3E
J (512) 331-5321
Hospital Affiliations: Round Rock Medical
Center, Seton Northwest Hospital, St Davids
Georgetown Hospital
Board Certifications: None
Language(s): Telugu
Austin
" Nguyen, Tuan D, MD
Austin
Gender: Male
NPI: 1952341034
1301 W 38th St
Ste 400
(512) 324-3440
NPI: 1952341034
6811 Austin Center
Blvd Ste 410
(512) 324-2705
NPI: 1952341034
6811 Austin Center Blvd
Ste 410
(512) 324-2705
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
37
Specialists
AUSTIN
" Sanchez, Javier E, MD
" Zeineddin, Mohamad, MD
Austin
AUSTIN (cont.)
" Nguyen, Vinh D, DO
Aus tin
" Nguyen, Vu D, MD
Aus tin
#
Aus tin
Pirwitz, Mark J, MD
Gender: Male
NPI: 1063436152
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
" Roach, Paul J, MD
CHIROPRACTIC
Austin
" Tiblier, Eric S, MD
Gender: Male
NPI: 1649241803
901 W 38th St
Ste 400
(512) 206-2988
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Dr Eric Tiblier PA
Practice Information: No Patients Under 13
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Atencio, Bart, DC
Gender: Male
NPI: 1548335359
1500 W 38th St
Ste 38
J (512) 219-8999
Board Certifications: None
Language(s): Danish, Spanish
Austin
" Watkins, Michael G, MD
Gender: Male
NPI: 1558323733
1301 W 38th St
Ste 40
(512) 324-3440
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Bockmann, Daniel P, DC
Gender: Male
NPI: 1841207040
7756 Northcross Dr
Ste 203
J (512) 386-1876
Board Certifications: None
Language(s): Spanish
Bomben, Ross M, DC
Gender: Male
# NPI: 1326069444
2714 Bee Caves Rd
Ste 100
(512) 330-9965
Clinic Affiliation: Performance Therapy
Group PLLC
Board Certifications: None
Austin
" Zagrodzky, Jason D, MD
NPI: 1487646667
6811 Austin Center
Blvd Ste 410
(512) 791-1224
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Communitycare, Seton
Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Becerra, Angelica B, DC
Gender: Female
NPI: 1851637987
15004 Avery Ranch Blvd
Bldg A-200
(512) 255-5252
Clinic Affiliation: Salus Chiropractic
Board Certifications: None
Austin
Austin
Gender: Male
NPI: 1487646667
1210 W Braker Ln
(512) 978-9300
Anderson, Ben J, DC
Gender: Male
NPI: 1295858801
5750 Balcones Dr
Ste 107
(512) 371-7246
Clinic Affiliation: Century Medical Services
PLLC
Board Certifications: None
Austin
Austin
" Rodgers, George P, MD
Hamade, Kelly L, CNM
Gender: Female
NPI: 1639519788
1313 Red River St Ste 320
(512) 978-8870
NPI: 1639519788
211 Comal St
(512) 978-9200
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
J
Brown, Jeffrey L, DC
Gender: Male
# NPI: 1578565065
7800 N Mopac Expwy
Ste 340
J (512) 346-5567
Clinic Affiliation: American Chiropractic
Clinic Aust
Board Certifications: None
Austin
Bryson, Jeremy T, DC
Gender: Male
# NPI: 1114942042
12701 Research Blvd
Ste 309
(512) 250-9799
Board Certifications: None
Language(s): Spanish
Austin
Buob, Laurie A, DC
Gender: Female
# NPI: 1679658728
4029 S Capital of Texas
Ste 216
J (512) 596-2820
Clinic Affiliation: Austin Family and Sports
Chiropra
Board Certifications: None
Language(s): Spanish
Austin
Austin
Gender: Male
NPI: 1548230212
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Central Texas Rehab Hospital
Llc, Cornerstone Hospital Austin, North
Austin Medical Center, Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease, Interventional Cardiology
Language(s): Spanish
Aus tin
J
CERTIFIED NURSE MIDWIFE
" Stahlman, Matthew B, MD
Aus tin
Gender: Male
NPI: 1760467468
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Highland Lakes, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Gender: Male
NPI: 1912982885
7900 FM 1826
Ste 170
(512) 791-1224
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Arabic, Spanish
Austin
Gender: Male
NPI: 1093755357
1301 W 38th St
Ste 400
(512) 324-3440
NPI: 1093755357
901 W 38th St Ste 403
(512) 419-1100
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Legacy Heart Care of
Austin LLC, Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): German, Italian, Spanish,
Vietnamese
Austin
Gender: Male
NPI: 1518942226
1301 W 38th St
Ste 400
(512) 791-1224
Hospital Affiliations: College Station
Medical Center, Heart Hospital Of Austin,
Laredo Medical Center, Las Palmas Camp
Lpdsh, Providence Health Center, Seton
Medical Center, Seton Medical Ctr Harker
Heights, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
CARDIOVASCULAR DISEASE (cont.)
Gender: Male
NPI: 1306886387
901 W 38th St Ste 403
(512) 419-1100
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center
Clinic Affiliation: Legacy Heart Care of
Austin LLC
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1912982018
1301 W 38th St
Ste 400
(512) 791-1224
Hospital Affiliations: College Station
Medical Center, Medical Center Hospital,
Providence Health Center, Seton Highland
Lakes, Seton Medical Center, Seton Medical
Center Hays, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Borho, Royce L, DC
Gender: Male
# NPI: 1164594701
7612 Hwy 71 W Ste C
J (512) 391-9191
Board Certifications: None
Burgett, Robert O, DC
Gender: Male
# NPI: 1801212527
9009 Mountain Ridge Dr
Ste 140
J (512) 394-2496
Clinic Affiliation: Remedy Chiropractic &
Family Well
Board Certifications: None
Language(s): Spanish
Austin
Butera, Rosanne, DC
Gender: Female
# NPI: 1205836178
1803 W 35th St
Ste A
(512) 323-6767
Clinic Affiliation: Butera Chiropractic LLC
Board Certifications: None
Austin
Carlson, John D, DC
Gender: Male
# NPI: 1497773253
6905 Westgate Blvd Ste A
J (512) 447-9093
Clinic Affiliation: Carlson Chiropractic
Center
Board Certifications: None
Language(s): Spanish
Austin
Chicoine, James A, DC
Gender: Male
# NPI: 1508974049
112 E Oltorf
J (512) 443-9396
Clinic Affiliation: Chicoine Chiropractic LLC
Board Certifications: None
Language(s): Spanish
Austin
Chicoine, Jon K, DC
Gender: Male
# NPI: 1881736080
112 E Oltorf
J (512) 443-9396
Austin
#
J
#
Austin
Brandenburg, Erin L, DC
Gender: Female
# NPI: 1558784579
4036 S Lamar Blvd
Ste 600
J (512) 586-3531
Clinic Affiliation: Zygmont Chiropractic
Center
Board Certifications: None
Austin
J
#
J
NPI: 1881736080
2005 Airport Blvd
(512) 472-3557
NPI: 1881736080
3407 Wells Branch Pkwy
Ste 625
(512) 255-1777
NPI: 1881736080
9515 N Lamar Blvd
Ste 168
(512) 339-9888
Clinic Affiliation: Chicoine Chiropractic LLC
Board Certifications: None
Language(s): Spanish
Clark, Brian A, DC
Gender: Male
# NPI: 1023296977
4634 W Gate Blvd
J (512) 288-7000
Clinic Affiliation: Bcdc PLLC
Board Certifications: None
Language(s): American Sign, Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
38
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Edwards, James D, DC
Gender: Male
# NPI: 1497721435
2500 W William Cannon
Dr Ste 205
J (512) 445-3366
Clinic Affiliation: Austin Chiropractic Ctr PC
Board Certifications: None
Language(s): Spanish
Aus tin
AUSTIN (cont.)
CHIROPRACTIC (cont.)
Austin
Clark, Jaymond R, DC
Gender: Male
NPI: 1023359155
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6900
Clinic Affiliation: Utc Health and Rehab
Austin
Board Certifications: None
Cone, Joel D, DC
Gender: Male
NPI: 1871788182
4419 Frontier Trails Blvd
Ste 106
J (512) 577-7234
Board Certifications: None
Language(s): Spanish
Austin
#
Austin
Austin
Cox, Rudy D, DC
Gender: Male
NPI: 1841303831
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6900
Clinic Affiliation: Utc Health and Rehab
Austin
Board Certifications: None
Language(s): Spanish
Crawford, Brandon L, DC
Gender: Male
NPI: 1245540004
8701 W Parmer Ln
Ste 2121
(512) 258-8880
Board Certifications: None
#
Austin
Edwards, Nicole C, DC
Gender: Female
# NPI: 1427193754
3407 Wells Branch Pkwy
Ste 625
J (512) 255-1777
Clinic Affiliation: Chicoine Chiropractic LLC
Board Certifications: None
Language(s): Spanish
Aus tin
English, William J, DC
Gender: Male
# NPI: 1972660546
11149 Research Blvd
Ste 200
J (512) 694-6933
Clinic Affiliation: Aloha Wellness and
Healthcare
Board Certifications: None
Language(s): Spanish
Aus tin
NPI: 1538307764
700 B S Lamar Blvd
(512) 266-1000
NPI: 1538307764
700B S Lamar Blvd
(512) 516-5844
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
De La Rosa, Diana A, DC
Gender: Female
NPI: 1336150663
2700 Via Fortuna
Ste 300
J (512) 762-5880
Board Certifications: None
Language(s): Spanish
Austin
Deily, Sylvia E, DC
Gender: Female
NPI: 1861436933
4029 S Capital of Texas
Hwy Ste 111
J (512) 345-5925
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Austin
Austin
Dierdorff, Daniel J, DC
Gender: Male
NPI: 1497988463
2941 W Anderson Ln
(512) 419-1367
Clinic Affiliation: Austin Hillside Family
Chiropract
Board Certifications: None
Language(s): Spanish
#
Dow, Gary R, DC
Gender: Male
NPI: 1750458725
825 W 11th St
J (512) 457-1292
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Language(s): Spanish
Austin
#
Gubnitsky, Michael, DC
Gender: Male
NPI: 1184738064
2941 W Anderson Ln
(512) 419-1367
Clinic Affiliation: Ahfc PLLC
Board Certifications: None
Language(s): Spanish
Hall, Curtis J, DC
Gender: Male
# NPI: 1235175084
2407 S Congress Ave
J (512) 442-2777
Hughes, Christine A, DC
Gender: Female
# NPI: 1427105766
1144 Airport Blvd
Ste 210
J (512) 926-0990
Clinic Affiliation: Airport Chiropractic
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
NPI: 1235175084
914 W Anderson Ln
(512) 454-4072
Clinic Affiliation: Hall Chiropractic Inc
Board Certifications: None
Language(s): Spanish
Harkleroad, Zeke S, DC
Gender: Male
NPI: 1740297555
248 Addie Roy Rd
Ste C102
J (512) 327-5311
Board Certifications: None
Austin
Harris, Raymond S, DC
Gender: Male
NPI: 1083720148
8900 Shoal Creek Blvd
Bldg 200
J (512) 323-6000
Clinic Affiliation: Utc Health and Rehab
Austin
Practice Information: No Patients Under 4
yrs old
Board Certifications: None
Language(s): Spanish
Fluitt, Jeffrey W, DC
Gender: Male
NPI: 1194721829
4316 James Casey St
Ste 201 Bldg B
(512) 442-2727
Clinic Affiliation: Austin Integrative Medical
Grp PA
Board Certifications: None
Language(s): Spanish
Fluitt, Kevin J, DC
Gender: Male
# NPI: 1871880252
3005 S Lamar Blvd
Ste D112
J (512) 441-1240
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Language(s): Spanish
Hausman, Robert W, DC
Gender: Male
# NPI: 1801048442
8015 Shoal Creek Blvd
Ste 110
J (512) 419-1000
Clinic Affiliation: Hausman Chiropractic
and Acupunct
Board Certifications: None
Jackson, Sheneaka B, DC
Gender: Female
# NPI: 1538301106
5775 Airport Blvd
Ste 300
(512) 451-0115
Clinic Affiliation: Whitehead Chiropractic
Board Certifications: None
Language(s): Spanish
Austin
Fourie, Nicolaas J, DC
Gender: Male
# NPI: 1538113766
1000 E 41st St Ste 915
J (512) 467-2225
Clinic Affiliation: Back N Place Chiropractic
Board Certifications: None
Language(s): Afrikaans, Spanish
Fox, Wesley G, DC
Gender: Male
# NPI: 1144614694
6507 Jester Blvd
Bldg 3 Ste 301
(719) 339-7976
Clinic Affiliation: Fox Family Chiropractic
LLC
Board Certifications: None
Aus tin
Jepson, Russell D, DC
Gender: Male
NPI: 1932430782
11420 FM 2244 Rd
Ste A 100
(512) 263-9961
Clinic Affiliation: Jepson Wellness Group
LLC
Board Certifications: None
Language(s): Italian
Kapsner, Michael A, DC
Gender: Male
# NPI: 1487655890
3005 S Lamar Blvd
Ste D112
J (512) 441-1240
Austin
#
Austin
J
Austin
Henry, Michael P, DC
Gender: Male
# NPI: 1831411719
4601 Southwest Pkwy
Ste 101
J (512) 899-2228
Clinic Affiliation: Texstar Chiropractic Clinic
PLLC
Board Certifications: None
Austin
Aus tin
Ihrig, Morgan E, DC
Gender: Female
NPI: 1700289386
4220 W William Cannon Dr
Ste 130
(512) 892-3434
Clinic Affiliation: Ihrig Chiropractic PLLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Aus tin
NPI: 1508109927
2800 Interstate 35 Hwy S
Ste 220
(512) 707-1770
NPI: 1508109927
8705 Shoal Creek Blvd
Ste 101
(512) 280-6103
Hogan, Shelly C, DC
Gender: Female
# NPI: 1194850347
3407 Wells Branch Pkwy
Ste 625
J (512) 255-1777
Clinic Affiliation: Chicoine Chiropractic LLC
Board Certifications: None
Language(s): Spanish
Austin
Holden, Bradley G, DC
Gender: Male
# NPI: 1851323216
5815 W William Cannon Dr
Ste 101
J (512) 301-5996
Clinic Affiliation: Healthfirst Chiropractic PC
Board Certifications: None
Language(s): Spanish
Fuller, Jason P, DC
Gender: Male
NPI: 1164537387
3724 Executive Center Dr
Ste G10
J (512) 345-5925
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Holden, Nicole M, DC
Gender: Female
NPI: 1518242551
5815 W William Cannon Dr
Ste 101
J (512) 301-5996
Clinic Affiliation: Healthfirst Chiropractic PC
Board Certifications: None
NPI: 1487655890
8440 Burnet Rd
Ste 118
(512) 459-4014
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Language(s): Spanish
King, Alberto W, DC
Gender: Male
NPI: 1508109927
1807 W Slaughter Ln
Ste 450
(512) 280-6103
NPI: 1508109927
8705 Shoal Creek Ste 101
(512) 910-7005
Clinic Affiliation: Absolute Life Wellness
Center, Austin Align Chiropractic and Reh
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
Kjar, Sherrie L, DC
Gender: Female
NPI: 1598776775
1106 Clayton Ln
Ste 103E
J (512) 371-7119
Clinic Affiliation: Kjar Chiropractic Clinic PC
Board Certifications: None
Austin
#
Austin
Gancas, Jeffrey M, DC
Gender: Male
# NPI: 1679613848
9416 Anderson Mill Rd
J (512) 345-7400
Board Certifications: None
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
#
J
Esparza, Evelina, DC
Gender: Female
# NPI: 1396014320
13915 N Burnet Rd
Ste 204
J (512) 238-9355
Clinic Affiliation: North Austin Chiropractic
Clinic
Board Certifications: None
Language(s): Spanish
Davis, Kimberly A, DC
Gender: Female
NPI: 1538307764
12611 Hymeadow Dr
(503) 516-5844
Austin
#
Aus tin
Aus tin
Griffin, Brian M, APN
Gender: Male
# NPI: 1306159652
4201 Marathon Blvd
Ste 304
(512) 293-6822
Board Certifications: None
Austin
AUSTIN
Klayman, Steven B, DC
Gender: Male
NPI: 1538308317
13110 W Hwy 290
Ste 200
J (512) 301-7746
Board Certifications: None
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
39
Specialists
AUSTIN
Logan, Roy A, DC
Gender: Male
# NPI: 1073520227
12345 N Lamar Blvd
Ste 137
J (512) 215-3256
Board Certifications: None
Language(s): Spanish, Vietnamese
Austin
AUSTIN (cont.)
CHIROPRACTIC (cont.)
Kolenda, Thomas M, DC
Gender: Male
NPI: 1396752184
3818 Far West Blvd
Ste 110 Kolenda Chiro
J (512) 231-9002
Board Certifications: None
Aus tin
#
Kramer, Sandi M, DC
Gender: Female
# NPI: 1699018267
6500 N Mopac Expwy
Bldg 3 Ste 3101
J (512) 491-7772
Clinic Affiliation: Performance Wellness
Centerslcc
Board Certifications: None
Language(s): Spanish
Aus tin
Lane, Dennis D, DC
Gender: Male
NPI: 1316194194
3401 S Lamar Blvd
Ste 3137
J (512) 949-3636
Clinic Affiliation: Lane Chiropractic and
Rehabilitat
Board Certifications: None
Aus tin
Lawson, William M, DC
Gender: Male
# NPI: 1043205735
9701 Brodie Ln
Ste 202
J (512) 326-2520
Clinic Affiliation: Lawson Chiropractic
Center
Board Certifications: None
Language(s): Spanish
Aus tin
Lay, James M, DC
Gender: Male
# NPI: 1518075373
816 Congress Ave
Ste 980
J (512) 499-0366
Clinic Affiliation: San Jacinto Chiropractic
Inc
Board Certifications: None
Language(s): Spanish
Aus tin
Leach, Brandie L, DC
Gender: Female
# NPI: 1710062708
6500 N Mo Pac Expwy
Ste 3101
J (512) 491-7772
Clinic Affiliation: Performance Wellness
Centerslcc
Board Certifications: None
Lesko, Mark C, DC
Gender: Male
NPI: 1578598918
2013 Wells Branch Pkwy
Ste 103
(512) 835-6077
Clinic Affiliation: Community Health and
Rehab Centre
Board Certifications: None
Language(s): Spanish
Lewis, Cash W, DC
Gender: Male
# NPI: 1891925012
3700 FM 620 S
J (512) 297-2288
Clinic Affiliation: Elite Wellness
Chiropractic and A
Board Certifications: None
Aus tin
Oberle, Tony L, DC
Gender: Male
# NPI: 1144315235
5815 W William Cannon
Dr Ste 101
J (512) 301-5996
Clinic Affiliation: Healthfirst Chiropractic PC
Board Certifications: None
Austin
Maxwell, William A, DC
Gender: Male
# NPI: 1043576028
500 N Capital of Texas
Hwy Bldg 6 Ste 125
(512) 201-4042
Austin
Austin
Austin
NPI: 1043576028
9701 Brodie Ln
Ste 202
(512) 326-2520
Clinic Affiliation: Choices Wellness
Board Certifications: None
Language(s): Spanish
J
McCormick, William R, DC
Gender: Male
NPI: 1205920774
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Olson, Christopher M, DC
Gender: Male
# NPI: 1386978690
6500 N Mopac Expwy
Ste 101 Bldg 3
J (512) 491-7772
Clinic Affiliation: Performance Wellness
Centerslcc
Board Certifications: None
McKinley, Donald, DC
Gender: Male
# NPI: 1902949001
5625 Eiger Rd
Ste 160
J (512) 326-1400
Clinic Affiliation: Capital of TX Chiropractic
Center
Board Certifications: None
Language(s): Spanish
Austin
Owen, Jack H, DC
Gender: Male
NPI: 1669577789
7739 Northcross Dr
Ste J
J (512) 380-9808
Clinic Affiliation: First Wellness Inc
Board Certifications: None
Pagonis, Michelle L, DC
Gender: Female
# NPI: 1679756050
2005 Airport Blvd
J (512) 472-3557
Clinic Affiliation: Chicoine Chiropractic LLC
Board Certifications: None
Language(s): Spanish
Austin
Millan, Miguel A, DC
Gender: Male
NPI: 1255669578
10601 Pecan Park Blvd
Ste 302
(855) 569-2447
Clinic Affiliation: Clinica Millan
Board Certifications: None
Paris, Michelle, DC
Gender: Female
NPI: 1649416546
4600 Mueller Blvd
Ste 1009
J (512) 505-8500
Clinic Affiliation: Whole Family
Chiropractors
Board Certifications: None
Language(s): Spanish
Richard, Al D, DC
Gender: Male
# NPI: 1184608424
1613 W Sixth St Ste C
J (512) 542-9031
Clinic Affiliation: Richard Family
Chiropractic PA
Board Certifications: None
Richardson, Craig E, DC
Gender: Male
# NPI: 1013012889
1619 W Sixth St
J (512) 472-1116
Board Certifications: None
Austin
Robin, James A, DC
Gender: Male
# NPI: 1811998941
11645 Angus Rd
Ste 2
J (512) 231-8822
Board Certifications: None
Language(s): Spanish
Austin
Austin
Moore, Michele M, DC
Gender: Female
# NPI: 1972521607
8301 Shoal Creek
J (512) 459-5523
Board Certifications: None
Language(s): Spanish
Parker, Rhonda L, DC
Gender: Female
# NPI: 1164581328
9433 Bee Cave Rd
Bldg 1 Ste 260
J (512) 263-7500
Clinic Affiliation: Bee Cave Family
Chiropractic LLC
Board Certifications: None
Austin
Morgan, Casey A, DC
Gender: Male
NPI: 1013257138
1619 W Sixth St
(512) 472-1116
#
Rao, Madan C, DC
Gender: Male
# NPI: 1821223405
12921 Shops Pkwy
Ste 200
(512) 263-3334
Clinic Affiliation: Rao Family Chiropractic
PA
Board Certifications: None
Language(s): Hindi, Punjabi, Spanish
Austin
NPI: 1013257138
7800 N Mopac Expwy
Ste 340
(512) 346-5567
Clinic Affiliation: American Chiropractic
Clinic Aust
Board Certifications: None
Language(s): Spanish
NPI: 1518066182
9800 N Lamar Blvd Ste 140
Logan Chiropractic
(512) 873-9355
Clinic Affiliation: Logan Chiropractic and
Wellness C
Board Certifications: None
Robinson, Roland E, DC
Gender: Male
NPI: 1932381860
6010 Balcones Dr
Ste 101
(512) 465-9355
Clinic Affiliation: Atlas Holistic Wellness
LLC
Board Certifications: None
Rodriguez, Alexia, DC
Gender: Female
# NPI: 1891822334
1714 Fortview Rd
Ste 102
(512) 326-5700
Clinic Affiliation: Fortview Chiropractic
Clinic LLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
#
Austin
Reynolds, Austin L, DC
Gender: Male
NPI: 1154679264
2714 Bee Cave Rd
Ste 100
(512) 330-9965
Clinic Affiliation: Performance Therapy
Group PLLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Miller III, Gibbs D, DC
Gender: Male
# NPI: 1114951985
1910 Justin Ln
J (512) 451-0846
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Austin
Austin
Austin
Austin
Oharrow, Shea E, DC
Gender: Male
NPI: 1306040795
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6900
Clinic Affiliation: Utc Health and Rehab
Austin
Board Certifications: None
Language(s): Spanish
Austin
Austin
Logan, Debora L, DC
Gender: Female
# NPI: 1518066182
9800 N Lamar Blvd
Ste 140
(512) 873-9355
J
Mullins, Roy C, DC
Gender: Male
NPI: 1467518548
1515 S Capital of Texas
Hwy Ste 202
(512) 327-2729
NPI: 1467518548
4304 Victory Dr
(512) 462-3627
Clinic Affiliation: Austin Total Rehab,
Victory Medical & Family Care
Board Certifications: None
Lones, Joseph H, DC
Gender: Male
# NPI: 1639381833
10102 N Lamar Blvd
Ste 100
J (512) 835-1955
Clinic Affiliation: Joseph H Lones III DC
Board Certifications: None
Language(s): Korean, Spanish, Vietnamese
Aus tin
#
Austin
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Rothwell, John, DC
NPI: 1376693002
3809 S Second St
Ste B 100
(512) 447-9675
Clinic Affiliation: Austin Total Healthcare
Board Certifications: None
Language(s): Spanish
Savedra, Daphne D, DC
Gender: Female
# NPI: 1275664773
12129 FM 620 N
Ste 430
J (512) 250-0025
Clinic Affiliation: Careplus Chiropractic PA
Board Certifications: None
Language(s): Spanish
Austin
Schade, Cynthia J, DC
Gender: Female
# NPI: 1669414959
4006 S Lamar Blvd
Ste 650
J (512) 474-5433
Clinic Affiliation: Active Life Chiropractic
Clinic
Board Certifications: None
Language(s): Spanish
Austin
Sellers, Chris L, DC
Gender: Male
# NPI: 1356427470
6500 N Mo Pac Expwy 3 101
J (512) 491-7772
Clinic Affiliation: Performance Wellness
Centerslcc
Board Certifications: None
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
40
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Stephenson, Johanna R, DC
Gender: Female
# NPI: 1265434518
7301 Burnet Rd
Ste 104
(512) 419-0330
Clinic Affiliation: Total Health Chiropractic
PC
Board Certifications: None
Language(s): Spanish
Aus tin
AUSTIN (cont.)
CHIROPRACTIC (cont.)
Shaddock, Daniel A, DC
Gender: Male
# NPI: 1073818936
1807 W Slaughter Ln
Ste 450
(512) 280-6103
Austin
NPI: 1073818936
2800 Interstate 35 Hwy S
Ste 220
(512) 707-1770
NPI: 1073818936
2800 S IH 35
Ste 220
(512) 707-1700
NPI: 1073818936
8705 Shoal Creek Blvd
Ste 101
(512) 280-6103
Clinic Affiliation: Absolute Life Wellness
Center
Board Certifications: None
Language(s): Spanish
Shaffer, Richard B, DC
Gender: Male
NPI: 1669550703
1510 W 34th St Ste 203
J (512) 374-1677
Board Certifications: None
Language(s): American Sign, Spanish
Austin
#
Shaner, Jonathan R, DC
Gender: Male
# NPI: 1932440476
6500 N Mopac Expwy
Bldg 3 Ste 3101
(512) 491-7772
Clinic Affiliation: Performance Wellness
Centerslcc
Board Certifications: None
Language(s): Spanish
Vacula, Dorothy D, DC
Gender: Female
# NPI: 1487705083
4131 Spicewood Sprgs I 2
(512) 524-8551
Board Certifications: None
Vance, James L, DC
Gender: Male
# NPI: 1467541730
8106 Brodie Ln
Ste A 107
J (512) 442-7999
Board Certifications: None
Language(s): Spanish
Vandewalle, Alexander C, DC
Gender: Male
# NPI: 1326141581
11824 Jollyville Rd
Ste 500
(512) 343-0700
#
Shefts, Jeffrey N, DC
Gender: Male
# NPI: 1306098488
8500 N Mopac Expwy
Ste 401
(512) 346-1222
Clinic Affiliation: Applied Chiropractic
Board Certifications: None
Austin
Starkey, David R, DC
Gender: Male
NPI: 1497978787
4220 W William Cannon
Ste 130
(512) 892-3434
Clinic Affiliation: Texas Chiropractic and
Therapy
Board Certifications: None
Language(s): American Sign, Spanish
* Leaving Network: 2016-11-01
J
NPI: 1326141581
3624 N Hills Dr A101
(512) 343-0700
Vandewalle, Audrey A, DC
Gender: Female
NPI: 1831412014
11824 Jollyville Rd
Ste 500
(512) 343-0700
Wells, Jack A, DC
Gender: Male
NPI: 1659619583
2800 IH 35 S
(512) 707-1700
J
J
Whipple, Todd O, DC
Gender: Male
NPI: 1770622748
13730 W US Hwy 290
J (512) 448-0900
Clinic Affiliation: Ausitn Longevity Center
Board Certifications: None
Language(s): French
Gender: Male
NPI: 1245421429
1210 W Braker Ln
(512) 978-9300
J
Vandewalle, Mike F, DC
Gender: Male
# NPI: 1013925007
11824 Jollyville Rd
Ste 500
J (512) 343-0700
" Aranda, Jennifer, MD
Gender: Female
NPI: 1902875453
1510 W 34th St Ste 100
(512) 533-9900
NPI: 1902875453
313 E 12th St
Ste 104
(512) 324-9650
Hospital Affiliations: Parkland Health And
Hospital Sys, St Davids Medical Center
Clinic Affiliation: Renee Snyder MD,
University Physicians Group
Board Certifications: Dermatology
Language(s): French, Spanish
White, Kenneth S, DC
Gender: Male
# NPI: 1497715106
3410 Far West Blvd
Ste 100
J (512) 346-5735
Board Certifications: None
Language(s): Spanish
J
Aus tin
" Bhatt, Roopal K, MD
Austin
Gender: Female
NPI: 1649253279
1801 E 51st St
(512) 478-3376
NPI: 1649253279
6618 Sitio Del Rio Blvd
Ste D101
(512) 478-3376
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
NPI: 1205932324
5775 Airport Blvd Ste 300
Whitehead Chiro Ctr
(512) 451-0115
Clinic Affiliation: Whitehead Chiropractic
Board Certifications: None
Language(s): Spanish
Woods, Wesley B, DC
Gender: Male
# NPI: 1801823356
2501 W William Cannon 208
J (512) 442-9595
Clinic Affiliation: Cole Chiropractic PC
Board Certifications: None
Language(s): Spanish
Austin
NPI: 1013925007
7800 N Mopac Expwy
Ste 340
(512) 343-0700
(512) 346-5567
Clinic Affiliation: American Chiropractic
Clinic Aust, Michael F Vandewalle PC
Board Certifications: None
Language(s): Spanish
Worley, Richard R, DC
Gender: Male
# NPI: 1831374909
15004 Avery Ranch Blvd
Bldg A-200
(512) 255-5252
Clinic Affiliation: Salus Chiropractic
Board Certifications: None
Language(s): Spanish
" Cabrera, Elizabeth, MD
Austin
!
!
J
Austin
Vaughn, Cynthia S, DC
Gender: Female
# NPI: 1114993375
2500 W William Cannon
Dr Ste 205
J (512) 445-3366
Clinic Affiliation: Austin Chiropractic Ctr PC
Board Certifications: None
Language(s): Spanish
Aus tin
Wottrich, Jerel K, DC
Gender: Male
# NPI: 1679667349
2121 E Oltorf Ste 2
First Chiropractic
J (512) 448-1012
Board Certifications: None
Language(s): Spanish
Austin
NPI: 1245421429
313 E 12th St
Ste 103
(512) 324-9650
(512) 324-9699
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Dermatology
Language(s): English, Spanish, Urdu
Austin
Austin
#
NPI: 1194766444
912 S Capital of TX Hwy
Ste 100
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Ahmed, Ammar, MD
#
Whitehead, Wendee R, DC
Gender: Female
# NPI: 1205932324
5775 Airport Blvd
Ste 300
(512) 451-0115
Gender: Male
NPI: 1194766444
4534 Westgate Blvd
Ste 108
(512) 930-3909
Austin
NPI: 1659619583
4220 W Wm Cannon Dr
Ste 130
(512) 892-3434
Clinic Affiliation: Absolute Life Wellness
Center, Texas Chiropractic and Therapy
Board Certifications: None
Austin
NPI: 1831412014
7800 N Mopace Expwy
Ste 340
(512) 343-0700
Clinic Affiliation: American Chiropractic
Clinic Aust, Michael F Vandewalle PC
Board Certifications: None
Language(s): German, Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Adelman, Eric A, DO
Austin
Austin
NPI: 1831412014
7800 N Mopac Expwy
Ste 340
(512) 346-5567
Austin
Snow, Michael J, DC
Gender: Male
# NPI: 1295736601
8440 Burnet Rd
Ste 118
J (512) 459-4014
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Language(s): Spanish
#
NPI: 1326141581
7800 N Mopac Expwy
Ste 340
(512) 343-0700
Clinic Affiliation: Michael F Vandewalle PC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Aus tin
Aus tin
DERMATOLOGY
Austin
Aus tin
#
Vaughn, Michael R, DC
Gender: Male
NPI: 1619281524
8900 Shoal Creek Blvd
Bldg 200
(512) 323-6900
Clinic Affiliation: Utc Health and Rehab
Austin
Board Certifications: None
Language(s): Spanish
Watson, Amber D, DC
Gender: Female
# NPI: 1063844181
4220 W William Cannon Dr
Ste 130
J (512) 892-3434
Clinic Affiliation: Texas Chiropractic and
Therapy
Board Certifications: None
* Leaving Network: 2016-11-01
Aus tin
Austin
Shepard, Kirsten K, DC
Gender: Female
# NPI: 1760526925
4101 Marathon Blvd
(512) 323-9222
Clinic Affiliation: Longevity Wellness Group
Inc
Board Certifications: None
Language(s): Spanish
Austin
AUSTIN
Gender: Female
NPI: 1245242262
7801 N Lamar Blvd
Ste D8182
(512) 868-3376
Hospital Affiliations: North Austin Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Chern, Peggy L, MD
Austin
Gender: Female
NPI: 1982716783
601 E 15th St
(512) 324-7000
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Language(s): German, Greek, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
41
Specialists
AUSTIN
" Ghidoni III, John J, MD
" Levy, Moise L, MD
Austin
AUSTIN (cont.)
DERMATOLOGY (cont.)
" Collins, Kristina M, MD
Aus tin
Gender: Female
NPI: 1881895118
5625 Eiger Rd
Ste 105
(512) 763-3760
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
J
" Dorsey, Jessica S, MD
J
J
NPI: 1588766810
9701 Brodie Ln A106
(512) 280-3939
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
Language(s): Spanish
" Fox, Matthew C, MD
Aus tin
J
Gender: Male
NPI: 1740471929
1400 N IH 35
Ste C2-450
(512) 324-7468
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Language(s): Spanish
Gender: Female
NPI: 1922047133
3807 Spicewood Sprgs Rd
Ste 200
(512) 476-9195
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Dermcare Mso LLC
Board Certifications: Dermatology
Language(s): Spanish
NPI: 1033372586
9701 Brodie Ln Ste A106
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
" Peckham, Russell, DO
Austin
J
" Pena Robichaux, Venessa, MD
J
" Jan, Mollie M, DO
Gender: Female
NPI: 1801072855
7801 N Lamar Blvd
Ste D8182
(512) 868-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
" Fox Jr, Robert J, MD
Gender: Male
NPI: 1427097724
3807 Spicewood Sprgs Rd
Ste 200
(512) 476-9195
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Dermcare Mso LLC
Board Certifications: Dermatology
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1851611164
9701 Brodie Ln
Ste A106
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
" Prosise, Emily L, MD
# NPI: 1548272065
3807 Spicewood Springs Rd
Ste 200
J (512) 476-9195
Clinic Affiliation: Austin Dermcare Mso LLC
Board Certifications: Dermatology
Language(s): Spanish
" Jones Jr, Christopher R, MD
Austin
" Reichenberg, Jason S, MD
Austin
J
Gender: Male
NPI: 1013122753
7801 N Lamar Blvd
Ste D8182
(512) 868-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Greek, Spanish
" Richardson, Blakely S, DO
Gender: Female
NPI: 1659697431
2559 Western Trails Blvd
Ste 301
(512) 815-2559
Clinic Affiliation: Westgate Skin & Cancer
PLLC
Board Certifications: Dermatology
Language(s): Spanish
" Roark, Tom R, MD
Austin
J
" Schaefer, Dale G, MD
J
Ladd Jr, Daniel J, DO
Gender: Male
NPI: 1477556256
3500 Jefferson St
Ste 200
(512) 451-0139
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Language(s): Spanish
J
NPI: 1275851032
9701 Brodie Ln
Ste A106
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
Language(s): Spanish
Gender: Male
NPI: 1407895253
3807 Spicewood Springs Rd
Ste 200
(512) 476-9195
Hospital Affiliations: St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Dermcare Mso LLC
Board Certifications: Dermatology
Language(s): Spanish
" Singletary, Holly L, MD
Austin
J
" Rains, Michael L, MD
J
Gender: Male
NPI: 1407895709
3807 Spicewood Springs
Ste 200
(512) 476-9195
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Dermcare Mso LLC
Board Certifications: Dermatology
Language(s): Spanish
Austin
Austin
Gender: Male
NPI: 1275851032
3508 S Lamar Blvd
Ste 300
(512) 280-3939
Gender: Male
NPI: 1396715280
313 E 12th St
Ste 103
(512) 324-9650
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Language(s): Spanish
Austin
Austin
Austin
!
!
Gender: Male
NPI: 1801816715
8229 Shoal Creek
Ste 101
(512) 371-7400
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
Language(s): Spanish
Austin
Austin
Aus tin
J
Gender: Female
NPI: 1033372586
9701 Brodie Ln
Ste A106
(512) 280-3939
Gender: Male
NPI: 1548235633
4419 Frontier Trl
Ste 110
(512) 444-7208
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Skin and Vein
Center Pl
Board Certifications: Dermatology
J
Gender: Male
NPI: 1174663835
12319 N Mopac Expwy
Ste 100 Bldg C
(512) 837-1984
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Sanova Dermatology
PLLC
Board Certifications: Dermatology
Language(s): Spanish
" McClung, Amy A, MD
" Houston, Stephen D, MD
Gender: Male
NPI: 1588766810
3508 S Lamar Blvd
Ste 300
(512) 280-3939
NPI: 1730490400
3508 S Lamar Blvd
Ste 300
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
Language(s): Spanish
Austin
Austin
" Evans, Colby C, MD
NPI: 1588766810
9701 Brodie Ln
Ste A106
(512) 280-3939
Gender: Female
NPI: 1619047339
12319 N Mopac Expwy
Ste 100 Bldg C
(512) 837-1984
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Sanova Dermatology
PLLC
Board Certifications: Dermatology
Language(s): Spanish
" Hart, Margaret K, MD
Aus tin
J
J
Austin
Aus tin
Gender: Female
NPI: 1366602690
8229 Shoal Creek
Ste 101
(512) 371-7400
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
#
" Hanson, Miriam L, MD
J
Gender: Female
NPI: 1730490400
3508 S Lamar
Ste 300
(512) 280-3939
" Mamelak, Adam J, MD
Austin
" Diven, Dayna G, MD
" Ranario, Jennifer S, MD
Austin
Gender: Male
NPI: 1013097419
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1920
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Dell Childrens Med Ctr Cent
Tx, The Womans Hospital Of Texas
Clinic Affiliation: Specially For Children
Board Certifications: Dermatology
Language(s): American Sign, Spanish
Austin
Gender: Male
NPI: 1770880007
4419 Frontier Trl
Ste 110
(512) 444-7208
Clinic Affiliation: Southwest Skin and Vein
Center Pl
Board Certifications: Dermatology
Aus tin
J
J
" Graves, Michael S, MD
" Daulat, Seema J, MD
Gender: Female
NPI: 1740214675
313 E 12th St
Ste 103
(512) 324-9650
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Univ Of Tx Med Branch Galveston,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Language(s): Spanish
Austin
Gender: Male
NPI: 1003829920
8229 Shoal Creek Blvd
Ste 101
(512) 371-7400
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Board Certifications: Dermatology
Language(s): Portuguese, Spanish
Austin
Aus tin
Gender: Female
NPI: 1154587830
3508 S Lamar Blvd
Ste 300
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
OCTOBER 03, 2016
bmkp_in_spec
J
Gender: Female
NPI: 1225203433
4534 Westgate Blvd
Ste 108
(512) 930-3909
NPI: 1225203433
5625 Eiger Rd
Ste 105
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Smetanick, Matthew T, DO
Austin
!
!
J
Gender: Male
NPI: 1306023114
7801 N Lamar Blvd
Ste D8182
(512) 868-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
42
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
DERMATOLOGY (cont.)
" Snavely, Nicholas R, MD
Austin
Gender: Male
NPI: 1801099460
10815 RR 2222
Bldg 3A Ste 200
(512) 767-7546
Aus tin
NPI: 1801099460
10815 RR 2222 Bldg 3A
Ste 200
(512) 767-7546
Clinic Affiliation: River Place Mohs and
Dermatologic
Board Certifications: Dermatology
Language(s): Spanish
" Snyder, Renee R, MD
J
" Vickers, Jennifer, MD
Austin
#
Gender: Female
NPI: 1184859225
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Aus tin
Aus tin
Aus tin
Aus tin
DIAGNOSTIC RADIOLOGY
McKinney, James A, DO
Gender: Male
NPI: 1861571614
3003 Bee Caves Rd
J (512) 314-3834
Board Certifications: None
Austin
Aus tin
DIETICIAN
Austin
ENDOCRINOLOGY, DIABETES &
METABOLISM
Brookshire, Kristin A, RD
Gender: Female
NPI: 1386061315
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
AUSTIN
FAMILY PRACTICE
" Coopwood Jr, Thomas B, MD
Austin
J
" Esmaili, Arash I, DO
Gender: Male
NPI: 1699953257
11814 Jollyville Rd
Ste 103
(512) 250-9202
" Kulkarni, Mrinalini N, MD
Ferguson, Alyssa D, RD
Gender: Female
NPI: 1487059838
3724 Jefferson St
Ste 104
(512) 693-7045
Clinic Affiliation: I Live Well Nutrition
Therapy LLC
Board Certifications: None
J
Gender: Female
NPI: 1568434694
313 E 12th St
Ste 102
(512) 324-9650
Hospital Affiliations: Seton Edgar B Davis,
Seton Highland Lakes, Seton Medical
Center, Seton Medical Center Hays, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): Spanish
NPI: 1699953257
4450 Frontier Trail
(512) 373-8475
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: Family Practice
" Huber, Lawrence E, DO
Austin
Gender: Male
NPI: 1790941995
11814 Jollyville Rd
Ste 103
(512) 250-9202
NPI: 1790941995
4450 Frontier Trail
(512) 373-8475
Clinic Affiliation: Low-T Physicians
Professional Mbr
Practice Information: No Patients Under 21
yrs old
Board Certifications: Family Practice
" Kumar, Pratima V, MD
Austin
Gender: Female
NPI: 1972558658
1210 W Braker Ln
(512) 978-9300
!
!
Kimbrough, Kathryn L
Gender: Female
NPI: 1689005001
3724 Jefferston St
Ste 104
(512) 693-7045
Clinic Affiliation: I Live Well Nutrition
Therapy LLC
Board Certifications: None
J
NPI: 1972558658
313 E 12th St
Ste 103
(512) 324-9650
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Endocrinology,
Diabetes & Metabolism
Austin
" Scumpia, Simona M, MD
Austin
Gender: Female
NPI: 1497180665
3724 Jefferson St Ste 104
(512) 693-7045
Clinic Affiliation: I Live Well Nutrition
Therapy LLC
Practice Information: Wheelchair
Accessibility
Board Certifications: Dietician
Language(s): Spanish
J
Reed, Carly, RD
Gender: Female
NPI: 1710385661
4501 Spicewood Springs Rd
Ste 1022
(512) 257-0898
Clinic Affiliation: Sparkman Nutrition LLC
Board Certifications: None
Gender: Female
NPI: 1689778946
2200 Park Bend Dr BLD3
Ste 300
(512) 467-2727
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Georgetown Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Simona M Scumpia MD
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): French, German, Spanish
Austin
" Taylor, Steven A, MD
Austin
Gender: Male
NPI: 1912052812
313 E 12th St
Ste 103
(512) 324-9650
Hospital Affiliations: Seton Medical Center
Hays, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): Spanish
Rodriguez, Marissa, RD
Gender: Female
NPI: 1134277908
2529 S First St
(512) 978-9100
Clinic Affiliation: Communitycare
Board Certifications: None
Seagren, Beverly K, RD
Gender: Female
NPI: 1689016685
5555 N Lamar Blvd
Ste D-125
(512) 324-1891
Clinic Affiliation: Seton Medical Group
Board Certifications: None
Gender: Male
NPI: 1962517086
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Family Practice,
General Surgery
Language(s): Spanish
Austin
Austin
" Pugliese, Maria, RD
DEVELOPMENTAL-BEHAVIORAL
PEDIATRICS
Ravenscroft, Sheri, MD
Gender: Female
NPI: 1962838458
5339 N IH 35 Frontage Rd
Ste 100
(512) 324-0098
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: None
Chen, Jessica X, RD
Gender: Female
NPI: 1528459138
5000 Davis Ln
Ste 200
(512) 338-4500
Aus tin
#
Dubois, Susan K, MD
Gender: Female
NPI: 1114091675
1210 W Braker Ln
(512) 978-9300
NPI: 1114091675
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): French, German, Spanish
Hall, Katherine E, RD
Gender: Female
# NPI: 1902177942
11782 Jollyville Rd
Ste 204B
J (512) 815-3438
Clinic Affiliation: Optimal Rd
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Aus tin
DERMATOLOGY MICROGRAPHIC
SURGERY
Fox, Matthew C, MD
Gender: Male
NPI: 1740471929
1400 N IH 35
Ste C2-450
J (512) 324-7468
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Dermatology
Language(s): Spanish
ENDOCRINOLOGY
Cavanaugh, Kailyn, RD
Gender: Female
NPI: 1346672508
3724 Jefferson St
Ste 104
(512) 693-7045
Clinic Affiliation: I Live Well Nutrition
Therapy LLC
Board Certifications: None
NPI: 1528459138
5900 Balcones Dr
Ste 165
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: None
Austin
Gender: Female
NPI: 1942281639
1510 W 34th St Ste 100
(512) 533-9900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Renee Snyder MD
Board Certifications: Dermatology
Language(s): Spanish
Specialists
Jones, David G, MD
Gender: Male
NPI: 1891852117
8700 Manchaca Rd
Bldg 1 Ste 104
(512) 219-0990
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Managing Opiate
Medications More
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Liu, Yu Mei, MD
Gender: Female
NPI: 1215949607
3706 S First St
(512) 324-4940
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Community Health
Centers
Board Certifications: None
Language(s): Spanish
" McCarty, Robyn E, MD
Austin
!
!
J
Gender: Female
NPI: 1730293929
3200 Red River St
Ste 201
(512) 473-0201
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Sports and Family
Medicine PLLC
Practice Information: No Patients Under 2
yrs old
Board Certifications: Family Practice
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
43
Specialists
AUSTIN
" Ash, Lauren G, MD
Mehta, Rajesh M, MD
Gender: Male
NPI: 1255414157
4007 James Casey St
Ste C210
J (512) 368-5294
Hospital Affiliations: Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Lonestar
Gastroenterology
Board Certifications: Internal Medicine
Austin
AUSTIN (cont.)
FAMILY PRACTICE (cont.)
Aus tin
#
Pyron, Martha I, MD
Gender: Female
NPI: 1184667123
711 W 38th St
Ste G4
(512) 257-2500
Clinic Affiliation: Medicine In Motion Martha
Pyron M
Board Certifications: None
Language(s): American Sign, Spanish
Austin
FEMALE PELVIC MED &
RECONSTRUCTIVE SURGERY
Aus tin
Aguilar, Vivian D, MD
Gender: Female
NPI: 1144286014
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
J
" Alam, Imtiaz, MD
#
J
NPI: 1356377907
12201 Renfert Way
Ste 335
(512) 472-1381
J
Gender: Male
NPI: 1134123938
2911 Medical Arts St
Ste 9B
(512) 474-6321
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Sridhar P Reddy MD
Board Certifications: Gastroenterology
Language(s): Hindi, Spanish, Telugu
" Ching, Peter V, MD
Austin
J
NPI: 1356377907
4007 James Casey St
Ste A220
(512) 447-4993
Hospital Affiliations: North Austin Medical
Center, North Austin Surgery Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): German, Spanish
J
" Boone, Bradley A, MD
Austin
J
Gender: Female
NPI: 1912946484
1210 W Braker Ln
(512) 978-9300
Gender: Male
NPI: 1730151457
1010 W 40th
(512) 459-8753
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
!
!
J
J
Church, Phillip J, MD
Gender: Male
NPI: 1386651206
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
" Coombs Skiles, Caroline H, MD
Austin
Gender: Female
NPI: 1144438136
6500 N Mopac Ste 2205
Bldg 2
(512) 505-5500
" Brown, Carlos V, MD
!
!
J
J
" Apple, Jeffrey M, MD
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1144438136
900 E 30th St Ste 100
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: General Surgery
Language(s): Spanish
Austin
GENERAL SURGERY
J
Gender: Male
NPI: 1235251075
313 E 12th St
Ste 104
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
" Cherico, Felix W, MD
Gender: Male
NPI: 1750354924
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
J
Gender: Male
NPI: 1851320246
1015 E 32nd St
Ste 308
(512) 472-1381
NPI: 1851320246
12201 Renfert Way
Ste 335
(512) 472-1381
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): American Sign, German,
Spanish
Gender: Male
NPI: 1265659106
12319 N Mopac Expwy
Ste 350
(512) 491-6542
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
North Austin Surgery Center, Rio Grande
Regional Hospital, Round Rock Medical
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Georgetown Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Northstar Surgery
Specialists PA
Board Certifications: General Surgery
Language(s): English
Austin
Austin
NPI: 1912946484
313 E 12th St Ste 101
(512) 324-9650
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Southwest, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Practice Information: No Patients Under 18
yrs old
Board Certifications: Gastroenterology
NPI: 1669465282
4007 James Casey St
Ste A220
(512) 472-1381
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, Surgicare
Of South Austin
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): Spanish
" Choudhry, Vineet, MD
" Aydelotte, Jayson D, MD
Gender: Male
NPI: 1063493039
1400 N IH 35 Ste 300
(512) 324-7873
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1669465282
1015 E 32nd St
Ste 308
(512) 472-1381
Austin
Austin
" Trevino, Jessica M, MD
Aus tin
Gender: Male
NPI: 1578661716
1111 W 34th St
Ste 210
(512) 454-8378
Hospital Affiliations: Baptist Health
System, Methodist Hospital, Metropolitan
Methodist Hospital
Clinic Affiliation: Texas Liver Consultants
Inc
Board Certifications: Gastroenterology
Language(s): Spanish
J
Gender: Male
NPI: 1356377907
1015 E 32nd St
Ste 308
(512) 472-1381
Austin
NPI: 1508079302
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Gastroenterology
" Lawitz, Eric J, MD
Poordad, Fred, MD
Gender: Male
NPI: 1174551766
1111 W 34th St
Ste 210
(512) 454-8378
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Texas Liver Consultants
Inc
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1447456736
313 E 12th St Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Gastroenterology
" Kumbum, Kavitha, MD
Gender: Female
NPI: 1508079302
1210 W Braker Ln
(512) 978-9300
" Ashworth, Rodney B, MD
" Singh, Inder M, MD
Aus tin
Gender: Female
NPI: 1700011590
7900 FM 1826
Bldg 1 Ste 180
(512) 615-3574
Clinic Affiliation: Surgery Southwest Austin
PLLC
Board Certifications: General Surgery
Austin
Austin
NPI: 1619064284
2200 Park Bend Dr
Bldg 1 Ste 300
(512) 719-4370
NPI: 1619064284
2200 Park Bend Dr
Ste 300 Bldg 1
(512) 719-4370
Hospital Affiliations: North Austin Medical
Center, Seton Northwest Hospital
Clinic Affiliation: Communitycare, Imtiaz
Alam MD, University Physicians Group
Board Certifications: Gastroenterology
Language(s): Spanish
J
" Reddy, Sridhar P, MD
Aus tin
#
Austin
Austin
GASTROENTEROLOGY
Gender: Male
NPI: 1619064284
1210 W Braker Ln
(512) 978-9300
OCTOBER 03, 2016
bmkp_in_spec
" Coopwood Jr, Thomas B, MD
Austin
J
Gender: Male
NPI: 1962517086
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Family Practice,
General Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
44
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Fuller, Rob A, MD
" Markus, Robert M, MD
Aus tin
AUSTIN (cont.)
GENERAL SURGERY (cont.)
" Esquivel, Alejandro, MD
Austin
Gender: Male
NPI: 1093813925
12201 Renfert Way
Ste 335
(512) 447-4993
NPI: 1093813925
4007 James Casey St
Ste A220
(512) 447-4993
Hospital Affiliations: Bailey Square Surgery
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, Surgicare
Of South Austin
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): American Sign, Spanish
J
Austin
J
Gender: Male
NPI: 1538265442
4007 James Casey St
Ste B130
(512) 402-5806
Hospital Affiliations: North Austin Medical
Center, Seton Smithville Reg Hospital, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center
Board Certifications: General Surgery
Language(s): Spanish
" Forage, Jean P, MD
Austin
J
Gender: Male
NPI: 1396789764
11645 Angus Rd Ste B6
(512) 443-5954
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center
Clinic Affiliation: Assoc In General Surger
Board Certifications: General Surgery
Language(s): American Sign, French,
Spanish
" Freeman Jr, Richard B, MD
Austin
Gender: Female
NPI: 1972560274
900 E 30th St
Ste 100
(512) 343-7771
Hospital Affiliations: Methodist Hospital,
Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: General Surgery
Gender: Female
NPI: 1407815533
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Parkland Health And Hospital Sys, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: General Surgery
Language(s): Spanish
J
Gender: Female
NPI: 1730168535
12221 Renfert Way Ste 300
(572) 873-8900
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1841221686
1015 E 32nd St
Ste 308
(512) 472-1381
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): American Sign, Spanish
" McKenzie, Shaun, MD
Austin
Gender: Male
NPI: 1114189933
4101 James Casey Blvd
Ste 100
(512) 447-2202
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: General Surgery
" Johnson, Jeff L, MD
Aus tin
Gender: Male
NPI: 1235115064
7900 FM 1826
Ste 180
(512) 615-3574
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest,
Stonegate Surgery Center Lp, Tx Hlth Harris
Methodist Hosp Heb, University Med Ctr
Brackenridge
Clinic Affiliation: Jeff L Johnson MD
Board Certifications: General Surgery
Language(s): Spanish
" King, Heather M, MD
J
J
J
Gender: Male
NPI: 1609830645
1015 E 32nd St
Ste 308
(512) 472-1381
J
NPI: 1609830645
12201 Renfert Way
Ste 335
(512) 472-1381
J
" Parker, Sherrie L, MD
" Kroeker, Teresa R, MD
Gender: Female
NPI: 1740484328
900 E 30th St
Ste 100
(512) 505-5500
Hospital Affiliations: Central Park Surgery
Center, St Davids Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: General Surgery
Language(s): Spanish
Gender: Female
NPI: 1710084975
12319 N Mopac Expwy
Bldg C Ste 260
(512) 491-0017
Clinic Affiliation: Teresa R Kroeker MD
Board Certifications: General Surgery
NPI: 1609830645
4007 James Casey St
Ste A220
(512) 472-1381
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, North
Austin Surgery Center, Round Rock Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
" Settle, Stephen M, MD
Austin
J
Gender: Male
NPI: 1982628137
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
" Shin, Hyon Ho, MD
Austin
Austin
Aus tin
NPI: 1093738791
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
Language(s): Spanish
" Sankar, Aravind B, MD
" Nelson, Jane C, MD
Gender: Female
NPI: 1699735670
6500 N Mopac Ste 2205
Bldg 2
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1093738791
1313 Red River
Ste 305
(512) 324-7789
Austin
Austin
Gender: Female
NPI: 1992952659
901 W 38th St
Ste 200
(512) 421-4100
Hospital Affiliations: Northwest Surgery
Center Llp, Round Rock Medical Center,
Seton Medical Center, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: General Surgery
Language(s): French, Spanish
NPI: 1346377066
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: Seton Medical Ctr
Williamson, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
Language(s): Spanish
" Sabra, John P, MD
" Nation, David A, MD
Gender: Male
NPI: 1518126234
1010 W 40th
(512) 459-8753
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Gender: Male
NPI: 1346377066
1313 Red River
Ste 305
(512) 324-7789
Austin
Austin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
" Mayer, William D, MD
" Griffin, Moya M, MD
Gender: Male
NPI: 1437232899
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
J
Austin
Aus tin
" Folkers, David C, MD
NPI: 1386675213
4007 James Casey St
Ste A230
(512) 472-1381
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, Surgicare Of South Austin,
University Med Ctr Brackenridge
Clinic Affiliation: Surgical Assoc of Austin
PA
Board Certifications: General Surgery
Language(s): American Sign, Spanish
" Rios Jr, Oscar, MD
Austin
" Martinez, Kelly, MD
" Garcia, Nilda M, MD
Austin
Gender: Male
NPI: 1386675213
1015 E 32nd St
Ste 308
(512) 472-1381
Austin
Aus tin
Gender: Male
NPI: 1972500866
1313 Red River
Ste 305
(512) 324-7789
Fleming, Richard Y, MD
Gender: Male
NPI: 1881623114
901 W 38th Ste 200
(512) 421-4102
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): Spanish
J
NPI: 1760461552
901 W 38th St Ste 200
(512) 421-4250
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: General Surgery
Language(s): Spanish
" Fielder, W Drew, MD
NPI: 1972500866
1400 N IH 35
Ste 300
(512) 324-7873
Hospital Affiliations: Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
J
NPI: 1760461552
6204 Balcones Dr
(512) 427-9400
Austin
J
Austin
Gender: Male
NPI: 1760461552
4101 James Casey Blvd
Ste 100
(512) 447-2205
AUSTIN
J
J
Gender: Male
NPI: 1558469452
11645 Angus Rd Ste B6
(512) 443-5954
NPI: 1558469452
4207 James Casey
Ste 111
(512) 443-5954
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center
Clinic Affiliation: Hyon Christopher Shin
MD
Board Certifications: General Surgery
Language(s): Korean, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
45
Specialists
AUSTIN
Austin
AUSTIN (cont.)
GENERAL SURGERY (cont.)
" Smith, Clyde D, MD
Aus tin
Gender: Male
NPI: 1104917202
2911 Medical Arts St
Ste 6
(512) 914-2628
Dinkelspiel, Helen E, MD
Gender: Female
NPI: 1215195516
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Practice Information: Female Patients only
Board Certifications: None
Austin
Patel, Manish V, MD
Gender: Male
NPI: 1114031929
2500 W Wm Cannon Dr
Ste 401
J (512) 451-1969
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: None
Language(s): Spanish
" Knowles, Lynne M, MD
" Stewart, Mark T, MD
Aus tin
#
J
Aus tin
Gender: Male
NPI: 1336163633
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge,
West Houston Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
Truumees, Eeric, MD
Gender: Male
NPI: 1356322630
1600 W 38th St
Ste 200
(512) 324-3560
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
" Uecker, John M, MD
Aus tin
J
Gender: Male
NPI: 1508889205
1313 Red River
Ste 305
(512) 324-7789
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: General Surgery
Language(s): Spanish
J
J
Chadha, Punit, MD
Gender: Male
NPI: 1497778229
4101 James Casey St
Ste 100
J (512) 447-2202
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
NPI: 1801834809
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Fain, Jerry D, MD
Gender: Male
# NPI: 1447293840
901 W 38th St
Ste 200
(512) 421-4100
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Eggleston III, John M, MD
Gender: Male
NPI: 1366529216
1015 E 32nd St Ste 306
(512) 815-0123
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, St Davids Georgetown Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Plastic Surgery Assoc PA
Board Certifications: Plastic Surgery
Helmer III, Richard E, MD
Gender: Male
# NPI: 1447293899
901 W 38th St
Ste 200
J (512) 421-4100
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): Spanish
Austin
Gadaria, Umeshchandra G, MD
Gender: Male
NPI: 1154301208
1015 E 32nd Ste 208
J (512) 478-0993
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications: Plastic Surgery
Hoverman, John R, MD
Gender: Male
NPI: 1508808494
6204 Balcones Dr
J (512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Sandbach, John F, MD
Gender: Male
NPI: 1376585505
6101 Balcones Dr
Ste 101
(512) 406-5150
Uyeki, James V, MD
Gender: Male
NPI: 1124187927
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
HEMATOLOGY-ONCOLOGY
Austin
Austin
Austin
NPI: 1003839820
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Heart Hospital Of Austin, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
NPI: 1376585505
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Austin
HAND SURGERY
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Austin
Teneriello, Michael G, MD
Gender: Male
NPI: 1801834809
4101 James Casey St
Ste 100
J (512) 447-2202
Crozier, Mark A, MD
Gender: Male
NPI: 1376586271
1313 Red River
Ste 305
(512) 324-7789
NPI: 1376586271
911 W 38th St
Ste 202
(512) 324-9650
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Castillo, Rene A, MD
Gender: Male
NPI: 1134186166
4101 James Casey St
Ste 100
J (512) 447-2202
Hospital Affiliations: North Austin Medical
Center, Northwest Surgery Center Llp, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Austin
GYNECOLOGIC ONCOLOGY
Patt, Debra A, MD
Gender: Female
NPI: 1003839820
4101 James Casey St
Ste 100
J (512) 447-2202
Austin
Austin
NPI: 1063488617
901 W 38th St Ste 300
(512) 421-4100
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Gynecologic
Oncology
Austin
Loukas, Demetrius F, MD
Gender: Male
NPI: 1154369775
901 W 38th St Ste 200
J (512) 421-4100
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Austin
HEMATOLOGY
Gender: Male
NPI: 1063488617
12221 Renfert Way
Ste 300
(512) 873-8900
" Wiatrek, Rebecca L, MD
Aus tin
NPI: 1568561397
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Gynecologic
Oncology
" Loar III, Paul V, MD
Aus tin
Gender: Female
NPI: 1164685160
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: General Surgery
Gender: Female
NPI: 1568561397
4101 James Casey St
Ste 100
(512) 447-2202
Austin
J
Lerner, Andres, MD
Gender: Male
NPI: 1285865204
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Austin
Austin
NPI: 1104917202
2911 Medical Arts Ste 6
(512) 914-2628
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Board Certifications: General Surgery
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Austin
Chawla, Jane S, MD
Gender: Female
NPI: 1487863304
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Gorrebeeck, Allison E, MD
Gender: Female
NPI: 1467548628
12221 N Mopac Expwy
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
46
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
HEMATOLOGY-ONCOLOGY (cont.)
Kampe, Carsten E, MD
Gender: Male
NPI: 1912944521
4101 James Casey St
Ste 100
J (512) 447-2202
Austin
J
J
NPI: 1912944521
6101 Balcones Dr
Ste 101
(512) 406-5150
NPI: 1912944521
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, Heart Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Kasper, Michael L, MD
Gender: Male
NPI: 1669414652
6101 Balcones Dr
Ste 101
J (512) 406-5150
J
Rubin De Celis, Carlos, MD
Gender: Male
NPI: 1275571879
901 W 38th St Ste 200
J (512) 421-4100
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Austin
Smith, Jason L, MD
Gender: Male
NPI: 1114137064
4101 James Casey St
Ste 100
J (512) 447-2202
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Austin
Yorio, Jeffrey T, MD
Gender: Male
NPI: 1215197314
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Ellis, Lisa C, MD
Gender: Female
# NPI: 1497774020
1301 W 38th St
Ste 403
J (512) 459-0301
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: None
Language(s): Spanish
Austin
HOSPICE & PALLIATIVE MEDICINE
" Hurwitz, Craig A, MD
Aus tin
J
Gender: Male
NPI: 1669567178
4900 Mueller Blvd
(512) 324-0197
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Hospice & Palliative
Medicine, Pediatrics
Language(s): American Sign, Spanish
Evans, James S, MD
Gender: Male
NPI: 1396769543
1301 W 38th St
Ste 403
J (512) 459-0301
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: None
Language(s): Spanish
" Bagwell, John T, MD
Aus tin
J
Gender: Male
NPI: 1598783128
1301 W 38th St
Ste 403
(512) 459-0301
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: Infectious Diseases
Language(s): Spanish
J
Bissett, Jack D, MD
Gender: Male
NPI: 1407874027
1301 W 38th St
Ste 403
J (512) 459-0301
Hospital Affiliations: Cornerstone Hospital
Austin, Heart Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: None
Language(s): Spanish, Vietnamese
" De Marco, Brendan M, MD
Austin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1538306899
1301 W 38th St Ste 403
(512) 459-0301
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Practice Information: No Patients Under 18
yrs old
Board Certifications: Infectious Diseases
Language(s): American Sign, Spanish
Mondy, Kristin E, MD
Gender: Female
NPI: 1265459762
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
" Robinson, Matthew C, MD
Austin
Gender: Male
NPI: 1083632459
4614 N IH 35
(512) 978-9100
Hospital Affiliations: Parkland Health And
Hospital Sys
Clinic Affiliation: Communitycare
Board Certifications: Infectious Diseases
J
Douglass, Elizabeth T, MD
Gender: Female
NPI: 1073675401
313 E 12th St
Ste 102
J (512) 324-8880
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Aus tin
INTERNAL MEDICINE
" Begum, Mahmuda, MD
Austin
Gender: Female
NPI: 1598956773
1108 Lavaca St
Ste 110-320
(512) 477-4088
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Medical Ctr Williamson
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Internal Medicine
" Burugu, Sukanya, MD
Austin
Gender: Female
NPI: 1992710040
11615 Angus Rd Ste 108
(512) 372-4400
Hospital Affiliations: St Davids Medical
Center
Board Certifications: Internal Medicine
Language(s): Spanish
" Metzger, Brian S, MD
Aus tin
Wright, Jennifer A, MD
Gender: Female
NPI: 1568624831
4101 James Casey St
Ste 100
J (512) 447-2022
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Zachary, James A, MD
Gender: Male
# NPI: 1457350290
4614 N IH 35
J (512) 978-9100
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
Austin
Austin
Aus tin
#
AUSTIN
Austin
INFECTIOUS DISEASES
Austin
NPI: 1669414652
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Specialists
Austin
El Bejjani, Dalia, MD
Gender: Female
NPI: 1972666949
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1063437838
1301 W 38th St Ste 403
(512) 459-0301
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: Infectious Diseases
Language(s): American Sign, Spanish
Shuford, Jennifer A, MD
Gender: Female
NPI: 1295880813
1301 W 38th St Ste 403
(512) 459-0301
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, Texas Neurorehab Center, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Infectious Disease
Consultants PA
Board Certifications: None
Language(s): Spanish
Austin
Cervantes, Cecilia M, MD
Gender: Female
NPI: 1114022753
5114 Balcones Woods Dr
Ste 307-347
(512) 466-2621
Hospital Affiliations: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, North Austin Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Cervantes Healthcare LLP
Board Certifications: None
Language(s): Spanish
" Davis, Gregory T, MD
Austin
Gender: Male
NPI: 1255362448
4101 Marathon Blvd
(512) 323-9222
Hospital Affiliations: University Medical
Center
Clinic Affiliation: Longevity Wellness Group
Inc, Rational Intergrative Medicine Pl
Board Certifications: Internal Medicine
Douglass, Elizabeth T, MD
Gender: Female
NPI: 1073675401
313 E 12th St
Ste 102
J (512) 324-8880
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Austin
" Dubois, Susan K, MD
Austin
Gender: Female
NPI: 1114091675
1210 W Braker Ln
(512) 978-9300
NPI: 1114091675
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): French, German, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
47
Specialists
AUSTIN
" Martz, Rosalind E, MD
Painter, Theophilus S, MD
Gender: Male
# NPI: 1073629929
720 W 34th St Ste 200
J (512) 454-5821
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Theophilus S Painter Jr
MD
Board Certifications: Allergy-Immunology
Language(s): Spanish
Austin
AUSTIN (cont.)
Aus tin
El Bejjani, Dalia, MD
Gender: Female
NPI: 1972666949
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Galusha, Kimberly D, DO
Gender: Female
NPI: 1912946815
3724 Executive Center Dr
Ste 230
(512) 452-2100
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Chudleigh PA
Board Certifications: None
" Gogineni, Sireesha, MD
Aus tin
Gender: Female
NPI: 1801974423
4007 James Casey Ste B200
(512) 441-9799
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Internal Medicine
Language(s): Hindi
" Gupte, Manjusha A, MD
Aus tin
Gender: Female
NPI: 1851387500
1108 Lavaca St
Ste 110-320
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Internal Medicine
" Hulen, Han P, MD
Aus tin
J
Gender: Female
NPI: 1770593436
12221 Mopace Expwy
N
(512) 901-1855
Hospital Affiliations: Baylor Scott & White White Rock, Baylor Scott & White Lake
Pointe, Medical Center Of Plano, Medical
City Dallas Hospital, Tx Hlth Huguley Fort
Worth South, Valley Baptist Medical Center
Clinic Affiliation: Han Pham Hulen MD
Board Certifications: Internal Medicine
Language(s): Spanish, Vietnamese
J
" Masters Jr, Matthew, MD
Austin
Leija, Graciela M, MD
Gender: Female
NPI: 1679674170
5802 Berkman Dr
Unit A
(512) 363-5725
Hospital Affiliations: Valley Baptist Medical
Center Brownsville, Valley Regional Medical
Center
Clinic Affiliation: Eastside Clinic and
Wellness Cent
Board Certifications: None
Language(s): Spanish
Austin
" Philip, Anjana, MD
Gender: Female
NPI: 1669675757
1108 Lavaca St
Ste 110 Thru 320
(512) 447-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Internal Medicine
Austin
" Mehta, Rajesh M, MD
Austin
Gender: Male
NPI: 1255414157
4007 James Casey St
Ste C210
(512) 368-5294
Hospital Affiliations: Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Lonestar
Gastroenterology
Board Certifications: Internal Medicine
J
!
!
Gender: Female
NPI: 1215132881
1210 Braker Ln
(512) 978-9300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
J
" Mondy, Kristin E, MD
Gender: Female
NPI: 1265459762
313 E 12th St
Ste 101
(512) 324-9650
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
" Tran, Phuong H, MD
J
" Urs, Niveditha, MD
Gender: Female
NPI: 1346232121
6010 Balcones Dr
Ste 102
(512) 323-5465
Clinic Affiliation: Elite Patient Care PLLC
Board Certifications: Internal Medicine
" Vidacic, Aleksandra, MD
Austin
Gender: Female
NPI: 1629272224
210 Lee Barton Dr
Ste 206
(210) 787-6621
NPI: 1629272224
210 Lee Barton Dr
Unit 206
(210) 787-6621
Hospital Affiliations: Citizens Medical
Center, Seton Medical Center
Clinic Affiliation: Dr Av PLLC
Board Certifications: Internal Medicine
Language(s): Italian
Austin
Westbrook Jr, Raymond R, DO
Gender: Male
NPI: 1437103520
11814 Jollyville Rd
Ste 103
(512) 250-6202
NPI: 1437103520
4450 Frontier Trail
(512) 373-8475
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Arlington, Medical
Center Of Arlington, Tx Hlth Arlington
Memorial Hosp, Usmd Hospital At Arlington
Lp
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: None
" Salas, John C, MD
Gender: Male
NPI: 1801812649
11211 Taylor Draper Ln
Ste 202
(512) 477-4088
Clinic Affiliation: Austin Geriatric Spec
Board Certifications: Internal Medicine
Gender: Male
NPI: 1710197678
4450 Frontier Trl
(512) 373-8475
Clinic Affiliation: Low-T Physicians
Professional Mbr
Practice Information: No Patients Under 18
yrs old
Board Certifications: Internal Medicine
Austin
Austin
Naik, Seema G, MD
Gender: Female
NPI: 1245460575
901 W Ben White Blvd
(512) 447-2211
Hospital Affiliations: Methodist Specialty
And Transplant Hospital
Clinic Affiliation: Methodist Physician
Practices PLL
Board Certifications: None
Gender: Male
NPI: 1518052224
12335 Hymeadow Dr
Ste 150
(512) 977-8300
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center
Clinic Affiliation: Leo Toupin MD
Board Certifications: Internal Medicine
Austin
Austin
Austin
" Zachary, James A, MD
Austin
Soubra, Said H, MD
Gender: Male
# NPI: 1548219751
1210 W Braker Ln
(512) 978-9300
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital
Clinic Affiliation: Communitycare
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Naik, Shantanu S, MD
Gender: Male
# NPI: 1942362520
1210 Braker Ln
(512) 978-9300
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Cornerstone Hospital Medical
Ctr, Healthsouth Rehabilitation Hospit, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Communitycare
Board Certifications: None
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Toupin, Leo R, MD
Gender: Female
NPI: 1689606857
601 E 15th St
(512) 324-7000
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
Language(s): Spanish
Reddy, Sridhar P, MD
Gender: Male
NPI: 1134123938
2911 Medical Arts St
Ste 9B
J (512) 474-6321
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Sridhar P Reddy MD
Board Certifications: Gastroenterology
Language(s): Hindi, Spanish, Telugu
Thatikonda, Srivani, MD
Gender: Female
NPI: 1881631356
805 W 37th St
(512) 421-4280
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
" Ramos, Alina M, MD
" Middleton, Ellen A, MD
Austin
Punjabi, Narendra S, MD
Gender: Male
NPI: 1295740751
11615 Angus Rd
Ste 106
(512) 346-8652
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Narendra Punjabi MD
Board Certifications: None
Language(s): Gujarati, Hindi
Austin
Austin
Austin
#
Pham, Linda H, MD
Gender: Female
NPI: 1881837094
12221 Mopac Expwy N
(512) 901-1855
Hospital Affiliations: John Peter Smith
Hospital
Clinic Affiliation: Han Pham Hulen MD
Board Certifications: None
Language(s): Spanish
Austin
Maxwell, Mary S, MD
Gender: Female
NPI: 1669469235
4107 Medical Pkwy Ste 210
J (512) 451-4488
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Language(s): Spanish
Austin
" Johnson, Nichole K, MD
Aus tin
Gender: Male
NPI: 1568453934
1705 Lost Creek Blvd
(512) 329-0435
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Board Certifications: Internal Medicine
Language(s): Spanish
J
Aus tin
Gender: Female
NPI: 1386852051
12221 Mopac Expwy
N
(512) 901-1855
Clinic Affiliation: Han Pham Hulen MD
Board Certifications: Internal Medicine
Austin
Gender: Female
NPI: 1528012614
2911 Medical Arts St
Ste 18
(512) 476-0190
Hospital Affiliations: Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Medical Arts Internal
Medicine PA
Board Certifications: Internal Medicine
INTERNAL MEDICINE (cont.)
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
#
J
Gender: Male
NPI: 1457350290
4614 N IH 35
(512) 978-9100
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
48
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Zientek, David M, MD
" Horton, Amanda L, MD
Aus tin
AUSTIN (cont.)
INTERVENTIONAL CARDIOLOGY
" Demaio Jr, Samuel J, MD
Austin
J
Gender: Male
NPI: 1649239872
200 Medical Pkwy
Ste 270
(512) 263-0123
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Star State Heart PLLC
Board Certifications: Cardiovascular
Disease, Interventional Cardiology
Language(s): Spanish
" Gigliotti, Osvaldo S, MD
Austin
J
J
Austin
Gender: Male
NPI: 1639123789
1301 W 38th St
Ste 400
(512) 324-3440
NPI: 1639123789
6406 N Interstate 35
Ste 2600
(512) 324-3440
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, Seton Medical
Center Hays, Seton Southwest, St Davids S
Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Interventional
Cardiology
Language(s): Italian, Spanish
Pirwitz, Mark J, MD
Gender: Male
NPI: 1063436152
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
" Adusumalli, Jasvant, MD
" Stahlman, Matthew B, MD
Gender: Male
NPI: 1548230212
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Central Texas Rehab Hospital
Llc, Cornerstone Hospital Austin, North
Austin Medical Center, Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease, Interventional Cardiology
Language(s): Spanish
Austin
Aus tin
!
!
Gender: Male
NPI: 1720138829
12200 Renfert Way
Ste G3
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Practice Information: No Patients Under 12
yrs old
Board Certifications: Maternal & Fetal
Medicine
Language(s): Spanish
" Brown, Charles E, MD
J
Aus tin
Gender: Male
NPI: 1508928557
601 E 15th St
(512) 324-7000
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Maternal & Fetal
Medicine, Obstetrics-Gynecology
Language(s): Spanish
Austin
Ridgeway, Jeffrey J, MD
Gender: Male
NPI: 1417981994
1201 W 38th St
(512) 324-7256
NPI: 1417981994
601 E 15th St
(512) 459-1131
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): Spanish
Destefano, Kimberly A, MD
Gender: Female
NPI: 1568487825
12200 Renfert Way Ste G3
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: None
Language(s): Spanish
Haeri, Sina, MD
Gender: Male
NPI: 1730357039
12200 Renfert Way
Ste G3
J (512) 821-2540
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
McDonnold, Mollie A, MD
Gender: Female
NPI: 1881855641
12200 Renfert Way
Ste G3
(512) 821-2540
NPI: 1417981994
1313 Red River
Ste 320
(512) 978-8870
Aus tin
Aus tin
Gender: Female
NPI: 1730131509
12200 Renfert Way
Ste G-3
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: Maternal & Fetal
Medicine, Obstetrics-Gynecology
Language(s): American Sign, Spanish
NPI: 1881855641
4316 James Casey St
Ste 101 B
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: None
Language(s): Spanish
Aus tin
" Rogers, Matthew T, MD
Austin
J
MATERNAL & FETAL MEDICINE
Austin
Gender: Male
NPI: 1417932674
6811 Austin Center Blvd
Ste 410
(512) 324-2705
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Interventional
Cardiology
Language(s): Spanish
Austin
Gender: Male
NPI: 1629053061
6811 Austin Center
Blvd Ste 410
(512) 324-2705
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Georgetown Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Interventional
Cardiology
Harstad, Timothy W, MD
Gender: Male
NPI: 1558391847
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Singh, Jasbir, MD
Austin
J
Austin
Gender: Male
NPI: 1811001209
12200 Renfert Way
Ste G3
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: Maternal & Fetal
Medicine
Language(s): Hindi, Punjabi, Spanish
AUSTIN
MAXILLOFACIAL SURGERY
Casmedes III, Harry P, DDS
Gender: Male
NPI: 1013084169
901 W 38th St Ste 410
J (512) 992-1378
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Oral Surgery
Language(s): Spanish
Austin
MEDICAL GENETICS
" George Abraham, Jaya K, MD
Austin
J
" Gibson, James B, MD
Austin
J
Gender: Male
NPI: 1023121159
1301 Barbara Jordan
Blvd Ste 200
(512) 628-1840
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Medical Genetics
Language(s): American Sign, Spanish
" Singh, Krishna R, MD
Austin
Gender: Female
NPI: 1538368899
601 E 15th St
(512) 324-8670
NPI: 1538368899
911 W 38th St
Ste 202
(512) 342-8670
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Medical Genetics,
Obstetrics-Gynecology
Language(s): Spanish
MEDICAL ONCOLOGY
Fain, Jerry D, MD
Gender: Male
# NPI: 1447293840
901 W 38th St
Ste 200
(512) 421-4100
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Austin
Singh, Krishna R, MD
Gender: Female
NPI: 1538368899
601 E 15th St
(512) 324-8670
NPI: 1538368899
911 W 38th St
Ste 202
(512) 342-8670
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Medical Genetics,
Obstetrics-Gynecology
Language(s): Spanish
Gender: Female
NPI: 1063616621
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1840
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Medical Genetics
Language(s): American Sign, Spanish
Austin
Hudson, Kathryn E, MD
Gender: Female
NPI: 1194987776
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Meeneghan, Mathew R, MD
Gender: Male
NPI: 1467695460
4101 James Casey
Ste 100
(512) 447-2202
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Southwest, University
Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
49
Specialists
AUSTIN
Tokaz, Laurence K, MD
Gender: Male
# NPI: 1124060256
1600 W 38th St
Ste 120
J (512) 302-1771
Austin
AUSTIN (cont.)
MEDICAL ONCOLOGY (cont.)
Aus tin
#
Melear, Jason M, MD
Gender: Male
NPI: 1902849805
11111 Research Blvd
Ste 400
(512) 349-0081
NPI: 1902849805
901 W 38th St
Ste 300
(512) 421-4100
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, St Davids
Georgetown Hospital, St Marks Medical
Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Netaji, Balijepalli, MD
Gender: Male
NPI: 1982642914
12221 Renfert Way Ste 300
J (512) 873-8900
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, St Davids Georgetown Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
J
J
Aus tin
Pandey, Om N, MD
Gender: Male
NPI: 1316927353
1313 Red River St
Ste 217
J (512) 324-7300
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, University Med
Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Language(s): Spanish
Shrikhande, Shubhada S, MD
Gender: Female
NPI: 1982661674
12221 Renfert Way
Ste 300
(512) 873-8900
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
NPI: 1124060256
4101 James Casey St
Ste 100
(512) 447-2202
Gender: Male
NPI: 1386603553
2200 Park Bend Dr
Ste 201 Bldg 2
(512) 835-8100
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Richard Stovall MD
Board Certifications: Neurological Surgery
NPI: 1124060256
6101 Balcones Dr
Ste 101
(512) 406-5150
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
J
" Rose, James E, MD
Gender: Male
NPI: 1003834680
1400 N IH 35
Ste 300
(512) 324-8300
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Seton Medical Center,
Seton Medical Ctr Williamson, Texas
Orthopedic Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurological Surgery
Language(s): Spanish
" Hummell, Matthew K, MD
J
Gender: Male
NPI: 1134289994
801 W 38th St Ste 400
(512) 306-1323
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Neurosurgical Specialists
Board Certifications: Neurological Surgery
Language(s): Spanish
" Stokes, John K, MD
Austin
Gender: Male
NPI: 1245390095
1600 W 38th St
Ste 200
(512) 324-3580
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurological Surgery
Language(s): Spanish
" Kemper, Craig M, MD
Austin
J
Church, Galit V, APN
Gender: Female
NPI: 1528366333
211 Comal St
(512) 978-9200
Clinic Affiliation: Communitycare
Board Certifications: None
Gender: Male
NPI: 1164582912
801 W 38th St Ste 400
(512) 306-1323
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Neurosurgical Specialists
Board Certifications: Neurological Surgery
Language(s): Spanish
Austin
" Lee, Mark R, MD
Austin
J
Gender: Male
NPI: 1861413536
1301 Barbara Jordan
Blvd Ste 200
(512) 324-0907
J
NPI: 1861413536
1301 Barbara Jordan
Blvd Ste 307
(512) 321-0910
" Alpar, Andrew, MD
Austin
Gender: Male
NPI: 1750368510
401 Congress Ave
Ste 1540
(512) 735-3013
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, North
Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Alpar Nephrology
Services MD
Board Certifications: Nephrology
Language(s): Hungarian, Spanish
NPI: 1861413536
1400 N IH 35
Ste 300
(512) 324-8300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists, Seton Heart Institute
Board Certifications: Neurological Surgery
Language(s): Spanish
" Moncrief, Jack W, MD
Austin
Gender: Male
NPI: 1164439295
800 W 34th St
Ste 100
(512) 485-7870
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, St
Davids Medical Center
Clinic Affiliation: Jack Moncrief Group PA
Board Certifications: Nephrology
Language(s): Spanish
" Tumu, Hari, MD
J
" Loftus, Thomas S, MD
J
NEUROLOGICAL SURGERY
" Aronin, Patricia A, MD
Austin
Gender: Female
NPI: 1336236850
1301 Barbara Jordan
Blvd Ste 307
(512) 324-0907
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Neurological Surgery
Language(s): Spanish
" Madera, Marcella A, MD
Austin
J
Gender: Female
NPI: 1528287851
801 W 38th St Ste 400
(512) 306-1323
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Neurosurgical Specialists
Board Certifications: Neurological Surgery
Language(s): Spanish
Tomycz, Luke, MD
Gender: Male
NPI: 1134276959
1400 N IH 35 Ste 300
(512) 324-8800
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Austin
Austin
Gender: Male
NPI: 1548253503
2200 Park Bend Dr Bldg
2-202
(512) 836-0900
Hospital Affiliations: Cedar Park Surgery
Center Llc, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Neurosurgical
Institute
Board Certifications: Neurological Surgery
Language(s): Spanish
Gender: Male
NPI: 1518027366
801 W 38th St Ste 400
(512) 306-1323
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Neurosurgical Specialists
Board Certifications: Neurological Surgery
Language(s): Spanish
Austin
Austin
NEPHROLOGY
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Peterson, Daniel L, MD
Austin
" Cook, Judson H, MD
MIDWIFERY
Austin
Ashour, Ramsey R, MD
Gender: Male
NPI: 1538498563
1400 N IH 35 Ste 300
(512) 324-8301
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Austin
Zoghi, Behyar, MD
Gender: Male
NPI: 1497955447
901 W Ben White Blvd
J (512) 447-2211
Hospital Affiliations: Methodist Hospital,
Methodist Specialty And Transplant Hospital
Clinic Affiliation: Methodist Physician
Practices PLL
Board Certifications: Oncology
Language(s): Spanish
Aus tin
Aus tin
Austin
Austin
Aus tin
Rubin De Celis, Carlos, MD
Gender: Male
NPI: 1275571879
901 W 38th St Ste 200
J (512) 421-4100
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1457427130
801 W 38th St
Ste 400
(512) 306-1323
Hospital Affiliations: Central Park Surgery
Center, Healthsouth Rehabilitation Hospital
Of Austin, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, St Davids Medical Center, St Davids
S Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Neurosurgical Specialists
Board Certifications: Neurological Surgery
Language(s): Spanish
" Valadka, Alex B, MD
Austin
Gender: Male
NPI: 1881633709
1400 N IH 35
Ste 300
(512) 324-8300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurological Surgery
Language(s): Spanish
" Wang, Vincent Y, MD
Austin
Gender: Male
NPI: 1568584159
1400 N IH 35 Ste 300
(512) 804-0851
Hospital Affiliations: Oakbend Medical
Center, Seton Medical Center Hays, St
Lukes Sugar Land Hospital
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 18
yrs old
Board Certifications: Neurological Surgery
Language(s): Chinese, Hindi, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
50
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Austin, Sara G, MD
" Fraim, C Jack, MD
Aus tin
AUSTIN (cont.)
NEUROLOGICAL SURGERY (cont.)
White, Gordon L, MD
Gender: Male
NPI: 1013983121
1600 W 38th St Ste 418
J (512) 467-8596
Hospital Affiliations: St Davids Medical
Center
Board Certifications: None
Language(s): Spanish
Austin
Ziu, Mateo, MD
Gender: Male
NPI: 1417137290
1400 N IH 35 Ste 300
J (512) 324-8300
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, University
Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
" Beattie, Jeanne L, MD
J
J
Aus tin
" Aboumatar, Sami M, MD
Austin
J
J
Gender: Male
NPI: 1760445407
2200 Park Bend Dr
Ste 203
(512) 339-8831
NPI: 1760445407
4316 James Casey St
Ste 201 Bldg E
(512) 339-8831
Hospital Affiliations: Cornerstone Regional
Hospital Llc, North Austin Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Epilepsy Care
Center
Board Certifications: Neurology
Language(s): Arabic
Aus tin
" Alareddy, Anupama, MD
Austin
Gender: Female
NPI: 1376783696
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
" Aung, Soe M, MD
Austin
J
NPI: 1669570255
711 W 38th St
Ste E1
(512) 477-5337
(734) 213-3931
(800) 638-7564
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, Heart
Hospital Of Austin, St Davids Medical
Center, Texas Neurorehab Center, University
Med Ctr Brackenridge
Clinic Affiliation: Neural Watch LLC,
Neuralview Medical Group PC, Neuralwatch
Michigan PLLC, Neuralwatch New Jersey
LLC, Neuralwatch Texas PLLC, Soe Aung
MD
Board Certifications: Neurology
Language(s): Spanish
Gender: Female
NPI: 1457375008
2200 Park Bend Dr 2 203
(572) 339-8831
Gender: Male
NPI: 1861469967
3724 Executive Center Dr
Ste 230
(512) 452-2100
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: Chudleigh PA
Board Certifications: Neurology
NPI: 1457375008
4316 James Casey St
Bldg E Ste 201
(572) 339-8831
Clinic Affiliation: Austin Epilepsy Care
Center
Board Certifications: Neurology
Bertelson, John A, MD
Gender: Male
NPI: 1215959697
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Briggs, Deborah E, MD
Gender: Female
NPI: 1497748370
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
" Heytens, Jill E, MD
Austin
Gender: Female
NPI: 1972625994
601 E 15th St
(512) 324-7000
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, University Med
Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Neurology
Language(s): American Sign, Spanish
Gender: Male
NPI: 1881686392
11408 Tibee Dr
(512) 419-9111
Hospital Affiliations: John Peter Smith
Hospital, Palestine Regional Medical Center
Clinic Affiliation: Texas Diagnostic
Laboratories Inc
Board Certifications: Neurology
Language(s): Spanish
Gender: Male
NPI: 1205051042
5508 Parkcrest Dr
Ste 310
(512) 458-2465
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Cain Robert M MD
Board Certifications: Neurology
Language(s): American Sign, Spanish
Gender: Male
NPI: 1972553964
711 W 38th St
Ste E1
(512) 477-5337
Hospital Affiliations: Christus Spohn
Hospital-South, Corpus Christi Medical
Center Bay Area, Healthsouth Rehabilitation
Hospital Of Austin, Heart Hospital Of Austin,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Soe Aung MD
Practice Information: No Patients Under 17
yrs old
Board Certifications: Neurology
Language(s): Spanish
Austin
" Raymond, Andrea S, MD
Gender: Female
NPI: 1538181920
4544 S Lamar Blvd
Ste 760
(512) 433-6333
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Neuroaustin Neurology
Assoc
Practice Information: No Patients Under 17
yrs old
Board Certifications: Neurology
Language(s): Spanish
" Hussain, Yessar M, MD
Gender: Male
NPI: 1982852166
3301 River Rd
(734) 213-3931
NPI: 1982852166
3901 Medical Pkwy
Ste 300
(512) 920-0140
Hospital Affiliations: Methodist Dallas
Medical Center, North Hills Hospital, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Georgetown Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Neuromuscular
Center, Neural Watch LLC
Board Certifications: Neurology
Language(s): Arabic
Pokala, Krishna, MD
Gender: Female
NPI: 1578856399
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Austin
Austin
Gender: Male
NPI: 1316258163
601 E 15th St
(512) 324-3540
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Elizondo, Eduardo R, MD
Gender: Male
NPI: 1295783728
7307 Creekbluff Dr
(512) 614-3300
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Neural Watch LLC
Board Certifications: None
Language(s): Spanish
Perkins Jr, Freedom F, MD
Gender: Male
NPI: 1679530554
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
" Hummer, Michael G, MD
" Ding, Ming Chieh, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Packard, Russell C, MD
Austin
Austin
Aus tin
Aus tin
Gender: Male
NPI: 1346248515
1400 N IH 35 Ste 300
(512) 324-8300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
" Heinze Jr, Everett, MD
" Cain, Robert M, MD
J
" Modur, Pradeep N, MD
Austin
Austin
Aus tin
Gender: Male
NPI: 1669570255
711 W 38th St
Ste D4
(800) 638-7564
NPI: 1669570255
711 W 38th St
Ste E 1
(800) 638-7564
Gender: Male
NPI: 1942314406
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: Baptist Beaumont
Hospital, Christus Hospital St Elizabeth,
Medical City Dallas Hospital, Seton Medical
Center, Seton Medical Ctr Williamson, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
Aus tin
Austin
NEUROLOGY
Austin
Gender: Female
NPI: 1770695397
1201 W 38th St
(972) 791-1224
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
AUSTIN
" Shen, Jason Y, MD
Austin
Gender: Male
NPI: 1689696072
10516 Prezia Dr
(734) 213-3931
Hospital Affiliations: Methodist Specialty
And Transplant Hospital, Metropolitan
Methodist Hospital, Seton Medical Center,
Seton Medical Ctr Williamson, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Neural Watch LLC,
Neuralview Medical Group PC, Neuralwatch
Texas PLLC
Board Certifications: Neurology
" Melamed, Esther, MD
Austin
Gender: Female
NPI: 1144563669
1600 W 38th St
Ste 308
(512) 324-3540
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
51
Specialists
AUSTIN
AUSTIN (cont.)
NUCLEAR CARDIOLOGY
Austin
NEUROLOGY (cont.)
" Vaillant, Brian D, MD
Aus tin
Austin
NPI: 1922119890
900 E 30th St
Ste 100
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers,
Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
Chalkias, Fotini M, MD
Gender: Female
NPI: 1518065317
11111 Research Blvd
Ste 360
(512) 617-1916
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Greek, Spanish
Nguyen, Tuan D, MD
Gender: Male
NPI: 1952341034
1301 W 38th St
Ste 400
(512) 324-3440
Verellen, Rebecca M, MD
Gender: Female
NPI: 1336329903
601 W 17th St
J (512) 708-9200
Clinic Affiliation: Neurology Clinic PA
Practice Information: No Patients Under 15
yrs old
Board Certifications: None
Nguyen, Vu D, MD
Gender: Male
# NPI: 1093755357
1301 W 38th St
Ste 400
(512) 324-3440
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): German, Italian, Spanish,
Vietnamese
" Warach, Steven J, MD
NUTRITION & DIETETICS
Aus tin
Aus tin
J
Gender: Male
NPI: 1407925886
1400 N IH 35 Ste 300
(512) 324-8300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
Austin, Sara G, MD
Gender: Female
NPI: 1770695397
1201 W 38th St
(972) 791-1224
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
" Gochnour, Joseph R, RD
Austin
#
Paff, Julie A, RD
Gender: Female
NPI: 1700982469
5555 N Lamar Blvd
Ste D125
J (512) 324-1891
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Brenton, Bulgarian, Burmese,
Byelorussian, Cambodian
Austin
Austin
" Hanawalt, Elizabeth, RD
Gender: Female
NPI: 1508185562
5900 Balcones Dr
Ste 165
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: Nutrition & Dietetics
* Leaving Network: 2016-11-01
J
Austin
" Hanselman, Emily, RD
Austin
Gender: Female
NPI: 1265847602
6500 N Mo Pac
Ste 220 Bldg 3
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: Nutrition & Dietetics
Ivester, Susan K, RD
Gender: Female
NPI: 1053549055
4501 Spicewood Springs Rd
Ste 1022
J (512) 257-0898
Clinic Affiliation: Sparkman Nutrition LLC
Board Certifications: None
Austin
#
" Madsen, Michelle M, RD
Austin
Ajmera, Shefali, RD
Gender: Female
# NPI: 1407034093
13706 Research Blvd
Ste 211G
J (972) 400-0562
Clinic Affiliation: Webnutri Com Consulting
LLC
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Austin
J
Austin
" Bendet, Samantha E, RD
Austin
Gender: Female
NPI: 1639497787
6500 N Mopac Expwy
Ste 220 Bldg 3
(517) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: Nutrition & Dietetics
Austin
" Berry, Patricia, RD
Austin
Gender: Female
NPI: 1104214311
6500 N Mopac Expwy
Ste 220 Bldg 111
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: Nutrition & Dietetics
Gender: Female
NPI: 1649210246
5900 Balcones Dr
Ste 165
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: Nutrition & Dietetics
Morgan, Wenda L, RD
Gender: Female
NPI: 1639318504
5555 N Lamar Blvd
Ste D125
(512) 791-1224
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
J
Brent, Nicole M, RD
Gender: Female
NPI: 1548445950
6500 N Mo Pac Expwy
Ste 220 Bldg 3
J (512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: None
Ray, Stevie, RD
Gender: Male
NPI: 1164809406
5900 Balcones Dr
Ste 165
(512) 338-4500
Clinic Affiliation: Shelley Madsen and
Assoc Inc
Board Certifications: None
Robison, Roxanne D, RD
Gender: Female
NPI: 1154456176
8505 Cross Park Dr
Ste 120
J (512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
#
Sparkman, Alexa F, RD
Gender: Female
# NPI: 1801935051
4501 Spicewood Springs Rd
Ste 1022
J (512) 257-0898
Clinic Affiliation: Sparkman Nutrition LLC
Board Certifications: None
Austin
" Tanaka, Jill, RD
Austin
#
J
#
Austin
Morris, Kimberly, RD
Gender: Female
NPI: 1790952323
5555 N Lamar Blvd
Ste D-125
(512) 324-1891
NPI: 1790952323
5555 N Lamar Blvd
Ste D125
(512) 791-1224
Clinic Affiliation: Seton Family of Doctors,
Seton Medical Group
Board Certifications: None
Language(s): Spanish
Plyler, Catherine P, RD
Gender: Female
NPI: 1942489927
8505 Cross Park Dr
Ste 120
(512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1255755492
821 W 11th St
(281) 757-8139
Clinic Affiliation: Nutrition and Fitness
Professiona
Board Certifications: Nutrition & Dietetics
Paczosa, Adrien, RD
Gender: Female
# NPI: 1700077062
3724 Jefferson St Ste 104
(512) 693-7045
Clinic Affiliation: I Live Well Nutrition
Therapy LLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
NEUROMUSCULAR MEDICINE
Aus tin
NPI: 1164776605
825 E Rundberg Ste B1
(512) 978-9600
Clinic Affiliation: Communitycare, HEB
Company LP
Board Certifications: None
NPI: 1952341034
6811 Austin Center Blvd
Ste 410
(512) 324-2705
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
" Varga, Mariana G, MD
Canby, Rebecca, RD
Gender: Female
NPI: 1164776605
14028 N Hwy 183 N
Bldg A
(512) 474-2199
NPI: 1164776605
825 E Rund Berg
Ste B1
(512) 978-9600
NPI: 1952341034
6811 Austin Center
Blvd Ste 410
(512) 324-2705
Aus tin
Gender: Female
NPI: 1962542225
3001 Bee Caves Rd
Ste 210
(512) 900-2477
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Georgeta Varga MD
Parkinson Disea
Board Certifications: Neurology
Language(s): Romanian, Spanish
Austin
#
Gender: Male
NPI: 1922119890
1301 W 38th St
Ste 113
(512) 324-3395
NPI: 1922119890
1400 N IH 35
Ste 300
(512) 324-8300
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1598959801
4607 Manchaca Rd
(512) 916-1511
NPI: 1598959801
7336 Tanaqua Ln
(512) 301-8705
Clinic Affiliation: Kidtherapy PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: Nutrition & Dietetics
Language(s): Spanish
Trevino, Eduardo, RD
Gender: Male
NPI: 1689048357
2802 Webberville Rd
(512) 978-9400
Clinic Affiliation: Communitycare
Board Certifications: None
Wilfong, Anne L, RD
Gender: Female
NPI: 1528377249
4501 Spicewood Springs Rd
Ste 1022
(512) 257-0898
Clinic Affiliation: Sparkman Nutrition LLC
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
52
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Bachus, Lois A, MD
Gender: Female
NPI: 1396819173
4207 James Casey St
Ste 302
J (512) 462-1717
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: A Womans Place
Board Certifications: None
Language(s): American Sign, Spanish
Carter, Kimberly, MD
Gender: Female
NPI: 1538193495
911 W 38th St
Ste 202
J (512) 324-8670
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: None
Aus tin
AUSTIN (cont.)
OBSTETRICS-GYNECOLOGY
" Aguilar, Vivian D, MD
Austin
Gender: Female
NPI: 1144286014
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Aguirre, Javier, MD
Gender: Male
NPI: 1366731770
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): Spanish
Billue, David C, MD
Gender: Male
NPI: 1982795407
11111 Research Blvd
Ste 230
J (877) 800-5722
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
Aus tin
J
Aus tin
" Anderson, Allison L, MD
Austin
Gender: Female
NPI: 1619170677
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Asfouri, Souhail, MD
Gender: Male
NPI: 1699722199
4316 James Casey St
Ste F-200
J (512) 444-1811
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids S Austin
Medical Center
Clinic Affiliation: Austin Southwest OB/
GYN PC
Board Certifications: None
Language(s): American Sign, Arabic, Sign
Language, Spanish
Askari, Sasan, MD
Gender: Male
NPI: 1013986843
4007 James Casey St
Ste A250
(512) 444-2111
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, Surgicare Of South
Austin, University Med Ctr Brackenridge
Clinic Affiliation: Sasan Askari MD
Board Certifications: None
Language(s): Danish, Farsi, Persian
Brooks Heinzman, Alison J, MD
Gender: Female
NPI: 1043412471
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
NPI: 1386761252
7112 Ed Bluestein Blvd
Ste 105
(512) 445-4800
Hospital Affiliations: Memorial Medical
Center Livingston, San Marcos Surgery
Center, St Davids Medical Center, St Davids
S Austin Medical Center
Clinic Affiliation: Austin OB/GYN
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Austin
!
!
J
" Brown, Charles E, MD
Austin
Austin
Gender: Male
NPI: 1225190259
911 W 38th St
Ste 202
(512) 324-9650
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Aus tin
J
Aus tin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Caverly, Ola G, MD
Gender: Female
NPI: 1386761252
2410 E Riverside Dr
Ste G2
(512) 445-4800
NPI: 1386761252
2410 Riverside Dr Ste G2
(512) 445-4800
" Breen, Michael T, MD
" Akin, Mark D, MD
J
Austin
Aus tin
Austin
Gender: Male
NPI: 1871512475
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Gender: Male
NPI: 1508928557
601 E 15th St
(512) 324-7000
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Maternal & Fetal
Medicine, Obstetrics-Gynecology
Language(s): Spanish
Chipman, Zachary A, MD
Gender: Male
NPI: 1083776041
1313 Red River
Ste 320
(512) 978-8870
NPI: 1083776041
313 E 12th St
Ste 104
(512) 324-9650
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: None
Language(s): Spanish
AUSTIN
Crumb, Robert S, MD
Gender: Male
NPI: 1376516732
1007 E 41st St
J (512) 451-3131
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Gynics Assoc
Practice Information: Female Patients only
Board Certifications: None
Language(s): Spanish
Austin
" Dalrymple, John L, MD
Austin
J
J
" Darby, Byron G, MD
J
Austin
" Choucron, Ashley H, MD
Buttermann, Karl M, MD
Gender: Male
NPI: 1831251883
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
" Chouteau, Ruth M, MD
Austin
J
Capet, Christy L, MD
Gender: Female
NPI: 1346443611
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): Spanish
Austin
Gender: Female
NPI: 1851309553
2911 Medical Arts St
Ste 19A
(512) 477-1954
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Board Certifications:
Obstetrics-Gynecology
Cowan, Robert K, MD
Gender: Male
NPI: 1366450652
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): American Sign, Spanish
NPI: 1447232467
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Lyndon B Johnson
General Hospital, Seton Medical Center, St
Joseph Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Austin
Gender: Female
NPI: 1376704544
211 Comal St
(512) 978-9200
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications:
Obstetrics-Gynecology
Gender: Male
NPI: 1447232467
1313 Red River
Ste 305
(512) 324-7789
Gender: Male
NPI: 1417959669
12201 Renfert Way
Ste 215
(512) 339-6626
Hospital Affiliations: North Austin Medical
Center, North Austin Surgery Center, Seton
Medical Center, Seton Northwest Hospital
Clinic Affiliation: Central Texas OB/GYN
Assoc Pl
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Dermish, Amna I, MD
Gender: Female
NPI: 1457417271
201 E Ben White Blvd
(512) 276-8079
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Desantis, Angela, DO
Gender: Female
NPI: 1821376989
7112 Ed Bluestein
Ste 105
(512) 445-4800
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Austin OB/GYN
Board Certifications: None
Eduardo, Ana M, MD
Gender: Female
NPI: 1205809654
200 Medical Pkwy Ste 110
J (512) 462-1936
Austin
J
J
NPI: 1205809654
7900 FM 1826
Ste 200
(512) 462-1936
NPI: 1205809654
9805 Brodie Ln
(512) 462-1936
Hospital Affiliations: Corpus Christi
Medical Center Bay Area, Seton Medical
Center, Seton Southwest, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
53
Specialists
AUSTIN
" Harstad, Timothy W, MD
Austin
AUSTIN (cont.)
Fonseca, Linda, MD
Gender: Female
NPI: 1609801646
1313 Red River St
Ste 320
(512) 978-8870
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
Seton Medical Ctr Williamson, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
NPI: 1558391847
1313 Red River
Ste 320
(512) 978-8870
NPI: 1558391847
601 E 15th St
(512) 324-7000
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Fung Yip, Katie L, MD
Aus tin
Gender: Female
NPI: 1003074881
2909 N IH 35
(512) 478-4939
Hospital Affiliations: The Womans Hospital
Of Texas
Clinic Affiliation: Peoples Community Clinic
Inc
Board Certifications:
Obstetrics-Gynecology
J
Aus tin
Hagen, Jeff E, MD
Gender: Male
NPI: 1710965488
2410 E Riverside Dr
Ste G2
(512) 445-4800
NPI: 1710965488
7112 Ed Bluestein Blvd
Ste 105
(512) 445-4800
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin OB/GYN
Board Certifications: None
Language(s): Spanish
J
J
J
Harris, April S, MD
Gender: Female
NPI: 1659383594
1007 E 41st St
J (512) 451-3131
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Gynics Assoc
Board Certifications: None
Language(s): German, Spanish
Aus tin
Austin
NPI: 1003034091
7900 FM 1826
Ste 200
(512) 610-8432
Landherr, Kathryn M, MD
Gender: Female
NPI: 1144203431
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): Spanish
Landwermeyer, Margaret R, MD
Gender: Female
NPI: 1790758134
200 Medical Pkwy
Ste 110
J (512) 462-1936
Austin
NPI: 1003034091
9805 Brodie Ln
(512) 462-1936
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications: None
Language(s): American Sign, Spanish
J
" Horton, Amanda L, MD
J
" Harkins, John G, MD
NPI: 1629130513
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
J
Gender: Male
NPI: 1972576445
1007 E 41st St
(512) 451-3131
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Gynics Assoc
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
NPI: 1790758134
7900 FM 1826
Ste 200
(512) 462-1936
Moghadam, Kenneth K, MD
Gender: Male
# NPI: 1033120282
2200 Park Bend Dr
Ste 402 Bldg 1
(512) 339-4234
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Fertility Institute PA
Board Certifications: None
Language(s): Farsi, Persian, Spanish
Austin
Austin
Gender: Female
NPI: 1730131509
12200 Renfert Way
Ste G-3
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: Maternal & Fetal
Medicine, Obstetrics-Gynecology
Language(s): American Sign, Spanish
J
Austin
" Hoverman, Claire E, MD
Austin
J
Gender: Female
NPI: 1851547384
9805 Brodie Ln
(512) 462-1936
Hospital Affiliations: Seton Southwest
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Hull Jr, Felix, MD
Gender: Male
NPI: 1871602557
2911 Medical Arts St
Ste 16
J (512) 473-2037
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications: None
Language(s): Spanish
Austin
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1790758134
9805 Brodie Ln
(512) 445-0815
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications: None
Language(s): American Sign, Spanish
Lavie, Isaac, MD
Gender: Male
NPI: 1487716478
2529 S First St
(512) 978-9500
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Love, Mikeal R, MD
Gender: Male
NPI: 1891788428
900 E 30th St Ste 211
(512) 476-9699
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Mikeal R Love MD
Board Certifications: None
Language(s): Spanish
Maradani, Sarita, MD
Gender: Female
NPI: 1871582338
4007 James Casey St
Ste D250
J (512) 443-6100
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Maradani PA
Practice Information: No Patients Under 11
yrs old
Board Certifications: None
Language(s): Hindi, Spanish, Tamil, Telugu,
Urdu
Austin
Kalamarides, Jeremy A, DO
Gender: Male
NPI: 1588987432
1600 W 38th St Ste 115
(512) 458-6060
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Vitae Clinic Inc
Board Certifications: None
NIX, Michael L, MD
Gender: Male
NPI: 1891857884
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Phillips, Michael F, MD
Gender: Male
NPI: 1295743482
12200 Renfert Way
Ste 100
J (512) 451-8211
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, North
Austin Surgery Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): American Sign, French,
Spanish
Austin
" Price, Bradley B, MD
Austin
Austin
Aus tin
Gender: Male
NPI: 1629130513
1313 Red River St
Ste 320
(512) 978-8870
" Kuhlmann, Terrence A, MD
Hart, Chris C, MD
Gender: Female
NPI: 1003034091
200 Medical Pkwy
Ste 110
J (512) 462-1936
" Gonzalez Deleon, Delia, MD
Keller, Whitney C, MD
Gender: Female
NPI: 1093877078
1313 Red River St
Ste 320
(512) 978-8870
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
Austin
Aus tin
Gender: Female
NPI: 1205062726
1007 E 41st St
(512) 451-3131
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Gynics Assoc
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Gender: Male
NPI: 1558391847
1201 W 38th St
(512) 324-7256
OBSTETRICS-GYNECOLOGY (cont.)
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
J
Gender: Male
NPI: 1649214842
2911 Medical Arts St
Ste 6
(512) 476-6691
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Prisacaru, Genoveva N, MD
Gender: Female
NPI: 1740325133
4007 James Casey St
Ste A-100
J (512) 442-2300
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays
Clinic Affiliation: Seven Hills Womens
Health PLLC
Practice Information: Female Patients only
Board Certifications: None
Language(s): American Sign, Romanian,
Spanish
Austin
Austin
Ridgeway, Jeffrey J, MD
Gender: Male
NPI: 1417981994
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
54
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Singh, Krishna R, MD
" Uribe, Marco A, MD
Aus tin
AUSTIN (cont.)
OBSTETRICS-GYNECOLOGY (cont.)
Schmitz, Martha E, MD
Gender: Female
NPI: 1881601136
4007 James Casey St
Ste A240
J (512) 394-0054
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Martha E Schmitz MD
Board Certifications: None
Language(s): French, Spanish
Austin
Schneider, Lisa B, MD
Gender: Female
NPI: 1194798124
200 Medical Pkwy
Ste 110
J (512) 462-1936
NPI: 1538368899
911 W 38th St
Ste 202
(512) 342-8670
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Medical Genetics,
Obstetrics-Gynecology
Language(s): Spanish
J
J
NPI: 1194798124
7900 FM 1826
Ste 200
(512) 610-8432
J
Austin
NPI: 1194798124
9805 Brodie Ln
(512) 462-1936
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Southwest, St Davids S Austin Medical
Center
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications: None
Language(s): Spanish
Seeker, Christopher G, MD
Gender: Male
NPI: 1255349528
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): Spanish
" Siarezi, Sherry, MD
Austin
" Sorin, Robert, MD
Aus tin
J
Aus tin
Tassone, Shawn A, MD
Gender: Male
NPI: 1518940808
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, North
Austin Surgery Center, Seton Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Urrutia, Allison A, MD
Gender: Female
NPI: 1194916387
1007 E 41st St
J (512) 451-3131
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Gynics Assoc
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
Walker, Candice E, MD
Gender: Female
NPI: 1215137328
200 Medical Pkwy
Ste 110
J (512) 462-1936
J
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1215137328
9805 Brodie Ln
(512) 610-8421
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Hill Country OB/GYN
Assoc
Board Certifications: None
Language(s): American Sign, Spanish
" Wang, Diana Y, MD
" Turner, Nancy A, MD
Gender: Female
NPI: 1083788855
4207 James Casey St
Ste 302
(512) 462-1717
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: A Womans Place
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
NPI: 1164642237
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Northwest Surgery
Center Llp, Seton Medical Center, Seton
Medical Center Hays, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: None
Language(s): Spanish
" Young, Amy E, MD
Austin
Gender: Female
NPI: 1518047869
911 W 38th St
Ste 202
(512) 324-8670
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, The Womans Hospital Of
Texas
Clinic Affiliation: University Physicians
Group
Board Certifications:
Obstetrics-Gynecology
Zinn, Roshanak M, MD
Gender: Female
NPI: 1659660991
2909 N IH 35
J (512) 478-4939
Austin
#
NPI: 1659660991
919 E 32nd St
(713) 873-3365
Hospital Affiliations: Ben Taub General
Hospital, St Davids Medical Center
Clinic Affiliation: Baylor College of
Medicine, Peoples Community Clinic Inc
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): Spanish
NPI: 1215137328
7900 FM 1826
(512) 610-8421
Austin
Tsai, Rita, MD
Gender: Female
NPI: 1609085042
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Aus tin
J
Villacis, Donna S, MD
Gender: Female
NPI: 1689736613
1313 Red River St
Ste 320
(512) 978-8870
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
Language(s): Spanish
Austin
" Thoppil, John J, MD
Gender: Male
NPI: 1336138064
6611 River Place Blvd
Ste 202
(512) 473-8300
(512) 605-3800
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Cedar Park Surgery Center Llc,
North Austin Medical Center
Clinic Affiliation: River Place OB GYN PA,
Unified Women’s Healthcare of Tex
Board Certifications:
Obstetrics-Gynecology
White, Amanda B, MD
Gender: Female
NPI: 1164642237
1313 Red River St
Ste 320
(512) 978-8870
Austin
Aus tin
Gender: Female
NPI: 1942267208
11111 Research Blvd
Ste 230
(877) 800-5722
NPI: 1942267208
2909 N IH 35
(512) 478-4939
Hospital Affiliations: Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Lone Star Circle of Care,
Peoples Community Clinic Inc
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Gender: Male
NPI: 1154307833
900 E 30th St
Ste 107
(512) 452-1521
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Austin
Gender: Male
NPI: 1750399036
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications:
Obstetrics-Gynecology
Language(s): French, Spanish
NPI: 1538368899
601 E 15th St
(512) 324-8670
Austin
NPI: 1194798124
4207 James Casey St
Ste 201
(512) 462-1936
Austin
Gender: Female
NPI: 1538368899
1313 Red River St
Ste 320
(512) 978-8870
AUSTIN
Gender: Female
NPI: 1144425786
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
North Austin Surgery Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications:
Obstetrics-Gynecology
Language(s): American Sign, Hindi,
Spanish
OCCUPATIONAL THERAPY
Arnold, Caren E, OT
Gender: Female
# NPI: 1376789164
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign
Austin
Bales, Emily S, OT
Gender: Female
NPI: 1538392121
3607 Manchaca
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
Austin
#
Austin
Austin
Blackwood, Lisa A, OT
Gender: Female
NPI: 1902121486
13642 N Hwy 183
Ste 200
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC
Board Certifications: None
Booher, M Cristina G, OT
Gender: Female
NPI: 1063756054
12429 Scofield Farms Dr
(800) 677-1202
Clinic Affiliation: Rehabcare Group
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
55
Specialists
AUSTIN
Austin
AUSTIN (cont.)
OCCUPATIONAL THERAPY (cont.)
Aus tin
Aus tin
#
Celkis, Heather D, OT
Gender: Female
NPI: 1104006220
12710 Research Blvd
Ste 395
(512) 250-8706
Clinic Affiliation: Capital Area Speech
Therapy PLLC
Board Certifications: None
Cercone, Gemma C, OT
Gender: Female
NPI: 1346439577
4422 Pack Saddle Pass
Ste 104
(512) 444-3345
Clinic Affiliation: Total Communication
Board Certifications: None
Chmiel, Dana M, OT
Gender: Female
# NPI: 1578895843
12524 Capella Trl
J (512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Aus tin
Comstock, Carrie, OT
Gender: Female
# NPI: 1396109351
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Aus tin
Cook, Stacy E, OT
Gender: Female
NPI: 1851415269
7800 Shoal Creek
Blvd Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Cougot, Morgan, OT
Gender: Female
# NPI: 1225461593
7800 Shoal Creek Blvd
Ste 110W
(512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Curtis, Terri E, OT
Gender: Female
NPI: 1477765519
706A W Ben White Blvd
Ste 150A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): American Sign, Spanish
Danner, Teresa C, OT
Gender: Female
# NPI: 1366832495
4422 Pack Saddle Pass
Ste 104
(512) 444-3345
Clinic Affiliation: Total Communication
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Day, Heidi D, OT
Gender: Female
NPI: 1578749693
3607 Manchaca
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
Garcia Torres, Tonya, OT
Gender: Female
# NPI: 1306125042
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Ditucci, Mary P, OT
Gender: Female
# NPI: 1053625871
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Gebhardt, Ana M, OT
Gender: Female
# NPI: 1124328091
7800 Shoal Creek Blvd
Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Board Certifications: None
Language(s): Spanish
Austin
Edwards, Sara H, OT
Gender: Female
NPI: 1679706626
1400 N IH 35
Ste 320
J (512) 324-8240
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: None
Austin
Gieringer, Abbye C, OT
Gender: Female
NPI: 1790026805
706A W Ben White Blvd
Ste 150A
J (512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
* Leaving Network: 2016-11-01
Erben, David M, OT
Gender: Male
NPI: 1013060433
2171 Woodward St
Ste B
J (888) 997-2669
#
J
#
J
#
J
Austin
Austin
Austin
Austin
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Hersom, Lynne L, OT
Gender: Female
# NPI: 1972705234
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Austin
Hiebeler, Diana L, OT
Gender: Female
# NPI: 1962578492
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
Austin
NPI: 1962578492
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Austin
Austin
Aus tin
Aus tin
Dea, Willow, OT
Gender: Female
NPI: 1245316983
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Austin
NPI: 1013060433
4301 W William Cannon Dr
Bldg E Ste 320
(888) 997-2669
NPI: 1013060433
8868 Research Blvd
Ste 601
(512) 467-7232
Haass, Jean C, OT
Gender: Female
NPI: 1205191921
13642 N Hwy 183
Ste 200
(512) 331-4115
Clinic Affiliation: Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Haber, Alaena C, OT
Gender: Female
# NPI: 1962877167
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Austin
#
Austin
Fontana, Emily E, OT
Gender: Female
NPI: 1255399390
6911 RR 620 N Ste B201
(512) 467-4546
Clinic Affiliation: Endeavor Rehab Center
Board Certifications: None
NPI: 1346554789
12701 FM 620
(512) 401-0700
NPI: 1346554789
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
Austin
NPI: 1013060433
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Hoke, Valerie I, OT
Gender: Female
NPI: 1346554789
10001 S Interstate 35
Bldg 3 Ste 300
(888) 997-2669
#
NPI: 1346554789
4310 James Casey St
Ste 3C
(512) 441-6008
NPI: 1346554789
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers, Greater Austin Orthopaedics
Board Certifications: None
Language(s): English, Spanish
Hamrick, Mary E, OT
Gender: Female
NPI: 1023367067
176 E Ben White Blvd
Ste 150A
(512) 441-5100
Howell, Luann H, OT
Gender: Female
NPI: 1619262706
8505 Cross Park Dr
Ste 120
J (512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
Austin
NPI: 1023367067
706 W Ben White Blvd
Ste 150A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Friedrich, Josephine L, OT
Gender: Female
NPI: 1386986636
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Austin
Friesen, Hannah M, OT
Gender: Female
NPI: 1518375112
1215 Red River St
(512) 324-7131
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Harrington, Kristin, OT
Gender: Female
NPI: 1316334162
5401 La Crosse Ave
Bldg C
(512) 852-8134
Clinic Affiliation: Spero Rehabilitation LLC
Board Certifications: None
Language(s): Spanish
Hazel, Enrique R, OT
Gender: Male
NPI: 1730282807
1033 La Posada Dr
Ste 308
J (512) 284-7192
Clinic Affiliation: Endeavor Rehab Center
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
#
Ivey, Andrea, OT
Gender: Female
# NPI: 1588037907
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Austin
Austin
Gaharan, Christine M, OT
Gender: Female
NPI: 1457433096
2301 Riddle Rd
(512) 233-4000
Clinic Affiliation: Kid Sensations
Board Certifications: None
Garcia, Debora L, OT
Gender: Female
NPI: 1821267287
13802 N Hwy 183
Ste 108
(512) 827-3601
Clinic Affiliation: Little Land Pediatric
Therapy and
Board Certifications: None
Language(s): Spanish
Austin
Hebert, Laurie M, OT
Gender: Female
NPI: 1265601702
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
#
Jones, Ashley M, OT
Gender: Female
NPI: 1669807467
7800 Shoal Creek Blvd
Ste 110W
(512) 610-1190
NPI: 1669807467
8863 Anderson Mill Rd
Ste 117
(512) 250-5299
Clinic Affiliation: Austin Communication
Station Inc, Turning Point Integrated Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
56
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
OCCUPATIONAL THERAPY (cont.)
Austin
Jones, Molly A, OT
Gender: Female
NPI: 1356760086
706 A Ben White Blvd
Ste 150A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Knife, Kelsi B, OT
Gender: Female
# NPI: 1366866915
12710 Research Blvd
Ste 395
(512) 250-8706
Clinic Affiliation: Capital Area Speech
Therapy PLLC
Board Certifications: None
Austin
Austin
Knight, Christina L, OT
Gender: Female
NPI: 1588779490
12201 Renfert Way
Ste 115
(512) 551-0375
Clinic Affiliation: Harris S Rose MD PLLC
Board Certifications: None
Kuck, Melissa A, OT
Gender: Female
# NPI: 1518349018
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Austin
#
Lied, Carolyn P, OT
Gender: Female
# NPI: 1669747556
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
#
Lopez, Guillermo, OT
Gender: Male
NPI: 1427188648
6207 Sheridan Ave
J (512) 334-4411
Ongay, Paulina, OT
Gender: Female
# NPI: 1174949788
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
Austin
NPI: 1306095369
13642 N Hwy 183
Ste 200
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Language(s): Arabic, Spanish
Aus tin
Otoole, Dale D, OT
Gender: Male
NPI: 1487714135
7401 W Hwy 71
Ste 130
J (512) 288-2700
Clinic Affiliation: Star Physical Therapy
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
McSpadden, Jenna K, OT
Gender: Female
NPI: 1821330994
10001 S Interstate 35
Bldg 3 Ste 300
(888) 997-2669
Austin
NPI: 1821330994
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Aus tin
Aus tin
Peralez, Gina A, OT
Gender: Female
# NPI: 1962732537
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC
Board Certifications: None
Language(s): American Sign, Spanish
Merring, Curtis A, OT
Gender: Male
NPI: 1962819672
1215 Red River
(512) 479-3530
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Petrie, Jason P, OT
Gender: Male
NPI: 1174898167
7800 Shoal Creek Blvd
Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Mills, Genelle L, OT
Gender: Male
NPI: 1689898967
6207 Sheridan Ave
(512) 334-4411
Clinic Affiliation: Any Baby Can
Board Certifications: None
Language(s): Spanish
Moore, Farah M, OT
Gender: Female
# NPI: 1447563564
12710 Research Blvd
Ste 395
(512) 250-8706
Clinic Affiliation: Capital Area Speech
Therapy PLLC
Board Certifications: None
NPI: 1427188648
6207 Sheridan Ave
Ste 200
(512) 334-4411
Clinic Affiliation: Any Baby Can
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Chinese,
Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Palacios, Jose L, OT
Gender: Male
NPI: 1376734608
11330 Farrah Ln
(800) 677-1202
Clinic Affiliation: Rehabcare Group
Board Certifications: None
Austin
Aus tin
Aus tin
Osborn, Laura, LPT
Gender: Female
NPI: 1790178614
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
McLean, Alyssa N, OT
Gender: Female
# NPI: 1932534740
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
NPI: 1245506542
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC, Total
Communication
Board Certifications: None
Language(s): Spanish
Aus tin
Austin
Logan, Christine M, OT
Gender: Female
NPI: 1295011831
2603 Jones Rd
J (512) 664-3354
Clinic Affiliation: The Weston Group Inc
Board Certifications: None
Myers, Kristin, OT
Gender: Female
# NPI: 1902053325
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Marshall, Deborah L, OT
Gender: Female
# NPI: 1306095369
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
Lafitte, Erin M, OT
Gender: Female
NPI: 1902166432
12201 Renfert Way
Ste 115
J (512) 551-0375
Clinic Affiliation: Harris S Rose MD PLLC
Board Certifications: None
Lantz, Eric G, OT
Gender: Male
NPI: 1154739753
1215 Red River St
(512) 324-7131
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Maas, Christene B, OT
Gender: Female
NPI: 1245506542
4422 Pack Saddle Pass
Ste 104
(512) 444-3345
Aus tin
Austin
Austin
Specialists
Austin
Mutschink, Jaime D, OT
Gender: Female
NPI: 1811321326
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Piper, Connie L, OT
Gender: Female
NPI: 1851427249
4425 S Mo Pac Expressway
Bldg 2 Ste 102
(512) 407-8766
Clinic Affiliation: Eclipse Healthcare LLC
Board Certifications: None
Language(s): Spanish
Platz, Megan K, OT
Gender: Female
# NPI: 1164606331
3607 Manchaca Rd
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
AUSTIN
Polston, Brittany L, OT
Gender: Female
# NPI: 1831459510
3211 Hancock Dr
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Austin
Pryne, Rama C, OT
Gender: Female
# NPI: 1164530192
2312 Western Trails Blvd
Ste 401
(512) 293-5388
Clinic Affiliation: Acupuncture and Rehab
Clinic of A
Board Certifications: None
Language(s): Hindi, Spanish
Austin
Austin
Ricketts, Lisa A, OT
Gender: Female
# NPI: 1144656745
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Austin
Ritter, Jody, OT
Gender: Female
NPI: 1548500564
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign
Austin
#
Rosado, Danniel R, OT
Gender: Female
# NPI: 1962893602
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Austin
Ruiz, Raiza C, OT
Gender: Female
# NPI: 1467678995
8505 Cross Park Dr
Ste 120
J (512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Sanders, Jennifer M, OT
Gender: Female
NPI: 1497860357
1400 N IH 35
Ste 320
J (512) 324-8240
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Pokluda, Rebecca L, OT
Gender: Female
NPI: 1962584847
3607 Manchaca
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): Spanish
Austin
#
Radetsky, Linda D, OT
Gender: Female
NPI: 1457488801
4425 S Mo Pac Expwy
Ste 102 2
(512) 407-8766
Clinic Affiliation: Eclipse Healthcare LLC
Board Certifications: None
Language(s): Spanish
Sawyers Robles, Elizabeth A, OT
Gender: Female
NPI: 1194056721
3303 Northland Dr Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Board Certifications: None
Scaparra, Joan M, OT
Gender: Female
# NPI: 1548653140
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
57
Specialists
AUSTIN
Austin
AUSTIN (cont.)
OCCUPATIONAL THERAPY (cont.)
Schluntz, Julianne O, OT
Gender: Female
# NPI: 1396140877
9433 Bee Caves Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Aus tin
Silva, Isabel J, OT
Gender: Female
NPI: 1255462438
6207 Sheridan Ave
Ste 200
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Skoza, Emily K, OT
Gender: Female
NPI: 1902138092
1825 Fortview Rd
Ste 103
(512) 444-4263
NPI: 1902138092
5401 La Crosse Ave
Bldg C
(512) 852-8134
Clinic Affiliation: Spero Rehabilitation LLC,
The Hand Clinic of Austin PC
Board Certifications: None
Smith, M Teresa, OT
Gender: Female
# NPI: 1316007818
3303 Northland Dr
Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Spence, Carlie M, OT
Gender: Female
# NPI: 1902952823
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Aus tin
J
Ward, Delfin B, OT
Gender: Male
NPI: 1497009559
1700 S Lamar Blvd
Ste 330
(512) 774-0260
NPI: 1497009559
5625 Eiger Rd
Ste 200
(512) 814-1807
Clinic Affiliation: Primo Performance and
Rehab Inc, Texas Lymphedema LLC
Board Certifications: None
Tatro, Keely E, OT
Gender: Female
NPI: 1295114833
5401 La Crosse Ave
Bldg C
(512) 852-8134
Clinic Affiliation: Spero Rehabilitation LLC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Thibodeaux, Alexa, OT
Gender: Female
# NPI: 1346610904
3607 Manchaca Rd
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Tobias, Lisa, OT
Gender: Female
# NPI: 1487809240
3211 Hancock Dr
J (512) 533-9313
Austin
Austin
NPI: 1487809240
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Childrens Therapeutics of
Austin, Kidtherapy PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German
Stuart, Molly M, OT
Gender: Female
# NPI: 1740424316
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Castillo, Rene A, MD
Austin
J
Wisnieski, Sharon A, OT
Gender: Female
# NPI: 1750539417
3303 Northland Dr Ste 312
J (512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Toney, Samantha M, OT
Gender: Female
NPI: 1558569152
1825 Fort View Rd Ste 103
(512) 444-4263
Young, Rosalinda, OT
Gender: Female
NPI: 1376962886
13642 N Hwy 183
Bldg 2 Ste 200
J (512) 331-4115
Clinic Affiliation: Therapy One Austin Inc
Board Certifications: None
Austin
Zumberge, Robin M, OT
Gender: Female
# NPI: 1942399662
1825 Fortview Rd
Ste 103
J (512) 444-4263
Clinic Affiliation: The Hand Clinic of Austin
PC
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Wallace, Lisa A, OT
Gender: Female
NPI: 1417365016
1215 Red River St
(512) 324-7131
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Gender: Male
NPI: 1134186166
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: North Austin Medical
Center, Northwest Surgery Center Llp, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
" Chadha, Punit, MD
Austin
J
Gender: Male
NPI: 1497778229
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
" Gorrebeeck, Allison E, MD
Austin
Gender: Female
NPI: 1467548628
12221 N Mopac Expwy
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
" Hagin, Gerald D, MD
Austin
Gender: Male
NPI: 1285606483
12221 N Mopac Expwy
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Italian, Spanish
Austin
NPI: 1558569152
5625 Eiger Rd
Ste 175
(512) 326-2800
Clinic Affiliation: Greater Austin
Orthopaedics, The Hand Clinic of Austin PC
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Willms, M Renee, OT
Gender: Female
NPI: 1790825230
1825 Fortview Rd
Ste 103
(512) 444-4263
Clinic Affiliation: The Hand Clinic of Austin
PC
Board Certifications: None
Language(s): American Sign, Spanish
Winter, Jamie L, OT
Gender: Female
NPI: 1346424801
1825 Fortview Rd
Ste 103
J (512) 444-4263
Clinic Affiliation: The Hand Clinic of Austin
PC
Board Certifications: None
Language(s): Spanish
NPI: 1558569152
4310 James Casey St
Ste 3C
(512) 326-2800
Austin
Wilde, Nanette H, OT
Gender: Female
NPI: 1770859019
13642 N Hwy 183
Ste 200
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC
Board Certifications: None
Language(s): American Sign, Spanish, Thai
* Leaving Network: 2016-11-01
#
Tomlin, Jenna M, OT
Gender: Female
# NPI: 1841690609
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Weinstein, Leslie N, OT
Gender: Female
NPI: 1710155312
11819 Pavillion Blvd
(972) 808-2351
Clinic Affiliation: Rehabcare Group
Board Certifications: None
ONCOLOGY
Austin
Austin
Still, Christina, OT
Gender: Female
NPI: 1699816579
711 W 38th St
Ste C-11
(512) 302-3922
NPI: 1699816579
711 W 38th St Ste C11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist
PC
Board Certifications: None
Austin
Austin
Aus tin
Aus tin
Tannreuther, Dianne H, OT
Gender: Female
NPI: 1770660466
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
NPI: 1770660466
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Hoverman, John R, MD
Gender: Male
NPI: 1508808494
6204 Balcones Dr
J (512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Austin
Hudson, Kathryn E, MD
Gender: Female
NPI: 1194987776
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
58
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Patt, Debra A, MD
Tebcherany, Dina J, MD
Gender: Female
NPI: 1578501664
4101 James Casey St
Ste 100
J (512) 447-2202
Aus tin
AUSTIN (cont.)
ONCOLOGY (cont.)
Kampe, Carsten E, MD
Gender: Male
NPI: 1912944521
4101 James Casey St
Ste 100
J (512) 447-2202
Austin
J
J
J
J
NPI: 1912944521
6101 Balcones Dr
Ste 101
(512) 406-5150
NPI: 1912944521
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, Heart Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
J
J
" Loukas, Demetrius F, MD
J
J
" Barbarino, Sheila, MD
Gender: Female
NPI: 1659578698
901 S Mopac Expwy
Bldg 4 Ste 350
(512) 347-0255
Hospital Affiliations: St Davids Medical
Center
Clinic Affiliation: Dell Laser Consultants
Board Certifications: Ophthalmology
" Barker, Luke A, MD
Austin
Gender: Male
NPI: 1477717759
2600 Via Fortuna
Ste 400
(281) 446-7900
NPI: 1477717759
4314 W Braker Ln
Ste 215
(512) 327-4123
Hospital Affiliations: Tx Hlth Harris
Methodist Hosp Sw
Clinic Affiliation: Mann Eye Center
Practice Information: No Patients Under 8
yrs old
Board Certifications: Ophthalmology
Language(s): Spanish
Youman III, Joseph D, MD
Gender: Male
NPI: 1679511125
901 W 38th St Ste 300
J (512) 421-4100
Hospital Affiliations: North Austin Medical
Center, Northwest Surgery Center Llp,
Round Rock Medical Center, Seton Medical
Center, St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
" Berger, Brian B, MD
Austin
Austin
#
J
#
J
" Zoghi, Behyar, MD
Austin
" Smith, Jason L, MD
Aus tin
Gender: Male
NPI: 1114137064
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
J
Gender: Male
NPI: 1497955447
901 W Ben White Blvd
(512) 447-2211
Hospital Affiliations: Methodist Hospital,
Methodist Specialty And Transplant Hospital
Clinic Affiliation: Methodist Physician
Practices PLL
Board Certifications: Oncology
Language(s): Spanish
Gender: Female
NPI: 1275611352
3705 Medical Pkwy
Ste 120
(512) 458-2141
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: Ophthalmology
Language(s): Spanish
Austin
" Yorio, Jeffrey T, MD
Gender: Female
NPI: 1982661674
12221 Renfert Way
Ste 300
(512) 873-8900
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Amato, Malena M, MD
Austin
Gender: Male
NPI: 1215197314
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Gender: Female
NPI: 1275619496
4207 James Casey St
Ste 303
(512) 443-2046
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Sign Language, Spanish
Austin
NPI: 1609010800
900 E 30th St
Ste 100
(512) 505-5500
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
" Shrikhande, Shubhada S, MD
J
NPI: 1801834809
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Gender: Male
NPI: 1609010800
5625 Eiger Rd
Ste 200
(512) 505-5500
Aus tin
" Netaji, Balijepalli, MD
J
" Vinjamaram, Sanjay, MD
Gender: Male
NPI: 1730164591
11111 Research Blvd
Ste 450
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): German, Hebrew, Italian,
Spanish
Austin
" Alexander, Maureen M, MD
Austin
Austin
" Shimkus, Brian J, MD
" Meeneghan, Mathew R, MD
Gender: Male
NPI: 1982642914
12221 Renfert Way Ste 300
(512) 873-8900
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, St Davids Georgetown Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
J
Aus tin
Austin
Gender: Male
NPI: 1467695460
4101 James Casey
Ste 100
(512) 447-2202
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Southwest, University
Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Teneriello, Michael G, MD
Gender: Male
NPI: 1801834809
4101 James Casey St
Ste 100
J (512) 447-2202
Gender: Male
NPI: 1376585505
6101 Balcones Dr
Ste 101
(512) 406-5150
NPI: 1376585505
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
NPI: 1578501664
6101 Balcones Dr
Ste 101
(512) 406-5150
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): Arabic, French, Spanish
OPHTHALMOLOGY
Austin
" Sandbach, John F, MD
Austin
J
Gender: Male
NPI: 1275571879
901 W 38th St Ste 200
(512) 421-4100
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Aus tin
NPI: 1669414652
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Gender: Male
NPI: 1154369775
901 W 38th St Ste 200
(512) 421-4100
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
J
" Rubin De Celis, Carlos, MD
" Kasper, Michael L, MD
J
NPI: 1003839820
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Heart Hospital Of Austin, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Aus tin
Austin
Gender: Male
NPI: 1669414652
6101 Balcones Dr
Ste 101
(512) 406-5150
Austin
Gender: Female
NPI: 1003839820
4101 James Casey St
Ste 100
(512) 447-2202
AUSTIN
Gender: Male
NPI: 1649257312
2500 W William Cannon
Dr Ste 801
(512) 454-5851
NPI: 1649257312
3705 Medical Pkwy Ste 410
(512) 454-5851
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Retina Consultants of
Austin PA
Board Certifications: Ophthalmology
Language(s): Chinese, Hindi, Spanish
" Berger, Michelle A, MD
Austin
J
Gender: Female
NPI: 1811960693
4100 Duval Rd Bldg 4
Ste 205
(512) 997-7750
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
59
Specialists
AUSTIN
" Chexal, Saradha, MD
" Golde, Kimberly T, MD
Austin
AUSTIN (cont.)
OPHTHALMOLOGY (cont.)
" Blaydon, Sean M, MD
Aus tin
J
Gender: Male
NPI: 1730170622
3705 Medical Pkwy
Ste 120
(512) 458-2141
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
J
" Brent, Byron D, MD
#
J
J
Gender: Male
NPI: 1881648038
2610 S Interstate 35
(512) 651-2201
J
NPI: 1881648038
3807 Spicewood Springs Rd
Ste 101
(512) 651-2201
J
NPI: 1881648038
5625 Eiger Rd
Ste 100
(512) 651-2201
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Retina Institute PA
Practice Information: No Patients Under 10
yrs old
Board Certifications: Ophthalmology
Language(s): Spanish
" Hoang, Lan T, MD
J
Gender: Female
NPI: 1720223449
11111 Research Blvd
Ste 220
(512) 324-6755
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Vietnamese
J
Gender: Male
NPI: 1508829227
1020 W 34th St
(210) 616-0739
Hospital Affiliations: Bailey Square Surgery
Center, Methodist Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: Texas Oculoplastic
Surgeons
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
J
J
Feuerman, Jason M, MD
Gender: Male
NPI: 1205147634
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Eye Institute of Austin
Board Certifications: None
Gender: Male
NPI: 1063594281
4005 Spicewood Spgs
Ste C600
(512) 346-6421
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): French, Greek, Spanish
" Keeland, Ruth Kimberly, MD
Austin
J
J
Gender: Female
NPI: 1265417315
1700 S Mopac
(512) 327-7000
NPI: 1265417315
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): Sign Language, Spanish
" Lewis, Douglas E, MD
Austin
J
Gender: Male
NPI: 1225013980
1700 S Mopac
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): Sign Language, Spanish
" Lindsey, Janet A, MD
Austin
J
" Jackson Jr, Oscar B, MD
Gender: Male
NPI: 1215019278
3509 Lawton Ave
(512) 451-0234
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Jackson Jr Oscar B MD
Board Certifications: Ophthalmology
Language(s): Spanish
NPI: 1114117769
3705 Medical Pkwy
Ste 410
(512) 454-5851
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Retina Consultants of
Austin PA
Board Certifications: Ophthalmology
Language(s): Spanish
" Kalpaxis, James G, MD
Austin
Gender: Male
NPI: 1871683540
3705 Medical Pkwy
Ste 120
(512) 458-2141
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
Gender: Male
NPI: 1114117769
2500 W William Cannon
Dr Ste 801
(512) 454-5851
Austin
" Hollsten, Donald A, MD
" Durairaj, Vikram D, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Austin
Austin
Austin
Gender: Male
NPI: 1407045339
3410 Far West Blvd
Ste 140
(512) 427-1100
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Eye Clinic of Austin
Board Certifications: Ophthalmology
Language(s): Spanish
Austin
NPI: 1740461136
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Northwest Surgery
Center Llp, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish,
Vietnamese
Gender: Female
NPI: 1174757751
1009 E 40th St
Ste 200
(512) 454-2020
NPI: 1174757751
11901 Jollyville Rd
(512) 250-2020
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Eye Clinic Assoc
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Chinese, Spanish,
Vietnamese
J
Gender: Female
NPI: 1740461136
1700 S Mo Pac Expwy
(512) 327-7000
" Bui, Marie T, MD
J
" Henderson, Thomas T, MD
" Dudek, Lara T, MD
Aus tin
Gender: Male
NPI: 1609861897
901 W 38th St
Ste 303
(512) 452-8467
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Glaucoma Institute of
Austin PA
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Jhaveri, Chirag D, MD
Austin
Austin
Austin
" Briggs, Richard B, MD
J
J
" Djafari, Valla, MD
Aus tin
Gender: Male
NPI: 1699740712
6801 Manchaca
(512) 444-2015
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Richard Briggs
Board Certifications: Ophthalmology
Language(s): Spanish
" Hayhurst, Russell A, MD
Austin
Austin
Aus tin
Gender: Male
NPI: 1942395165
11111 Research Blvd
Ste 170
(512) 338-5222
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Premier Eye Care PA
Board Certifications: Ophthalmology
Language(s): Greek, Spanish
NPI: 1013258730
3705 Medical Pkwy
Ste 410
(512) 454-5851
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Retina Consultants of
Austin PA
Board Certifications: Ophthalmology
Language(s): Chinese, Spanish
Gender: Male
NPI: 1366428856
901 S Mopac Expwy
Bldg 4 Ste 350
(512) 347-0255
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Dell Laser Consultants
Board Certifications: Ophthalmology
Language(s): Spanish, Vietnamese
Gender: Male
NPI: 1417142977
1700 S Mo Pac Expwy
(512) 327-7000
Bratton, Emily M, MD
Gender: Female
NPI: 1972822492
3705 Medical Pkwy
Ste 120
(512) 458-2141
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: None
Gender: Female
NPI: 1457512451
6801 Manchaca
(512) 444-2015
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Richard Briggs
Board Certifications: Ophthalmology
" Dell, Steven J, MD
" Branch, John W, MD
Aus tin
Austin
Gender: Female
NPI: 1013258730
2500 W William Cannon
Dr Ste 801
(512) 454-5851
Austin
Aus tin
NPI: 1417142977
5717 Balconies Dr
(512) 327-7000
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Texan Eye
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1790781029
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Eye Institute of Austin
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
" Loose, Isaac A, MD
Austin
J
Gender: Male
NPI: 1821075664
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Medical Park Tower Surg Ctr
Llc, Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
60
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Nakra, Tanuj, MD
" Rhodes, Kyle M, MD
Aus tin
AUSTIN (cont.)
OPHTHALMOLOGY (cont.)
" Mann II, Paul M, MD
Austin
J
Gender: Male
NPI: 1467440909
2600 Via Fortuna
(888) 809-1133
Hospital Affiliations: Kingwood Medical
Center
Clinic Affiliation: Mann Eye Center
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Marquis, Robert E, MD
Austin
J
J
Gender: Male
NPI: 1902881048
1700 S Mopac
(512) 327-7000
NPI: 1902881048
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: John Peter Smith
Hospital, Parkland Health And Hospital Sys,
Seton Medical Center, Seton Northwest
Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
Nieman, Yen Dang, MD
Gender: Female
NPI: 1295825784
1700 S Mopac
J (512) 327-7000
J
J
Gender: Female
NPI: 1336196542
1700 S Mopac Expwy
(512) 327-7000
J
Austin
#
Gender: Male
NPI: 1720089592
11111 Research Blvd
Ste 170
(512) 338-5222
Hospital Affiliations: Bailey Square Surgery
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital
Clinic Affiliation: Premier Eye Care PA
Board Certifications: Ophthalmology
Language(s): Spanish
J
Gender: Female
NPI: 1821223850
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Medical Park Tower
Surg Ctr Llc, Seton Medical Center
Clinic Affiliation: Eye Institute of Austin
Practice Information: No Patients Under 12
yrs old, Public Transportation Access,
Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
Ross, Andrew W, MD
Gender: Male
NPI: 1992708242
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, St Davids
Medical Center, Univ Of Tx Med Branch
Galveston
Clinic Affiliation: Eye Institute of Austin
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1205831344
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Eye Institute of Austin
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
" Rylander, Henry G, MD
Austin
J
" Rainey, Annis M, MD
Gender: Female
NPI: 1538111968
11111 Research Blvd
Ste 220
(512) 324-3313
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Spanish
NPI: 1700085248
3807 Spicewood Springs
Rd Ste 101
(512) 651-2201
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Retina Institute PA
Board Certifications: Ophthalmology
Language(s): Portuguese, Spanish
" Rylander, Gary R, MD
Aus tin
" Murphy, Lori M, MD
Gender: Male
NPI: 1700085248
2610 S Interstate 35
(512) 651-2201
Austin
" Pierce, Karl R, MD
Austin
J
J
Aus tin
J
NPI: 1336196542
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
Gender: Male
NPI: 1124224464
11901 Jollyville Rd
(512) 250-2020
Hospital Affiliations: Austin Eye Laser And
Surgicenter, Bailey Square Surgery Center,
Heart Hospital Of Austin, St Davids Medical
Center
Clinic Affiliation: Austin Eye Clinic Assoc
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
Gender: Female
NPI: 1376545186
11111 Research Blvd
Ste 220
(512) 324-6755
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Spanish
Gender: Male
NPI: 1780786491
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Medical Park Tower
Surg Ctr Llc, Seton Medical Center
Clinic Affiliation: Eye Institute of Austin
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Monheit, Blythe E, MD
J
" Onan, Marsha H, MD
" McKinley, Steven H, MD
J
" Sargent, Kristin A, MD
J
J
NPI: 1508841644
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Medical City Dallas Hospital, Park
Central Surgical Center, Parkland Health
And Hospital Sys, Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Shore, John W, MD
J
Gender: Male
NPI: 1194716035
3705 Medical Pkwy
Ste 120
(512) 458-2141
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: Ophthalmology
Language(s): Spanish
" Smith, Randolph T, MD
Austin
Gender: Male
NPI: 1710970132
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Bailey Square Surgery
Center, Medical Park Tower Surg Ctr Llc,
Seton Medical Center, St Davids Medical
Center
Clinic Affiliation: Eye Institute of Austin
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Smith, Stephen R, MD
Austin
Gender: Male
NPI: 1063402295
7200 N Mopac Expwy
Ste 200
(512) 241-1806
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Central Texas Retina and
Vitreous
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
" Sanchez, Cecilia R, MD
Austin
Austin
Somogyi, Marie B, MD
Gender: Female
NPI: 1245572338
3705 Medical Pkwy Ste 120
(512) 458-2141
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: None
Language(s): Spanish
" Varu, Divya M, MD
Austin
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1508841644
1700 S Mo Pac Expwy
(512) 327-7000
Austin
Gender: Male
NPI: 1245233618
3300 W Anderson Ln
Ste 308
(512) 454-8744
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center
Clinic Affiliation: Eye Institute of Austin
Board Certifications: Ophthalmology
Language(s): Spanish
Gender: Female
NPI: 1376616011
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): Spanish, Vietnamese
Gender: Female
NPI: 1699752576
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish,
Vietnamese
Austin
" Roller, Aaron B, MD
Aus tin
Austin
Austin
NPI: 1295825784
5717 Balcones Dr
(512) 327-7000
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish,
Vietnamese
" Odette, John D, MD
#
" Sargent, Julia B, MD
Austin
Austin
Aus tin
" McCluskey, Marilyn M, MD
#
Gender: Male
NPI: 1821272378
3410 Far West Blvd
Ste 140
(512) 427-1100
Hospital Affiliations: North Austin Medical
Center, Parkland Health And Hospital Sys,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center
Clinic Affiliation: Eye Clinic of Austin
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Aus tin
Austin
Gender: Female
NPI: 1104907492
11111 Research Blvd
Ste 170
(512) 338-5222
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Premier Eye Care PA
Board Certifications: Ophthalmology
Language(s): Spanish
Austin
Gender: Male
NPI: 1366464653
3705 Medical Pkwy Ste 120
(512) 458-2141
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: Ophthalmology
Language(s): Spanish
AUSTIN
Gender: Female
NPI: 1639311194
901 S Mopac Expwy
Bldg 4 Ste 350
(512) 347-0255
Clinic Affiliation: Dell Laser Consultants
Board Certifications: Ophthalmology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
61
Specialists
AUSTIN
AUSTIN (cont.)
ORAL SURGERY
" Breazeale, Nathan M, MD
Austin
" Casmedes III, Harry P, DDS
Austin
OPHTHALMOLOGY (cont.)
Aus tin
Vrcek, Ivan, MD
Gender: Male
NPI: 1184914806
3705 Medical Parkway
Ste 120
(512) 458-2141
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Texas Oculoplastic
Consultants
Board Certifications: None
J
Gender: Female
NPI: 1912984857
7000 N Mopac Expwy
Ste 110
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
J
" Wong, Mitchel, MD
Aus tin
#
J
#
J
Gender: Male
NPI: 1659379204
1009 E 40th St Ste 200
(512) 454-2020
NPI: 1659379204
11901 Jollyville Rd
(512) 250-2020
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Eye Clinic Assoc
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
NPI: 1679799431
901 W 38th St Ste 410
(512) 324-1000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Oral Surgery
" Burris, Michael W, MD
ORTHOPEDIC SURGERY
Austin
" Akhtar, Omar H, MD
" Wong, Shannon M, MD
Gender: Male
NPI: 1417150202
12201 Renfert Way
Ste 370
(512) 617-1989
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Capital City Orthopaedics
PA
Board Certifications: Orthopedic Surgery
J
#
J
Austin
Gender: Male
NPI: 1497753040
1009 E 40th St Ste 200
(512) 454-2020
NPI: 1497753040
11901 Jollyville Rd
(512) 250-2020
Hospital Affiliations: Austin Eye Laser And
Surgicenter, Bailey Square Surgery Center,
Seton Northwest Hospital
Clinic Affiliation: Austin Eye Clinic Assoc
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
J
NPI: 1528038312
900 W 38th St
Ste 300
(512) 450-1300
J
NPI: 1528038312
911 W 38th St
Ste 101
(512) 410-0767
Gender: Male
NPI: 1003029828
12201 Renfert Way
Ste 370
(512) 617-1989
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: Capital City Orthopaedics
PA
Board Certifications: Orthopedic Surgery
NPI: 1528038312
911 W 38th St Ste 101
(512) 410-0767
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Sports Medicine, F
Kelly Cunningham MD
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Dalton, Mark R, MD
Gender: Male
NPI: 1457324816
901 W 38th St
Ste 301
J (512) 225-6335
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Mark Ray Dalton MD
Board Certifications: None
Language(s): Spanish
Austin
" Elenz, Douglas R, MD
Austin
" Chen, Dean, MD
Gender: Male
NPI: 1952313181
4310 James Casey St
Ste 3C
(512) 326-2800
Gender: Male
NPI: 1366423246
2500 W Wm Cannon Dr
Ste 401
(512) 451-1969
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Central Park Surgery Center,
North Austin Medical Center, Round Rock
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, Surgicare Of
South Austin, University Med Ctr
Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Arabic, Spanish
NPI: 1952313181
5625 Eiger Rd
Ste 175
(512) 326-2800
NPI: 1952313181
9707 Anderson Mill Rd
Ste 230
(512) 326-2800
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Amis, Benjamin P, MD
Gender: Male
NPI: 1528266863
3901 Medical Pkwy
Ste 301
(512) 960-4590
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Benjamin P Amis MD
PLLC
Board Certifications: None
J
" Fox, Joshua C, MD
Gender: Male
NPI: 1760685366
1015 E 32nd St
(512) 244-0766
Hospital Affiliations: Bailey Square Surgery
Center, Parkland Health And Hospital Sys,
Seton Medical Center, St Davids Medical
Center
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Orthopedic Surgery
" Gallagher, Sean M, MD
Austin
Gender: Male
NPI: 1477744654
3901 Medical Pkwy
Ste 301
(512) 960-4590
Hospital Affiliations: St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Sean M Gallagher MD
PLLC
Board Certifications: Orthopedic Surgery
Language(s): Spanish
" Anderson, Cody N, MD
" Woodward, Lee M, MD
Gender: Male
NPI: 1619157419
11111 Research Blvd
Ste 220
(512) 324-6755
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1285814244
12201 Renfert Way
Ste 115
(512) 551-0375
Hospital Affiliations: East Texas Medical
Center
Clinic Affiliation: Harris S Rose MD PLLC
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Gender: Male
NPI: 1205806171
900 W 38th St Ste 300
(512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
Austin
Austin
Aus tin
J
J
Gender: Male
NPI: 1528038312
6836 Bee Caves Rd
Bldg 103
(512) 410-0767
Austin
" Albrecht, Michael M, MD
Aus tin
#
J
Austin
J
Gender: Male
NPI: 1023015773
11652 Jollyville Rd
(512) 977-0000
NPI: 1023015773
12309 N Mopac Expwy
Ste 150
(512) 977-0000
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, North
Austin Surgery Center, Seton Medical
Center, Seton Northwest Hospital
Clinic Affiliation: North Austin Sports
Medicine, Orthopaedic Assoc of Central
Texas PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
NPI: 1609852664
5717 Balconies Dr
(512) 327-7000
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Cunningham, F K, MD
Austin
" Brotzman, Steven B, MD
NPI: 1679799431
601 E 15th St
(512) 992-1378
" Walters, Thomas R, MD
Gender: Male
NPI: 1194795062
900 W 38th St Ste 300
(512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
Gender: Female
NPI: 1679799431
4900 Mueller Blvd
(512) 992-1378
Aus tin
J
J
" Kristovich, Ann H, DDS
" Wagner, Theresa E, MD
Gender: Male
NPI: 1609852664
1700 S Mo Pac Expwy
(512) 327-7000
Gender: Male
NPI: 1013084169
901 W 38th St Ste 410
(512) 992-1378
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Oral Surgery
Language(s): Spanish
Austin
Aus tin
J
OCTOBER 03, 2016
bmkp_in_spec
" Geck, Matthew J, MD
Austin
Gender: Male
NPI: 1073561833
1600 W 38th St
Ste 200
(512) 324-3580
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Orthopedic Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
62
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Manuel, Jacob B, MD
" Rose, Harris S, MD
Aus tin
AUSTIN (cont.)
ORTHOPEDIC SURGERY (cont.)
Graham II, Robert D, MD
Gender: Male
NPI: 1215935820
12309 N Mopac Expwy
Ste 150
J (512) 593-2747
Hospital Affiliations: North Austin Medical
Center, North Austin Surgery Center, Seton
Edgar B Davis, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: None
Language(s): Spanish
Austin
Aus tin
Gender: Male
NPI: 1659381358
4310 James Casey St
Ste 3C
(512) 326-2800
J
NPI: 1659381358
5625 Eiger Rd
Ste 175
(512) 326-2800
Hospital Affiliations: Baptist Health
System, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Greater Austin
Orthopaedics, Hc Orthopaedics PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
Jobe, Jeffrey T, MD
Gender: Male
NPI: 1487882296
4310 James Casey St
Ste 3C
(512) 326-2800
NPI: 1487882296
5625 Eiger Rd
Ste 175
(512) 326-2800
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1821268798
7900 FM 1826
Bldg II Ste 100
(512) 301-9922
Hospital Affiliations: Seton Medical Center,
Seton Southwest, Stonegate Surgery Center
Lp
Board Certifications: Orthopedic Surgery
Language(s): American Sign, Spanish
Norwood, Stephen M, MD
Gender: Male
NPI: 1548241714
2500 W Wm Cannon Dr
Ste 401
J (512) 451-1969
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Northwest
Hospital, Seton Southwest, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1548274913
7900 FM 1826
Ste 100 Bldg 2
(512) 301-9922
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Southwest, Stonegate Surgery Center Lp
Clinic Affiliation: Cypress Creek
Orthopedics
Board Certifications: Orthopedic Surgery
Language(s): Abkhazian, Afar, Afrikaans,
Albanian, Spanish
" Tipton Jr, George W, MD
Gender: Male
NPI: 1508970096
3724 Executive Center
Dr Ste G10
(512) 345-5925
NPI: 1508970096
4029 S Capital of Texas
Hwy Ste 111
(512) 345-5925
Hospital Affiliations: Central Park Surgery
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Orthopedic Surgery
Language(s): Spanish
" Tran, Viet N, MD
Austin
Gender: Male
NPI: 1316050990
3724 Executive Center
Dr Ste G10
(512) 345-5925
NPI: 1316050990
4029 S Capital of
Texas Hwy Ste 111
(512) 345-5925
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Orthopedic Surgery
Language(s): Spanish, Vietnamese
" Stockton, Kristopher G, MD
J
Gender: Male
NPI: 1245430289
901 W 38th St Ste 301
(512) 225-6335
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Medical City Dallas Hospital,
North Austin Medical Center, Round Rock
Medical Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Mark Ray Dalton MD
Practice Information: No Patients Under 14
yrs old
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
" Sullivan, Brian L, MD
Austin
J
" Pearce, Stephen M, MD
Aus tin
Gender: Male
NPI: 1922000504
1015 E 32nd St
(512) 244-0766
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Orthopedic Surgery
" Ring, David, MD
Aus tin
Austin
Gender: Male
NPI: 1568452746
1400 N IH 35
Ste 320
(512) 324-8320
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: Orthopedic Surgery
Gender: Male
NPI: 1053395079
2500 W Wm Cannon Dr
Ste 401
(512) 451-1969
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Medical Center
Hays, Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Smithville Reg
Hospital, Seton Southwest, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Thomas, Darryl B, MD
Gender: Male
NPI: 1326029497
5510 S IH 35
Ste 250A
(512) 301-1166
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Wellness Med Clinics LLC
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1013953900
7900 FM 1826
Health Plaza E Ste 201
(512) 504-0076
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
Austin
Gender: Male
NPI: 1710979547
1015 E 32nd St
(512) 244-0766
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Orthopedic Surgery
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
" Schram, Richard A, MD
" Pearce, John C, MD
Lerner, Andres, MD
Gender: Male
NPI: 1285865204
4303 Victory Dr
(512) 462-3627
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
" Tibbetts, Ryan M, MD
Austin
Austin
Aus tin
" Koenig, Karl M, MD
Austin
Gender: Male
NPI: 1023011889
3001 Bee Caves Rd Ste 220
(512) 244-0766
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, St Marks Medical Center, Surgicare
Of South Austin
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Aus tin
Austin
Gender: Male
NPI: 1659483865
1313 Red River
Ste 220
(512) 324-7300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Orthopedic Surgery
" Schoch III, Eugene P, MD
Austin
" Mundanthanam, George J, MD
" Kelso, Kalin D, MD
J
Marshall, Gordon P, MD
Gender: Male
NPI: 1194737320
4310 James Casey St
Ste 3C
(512) 326-2800
Aus tin
Austin
Gender: Male
NPI: 1932178001
2200 Park Bend Dr Ste 301
Bldg 1
(512) 339-0440
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Austin Orthopedics and
Sports Med
Board Certifications: Orthopedic Surgery
Gender: Male
NPI: 1558304196
12201 Renfert Way
Ste 115
(512) 551-0375
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Harris S Rose MD PLLC
Board Certifications: Orthopedic Surgery
Language(s): Spanish
NPI: 1194737320
5625 Eiger Rd Ste 175
(512) 401-8400
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
" Hasson, Newton E, MD
Austin
NPI: 1659381358
4316 James Casey St
Ste F-100
(512) 707-8544
Austin
Gender: Male
NPI: 1063628964
900 W 38th St Ste 300
(512) 450-1300
Hospital Affiliations: St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
Language(s): Spanish
AUSTIN
Truumees, Eeric, MD
Gender: Male
NPI: 1356322630
1600 W 38th St
Ste 200
(512) 324-3560
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
" Tsourmas, Nicholas F, MD
Austin
J
Gender: Male
NPI: 1336130665
2500 W Wm Cannon Dr
Ste 401
(512) 451-1969
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Smithville
Reg Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
" Williams, Ronald P, MD
Austin
J
Gender: Male
NPI: 1760498364
901 W 38th St
Ste 200
(512) 421-4100
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Orthopedic Surgery
Language(s): English, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
63
Specialists
AUSTIN
" Sawyer, Drew S, MD
Anderson, Christine M, MD
Gender: Female
NPI: 1265575260
2200 Park Bend Dr
Bldg 1 Ste 201
J (512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Georgetown Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc
Board Certifications: None
Language(s): American Sign
Austin
AUSTIN (cont.)
" Windler, Edwin C, MD
Aus tin
J
" Slaughter, Daniel P, MD
Austin
Gender: Male
NPI: 1477527778
12221 Renfert Way
Ste 110
(512) 601-0303
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: Sinus and Snoring
Specialists PA
Board Certifications: Otolaryngology
Language(s): Spanish
OTOLARYNGOLOGY
Aus tin
Attra, James, MD
Gender: Male
NPI: 1487909990
3705 Medical Pkwy
Ste 200
(512) 324-2720
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Seton ENT
Board Certifications: None
J
" Briggs, Russell D, MD
Aus tin
J
Gender: Male
NPI: 1942245196
2765 Bee Caves Rd
Ste 205
(512) 328-7722
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Hill Country Surgery Ctr, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ear Nose and Throat
Center of Aus
Board Certifications: Otolaryngology
Language(s): American Sign, Spanish
J
J
" Desai, Anjuli, MD
Gender: Female
NPI: 1760648372
8015 Shoal Creek Blvd
Ste 103
(512) 467-7246
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: Pain Management
Language(s): Hindi
" Ezekiel, Bennett J, MD
Austin
Gender: Male
NPI: 1477734721
2200 Park Bend Dr
Bldg 1 Ste 201
(512) 416-7246
NPI: 1477734721
2200 Park Bend Dr
Ste 201 Bldg 1
(512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Southwest, St Davids Georgetown
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Language(s): Sign Language
" Young, Lindsay E, MD
J
Gender: Female
NPI: 1538368618
11762 Jollyville Rd
(512) 258-2300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Great Hills ENT
Board Certifications: Otolaryngology
Language(s): Spanish
PAIN MANAGEMENT
Austin
Austin
Aijaz, Asim S, MD
Gender: Male
NPI: 1164641494
2200 Park Bend Dr
Bdlg 1 Ste 201
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Greater Houston
Anesthesiology
Board Certifications: None
Language(s): Hindi, Spanish, Urdu
Feferman, Kery L, MD
Gender: Female
NPI: 1811172620
2200 Park Bend Dr
Ste 201 Bldg 1
(512) 416-7246
NPI: 1811172620
2501 W William Cannon Dr
Ste 401
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Board Certifications: None
Language(s): American Sign, Spanish
Amasha, Raimy, MD
Gender: Male
NPI: 1760643498
8015 Shoal Creek Blvd
Ste 103
J (512) 467-7246
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: None
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Dennis, Allen L, MD
Gender: Male
NPI: 1912044793
7307 Creekbluff Dr
(512) 349-9100
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Mark T Malone MD
Board Certifications: None
Austin
Austin
" Fulmer, Robert P, MD
NPI: 1447223003
5929 Balcones Dr
Ste 200
(512) 550-1800
Hospital Affiliations: East Texas Medical
Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
Austin
Gender: Male
NPI: 1548234842
2500 W William Cannon
Dr Ste 803
(512) 550-1800
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
St Davids Medical Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
Language(s): Spanish
Aus tin
Gender: Male
NPI: 1447223003
2500 W William Cannon
Ste 803
(512) 550-1800
Gender: Female
NPI: 1972500072
2765 Bee Caves Rd
Ste 205
(512) 328-7722
Hospital Affiliations: Central Park Surgery
Center, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Round Rock
Medical Center, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ear Nose and Throat
Center of Aus
Board Certifications: Otolaryngology
" Thompson, Christopher P, MD
" Brown, Mark T, MD
Gender: Male
NPI: 1023024395
11762 Jollyville Rd
(512) 258-2300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Heart Hospital Of Austin,
Northwest Surgery Center Llp, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Great Hills ENT
Board Certifications: Otolaryngology, Sleep
Medicine
Language(s): Spanish
Gender: Male
NPI: 1609873603
8015 Shoal Creek Blvd
Ste 103
(512) 467-7246
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Hill Country Surgery Ctr, North
Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: Pain Management
Austin
Aus tin
NPI: 1568465763
2501 W William Cannon Dr
Ste 401
(512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
" Blauzvern, Neal H, DO
" Stierman, Karen L, MD
" Bittar, Anthony R, MD
Frank, Brannon R, MD
Gender: Male
NPI: 1568465763
2501 W William
Cannon Dr Ste 401
J (512) 416-7246
Austin
Austin
Austin
Aus tin
Gender: Male
NPI: 1760411292
4101 James Casey St
Ste 310
(512) 448-4422
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, Surgicare Of South Austin,
University Med Ctr Brackenridge
Clinic Affiliation: Anthony R Bittar MD
Board Certifications: Otolaryngology
Language(s): Arabic, Spanish
Austin
Gender: Male
NPI: 1679629349
1305 W 34th St
Ste 408
(512) 593-5200
Hospital Affiliations: Bailey Square Surgery
Center, Central Park Surgery Center, Dell
Childrens Med Ctr Cent Tx, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Joseph Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Drew S Sawyer MD PLLC
Board Certifications: Otolaryngology
ORTHOPEDIC SURGERY (cont.)
Gender: Male
NPI: 1619947587
900 W 38th St
Ste 300
(512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
OCTOBER 03, 2016
bmkp_in_spec
Austin
Kaplan, Matthew A, DO
Gender: Male
NPI: 1558423038
12319 N Mopac Expwy
Ste 350
(512) 255-7246
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Ctr Williamson
Clinic Affiliation: Preferred Spine and Pain
PLLC
Board Certifications: None
Khan, Adnan A, MD
Gender: Male
NPI: 1083861249
6611 River Place Blvd
Ste 300
J (512) 416-7246
Hospital Affiliations: Conroe Regional
Medical Center, North Austin Medical Center,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, St Lukes The Woodlands Hospital
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Austin
Le, Paul H, MD
Gender: Male
NPI: 1770766313
2501 W William Cannon Dr
Ste 401
J (512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Austin
Lowry, Angus M, MD
Gender: Male
NPI: 1073773727
4544 S Lamar Blvd
Ste 700
J (512) 834-4141
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
64
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
PAIN MANAGEMENT (cont.)
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
2500 W William Cannon Dr
Ste 206
J (512) 485-7200
Austin
J
NPI: 1316989023
4100 Duval Rd Bldg 3
Ste 200
(512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
J
Aus tin
J
Gender: Male
NPI: 1659399871
6000 S Mo Pac Expwy
Ste 200
(512) 244-4272
NPI: 1659399871
7307 Creek Bluff Dr
(512) 349-9100
Hospital Affiliations: Providence Health
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): American Sign, Spanish
Aus tin
Gender: Male
NPI: 1306162037
7307 Creek Bluff Dr
(512) 349-9100
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): German
Austin
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
2500 W William Cannon Dr
Ste 206
J (512) 485-7200
J
Austin
Gender: Male
NPI: 1629303490
7307 Creekbluff Dr
(512) 349-9100
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): Spanish
Ostadian, Mahan, DO
Gender: Male
NPI: 1821263005
9707 Anderson Mill Rd
Ste 230
(512) 219-8787
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Republic Spine and Pain
PA
Board Certifications: None
Language(s): Farsi
Ozuna, Eduardo, MD
Gender: Male
NPI: 1003007469
4544 S Lamar Blvd
Ste 700
(512) 834-4141
J
NPI: 1639122963
1600 W 38th St
Ste 312
(512) 324-7131
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1902075922
5625 Eiger Rd
Ste 160
(512) 298-1645
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Greater Austin Pain
Center
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Skulpoonkitti, Bryan, DO
Gender: Male
NPI: 1588984439
4544 S Lamar Blvd Ste 700
(512) 834-4141
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
" Wages, John W, MD
" Peck, Devin B, MD
J
Sharma, Sameer, MD
Gender: Male
NPI: 1366734071
8015 Shoal Creek Blvd
Ste 103
(512) 467-7246
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: Physical Medicine &
Rehabilitation
White, Mark S, DO
Gender: Male
# NPI: 1477557239
4807 Spicewood Springs
Rd Ste 1235
J (512) 795-9977
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Integrative Pain Services
PA
Board Certifications: None
Language(s): Spanish
Austin
Wills, Robert P, MD
Gender: Male
NPI: 1043213259
2501 W William
Cannon Dr Ste 401
J (512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Austin
" Silberberg, Alan D, MD
Austin
Aus tin
J
Schocket, Sandford M, MD
Gender: Male
NPI: 1851381818
8015 Shoal Creek Blvd
Ste 103
J (512) 467-7246
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: None
Language(s): Spanish
AUSTIN
Austin
Parthasarathy, Srinivason R, MD
Gender: Female
NPI: 1639122963
1215 Red River St
Ste 427
J (512) 324-7000
J
Sacky, Damian, DO
Gender: Male
NPI: 1396038998
11111 Research Blvd
Ste 395
(512) 324-6785
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Austin
Austin
Aus tin
Austin
NPI: 1073787909
4100 Duval Rd
Bldg 3 Ste 200
(512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
Gender: Male
NPI: 1437160934
4029 S Capital of Texas
Hwy Ste 111
(512) 345-5925
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Pain Management
Language(s): Spanish
NPI: 1003007469
5200B Davis Ln
Ste 200
(512) 834-4142
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
" Mandyam, Srinand A, MD
Austin
McCarty, Matthew F, MD
Gender: Male
NPI: 1235132432
5200 Davis Ln Ste B200
J (512) 834-4141
Hospital Affiliations: Cornerstone Hospital
Austin, East Texas Medical Center, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Austin
" Nawaz, Asad, MD
" Malone, Mark T, MD
J
" Queralt, Mark V, MD
Michaud, Ryan F, MD
Gender: Male
NPI: 1801935895
7307 Creekbluff Dr
(512) 349-9100
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, St Davids S Austin Medical
Center, Surgicare Of South Austin,
University Med Ctr Brackenridge
Clinic Affiliation: Mark T Malone MD
Board Certifications: None
Language(s): Spanish
Aus tin
Austin
#
Specialists
Gender: Male
NPI: 1861625428
2200 Park Bend Dr
Bldg 1 Ste 201
(512) 416-7246
Gender: Male
NPI: 1013139286
2501 W William
Cannon Dr Ste 401
(512) 416-7246
NPI: 1861625428
2501 W William Cannon
Dr Ste 401
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
NPI: 1013139286
2501 W William Cannon Dr
Ste 401
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Seton Medical Ctr Williamson, Seton
Northwest Hospital, St Davids Georgetown
Hospital, St Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Board Certifications: Pain Management
Language(s): American Sign, Portuguese,
Spanish
Austin
Ximenes, Rey, MD
Gender: Male
NPI: 1801816228
4544 S Lamar Blvd
Ste 700
(512) 834-4141
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
Language(s): Spanish
Yanosik, Justin E, MD
Gender: Male
NPI: 1326289406
4100 Duval Rd Bldg 3
Ste 200
(512) 485-7200
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Yeh, Clement C, MD
Gender: Male
NPI: 1275744435
9707 Anderson Mill Rd
Ste 230
(512) 219-8787
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Northwest Hospital
Clinic Affiliation: Republic Spine and Pain
PA
Board Certifications: None
PEDIATRIC - DEVELOPMENTAL
BEHAVIOR
Austin
Fasci, Siv L, MD
Gender: Female
NPI: 1588693717
5339 N IH 35
Ste 100
(512) 324-0098
NPI: 1588693717
6811 Austin Center
Blvd Ste 400
(512) 628-1850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists, Specially For Children
Board Certifications: Pediatrics
Language(s): American Sign, Gujarati,
Hindi, Marathi, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
65
Specialists
AUSTIN
AUSTIN (cont.)
PEDIATRIC ENDOCRINOLOGY
" Heintz, D Dyer, MD
Austin
Gender: Male
NPI: 1568673705
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
" Leyva, Bonnie Gayle, MD
Austin
PEDIATRIC ALLERGY & IMMUNOLOGY
Gaglani, Binaca, MD
Gender: Female
NPI: 1831194240
2312 Western Trails Blvd
Ste A101
J (512) 804-0000
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Binaca Gaglani MD
Board Certifications: Allergy-Immunology
Language(s): Bengali, Gujarati, Hindi,
Spanish
Gender: Female
NPI: 1952560062
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Endocrinology
Aus tin
Kayser, Jackee D, MD
Gender: Female
NPI: 1285686683
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1870
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Rosenblatt, Howard M, MD
Gender: Male
NPI: 1326140195
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1870
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Round Rock Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Allergy-Immunology
Language(s): American Sign, Spanish
Varshney, Pooja, MD
Gender: Female
NPI: 1255507943
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1870
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
" Rangwalla, Sujal C, DO
Austin
" Prabhakaran, Rajani, MD
J
Austin
Gender: Female
NPI: 1316073067
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Endocrinology
Language(s): American Sign, Hindi,
Kannada, Spanish, Telugu
J
Siddiqui, Anees A, MD
Gender: Male
NPI: 1447462940
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Rabon, Shona, MD
Gender: Female
NPI: 1679739502
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
" Vaughan, Juliana F, MD
Austin
Gender: Female
NPI: 1689890261
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
" Tacquard, Stephanie L, MD
Austin
Gender: Female
NPI: 1669721916
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Endocrinology
" Diaz, Lucia Z, MD
Aus tin
J
J
Challa, Bharani P, MD
Gender: Female
NPI: 1063617868
1301 Barbara Jordan
Blvd Ste 200
(512) 628-1810
Clinic Affiliation: Specially For Children
Board Certifications: None
Gender: Male
NPI: 1598717936
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
Language(s): American Sign, Spanish
PEDIATRIC HEMATOLOGY-ONCOLOGY
Fowler, Amy C, MD
Gender: Female
NPI: 1568673887
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Austin
Easley, David J, MD
Gender: Male
NPI: 1639139488
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, San Angelo Community Medical
Center
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Czech, French, Spanish
Gender: Female
NPI: 1619180601
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Hematology-Oncology
Language(s): Spanish
Hurwitz, Craig A, MD
Gender: Male
NPI: 1669567178
4900 Mueller Blvd
J (512) 324-0197
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Hospice & Palliative
Medicine, Pediatrics
Language(s): American Sign, Spanish
Austin
Lockhart, Sharon K, MD
Gender: Female
NPI: 1164474474
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
" Mignacca, Robert, MD
Austin
J
J
Austin
" Zwiener, Robert J, MD
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Harrod, Virginia L, MD
Austin
Austin
PEDIATRIC GASTROENTEROLOGY
Austin
Gender: Male
NPI: 1144354440
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Driscoll ChildrensHospital'
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
Language(s): Spanish
Austin
NPI: 1679739502
6811 Austin Center Blvd
Ste 400
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Aus tin
Levy, Moise L, MD
Gender: Male
NPI: 1013097419
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1920
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Dell Childrens Med Ctr Cent
Tx, The Womans Hospital Of Texas
Clinic Affiliation: Specially For Children
Board Certifications: Dermatology
Language(s): American Sign, Spanish
Gender: Female
NPI: 1851684401
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
Austin
PEDIATRIC DERMATOLOGY
Gender: Female
NPI: 1043454515
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1920
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Dermatology
" Izaguirre, Marisa R, MD
Austin
Nunez, Susan B, MD
Gender: Female
NPI: 1295816817
5359 N IH Frontage
Rd Ste 100
J (512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1891707733
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
NPI: 1891707733
5339 N IH 35 Frontage
Rd Ste 100
(512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Hematology-Oncology
Language(s): Spanish
Mitchell Cohn, Shannon, MD
Gender: Female
NPI: 1649412032
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: None
" Neff, Philip E, MD
Austin
J
Gender: Male
NPI: 1295729093
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
Hospital Affiliations: Baylor Scott White All
Saints Med, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Round Rock
Medical Center, Seton Medical Center, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Hematology-Oncology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
66
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Murphey, Donald, MD
Lee, Mark R, MD
Gender: Male
NPI: 1861413536
1301 Barbara Jordan
Blvd Ste 200
J (512) 324-0907
Aus tin
AUSTIN (cont.)
PEDIATRIC HEMATOLOGY-ONCOLOGY
(cont.)
" Shaffer, Linda G, MD
Austin
J
J
Gender: Female
NPI: 1285686790
1301 Barbara Jordan Blvd
Ste 401
(512) 628-1900
NPI: 1285686790
5339 N IH 35 Frontage
Rd Ste 100
(512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Hematology-Oncology
Language(s): American Sign, Spanish
Wells, Donald T, MD
Gender: Male
NPI: 1629020029
1301 Barbara Jordan Blvd
Ste 401
J (512) 628-1900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Allen, Coburn H, MD
Gender: Male
NPI: 1114923984
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1820
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Austin
" Fernandez, Marisol, MD
Austin
J
Gender: Female
NPI: 1881651867
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1820
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric Infectious
Disease
Language(s): American Sign, Spanish
Hauger, Sarmistha B, MD
Gender: Female
NPI: 1871559880
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1820
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Round Rock Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Bengali,
Spanish
J
PEDIATRIC NEPHROLOGY
" Berry, Phillip L, MD
Aus tin
J
Austin
PEDIATRIC INFECTIOUS DISEASE
Austin
Gender: Male
NPI: 1205931938
1301 Barbara Jordan
Blvd Ste 200
(512) 628-1820
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric Infectious
Disease
Gender: Male
NPI: 1568428571
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric Nephrology
Language(s): Spanish
Austin
Pillutla, Kartik, MD
Gender: Male
NPI: 1770775728
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatrics
Language(s): Spanish
AUSTIN
Austin
NPI: 1861413536
1301 Barbara Jordan
Blvd Ste 307
(512) 321-0910
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Neurological Surgery
Language(s): Spanish
Tomycz, Luke, MD
Gender: Male
NPI: 1134276959
1301 Barbara Jordan Blvd
Ste 307
(512) 324-0907
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
NPI: 1952497497
3705 Medical Pkwy
Ste 200
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Austin
PEDIATRIC OPHTHALMOLOGY
Austin
Simon, David H, MD
Gender: Male
NPI: 1386678993
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Aus tin
Aus tin
Clark, Stacey L, MD
Gender: Female
NPI: 1184808511
1301 Barbara Jordan
Blvd Ste 200
J (512) 324-2720
Austin
J
Clarke, Dave F, MD
Gender: Male
NPI: 1871550772
1301 Barbara Jordan
Blvd Ste 200
(512) 628-1850
J
NPI: 1871550772
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital
Clinic Affiliation: Pediatric Surgical
Subspecialists, Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
PEDIATRIC NEUROSURGERY
NPI: 1184808511
3705 Medical Pkwy Ste 200
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Connolly, Patrick K, MD
Gender: Male
NPI: 1497841084
1301 Barbara Jordan
Blvd Ste 200
(512) 324-2720
George, Timothy M, MD
Gender: Male
NPI: 1326060161
1301 Barbara Jordan
Blvd Ste 307
J (512) 324-0907
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): Spanish
Zapata, Syboney, MD
Gender: Female
NPI: 1295822757
1301 Barbara Jordan
Blvd Ste 200
(512) 324-2720
NPI: 1295822757
3705 Medical Pkwy
Ste 200
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
Surgicare Of South Austin, University Med
Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
NPI: 1184808511
1301 Barbara Jordan Blvd
Ste 303
(512) 324-2720
NPI: 1497841084
3705 Medical Pkwy
Ste 200
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Austin
PEDIATRIC OTOLARYNGOLOGY
PEDIATRIC NEUROLOGY
Roehm, Corrie E, MD
Gender: Female
NPI: 1770736084
1301 Barbara Jordan
Blvd Ste 200
(512) 324-2720
NPI: 1770736084
3705 Medical Pkwy
Ste 200
(512) 324-2720
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): Spanish
Aus tin
Jackson Jr, Oscar B, MD
Gender: Male
NPI: 1215019278
3509 Lawton Ave
J (512) 451-0234
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Jackson Jr Oscar B MD
Board Certifications: Ophthalmology
Language(s): Spanish
Nowlin, John H, MD
Gender: Male
NPI: 1952497497
1301 Barbara Jordan
Blvd Ste 200
(512) 324-2720
PEDIATRIC PULMONOLOGY
Austin
Corrigan, Danielle A, MD
Gender: Female
NPI: 1437387800
1301 Barbara Jordan
Ste 200
(512) 380-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: None
" Fullmer, Jason J, MD
Austin
J
J
Gender: Male
NPI: 1184796401
11111 Research Blvd
Ste 300
(512) 380-9200
NPI: 1184796401
1301 Barbara Jordan Blvd
Ste 303
(512) 380-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: Pediatric
Pulmonology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
67
Specialists
AUSTIN
AUSTIN (cont.)
PEDIATRIC SURGERY
Austin
PEDIATRIC PULMONOLOGY (cont.)
Aus tin
Kang, June Ku B, MD
Gender: Female
NPI: 1235285909
11111 Research Blvd
Ste 300
(512) 380-9200
NPI: 1235285909
1301 Barbara Jordan Blvd
Ste 303
(512) 380-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: None
Language(s): Spanish
" Scalo, Jordan V, MD
Aus tin
J
Gender: Male
NPI: 1013089218
11111 Research Blvd
Ste 300
(512) 380-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: Pediatric
Pulmonology
Language(s): Spanish
" Sanchez, Julie I, MD
J
" Schlechter, Robert D, MD
J
Gender: Male
NPI: 1083617369
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
" Tuggle, David W, MD
Gender: Male
NPI: 1346218526
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
" Josephs, Michael D, MD
" Carrasco, Ruy, MD
PEDIATRICS
Gender: Male
NPI: 1083606289
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Austin
Moser, David W, DO
Gender: Male
NPI: 1124158928
1301 Barbara Jordan Blvd
Ste 200
J (512) 628-1880
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): American Sign, Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Leath, Thomas M, MD
Gender: Male
# NPI: 1497767420
3410 Far West Blvd
Ste 146
J (512) 349-0777
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
Language(s): Spanish
" Pillutla, Kartik, MD
Austin
J
Austin
!
!
J
Austin
Havemann, Cathleen M, MD
Gender: Female
NPI: 1932102175
1301 Barbara Jordan Blvd
Ste 307
(512) 324-0907
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, The
Womans Hospital Of Texas
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): Spanish
Pont, Stephen J, MD
Gender: Male
NPI: 1942384052
4900 Mueller
(512) 324-0137
NPI: 1942384052
4900 Mueller Blvd
(512) 324-0137
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Ctr Williamson,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children,
University Physicians Group
Board Certifications: None
Language(s): Spanish
" Reshamwala, Neha, MD
Gender: Female
NPI: 1780874578
11770 Jollyville Rd
(512) 732-2774
Case, Ann M, MD
Gender: Female
NPI: 1861628950
4900 Mueller Blvd
(512) 324-0197
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, Seton Southwest, University Med
Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Gender: Female
NPI: 1588693717
5339 N IH 35
Ste 100
(512) 324-0098
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Pediatrics
Language(s): American Sign, Gujarati,
Hindi, Marathi, Spanish
Gender: Male
NPI: 1770775728
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatrics
Language(s): Spanish
Austin
NPI: 1780874578
5625 Eiger Rd Ste 200
(512) 892-7076
NPI: 1780874578
6611 Riverplace Blvd
Ste 305
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Neha Reshamwala MD
Board Certifications: Allergy-Immunology,
Pediatrics
Austin
Gender: Male
NPI: 1205828407
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Gender: Male
NPI: 1669567178
4900 Mueller Blvd
(512) 324-0197
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center
Clinic Affiliation: Specially For Children
Board Certifications: Hospice & Palliative
Medicine, Pediatrics
Language(s): American Sign, Spanish
Austin
" Fasci, Siv L, MD
" Meyer, Tory A, MD
Austin
Aus tin
Gender: Male
NPI: 1396737599
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Austin
Austin
J
Gender: Female
NPI: 1649262841
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
" Hurwitz, Craig A, MD
Austin
Austin
" Horwitz, Jeffrey R, MD
J
Gender: Male
NPI: 1184840886
1301 Barbara Jordan
Blvd Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Austin
Austin
Aus tin
J
J
Gender: Male
NPI: 1003945411
1301 Barbara Jordan
Blvd Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatric Surgery
Language(s): Spanish
PEDIATRIC RHEUMATOLOGY
Gender: Male
NPI: 1063478154
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1880
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Rheumatology
Language(s): American Sign, Spanish
Garcia, Nilda M, MD
Gender: Female
NPI: 1407815533
1301 Barbara Jordan Blvd
Ste 400
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Parkland Health And Hospital Sys, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: General Surgery
Language(s): Spanish
" Grethel, Erich J, MD
McWilliams, Bennie C, MD
Gender: Male
NPI: 1689746935
11111 Research Blvd
Ste 300
J (512) 380-9200
J
" Rana, Ankur R, MD
Austin
Austin
Aus tin
NPI: 1689746935
1301 Barbara Jordan Blvd
Ste 303
(512) 904-2954
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: None
Language(s): American Sign, Spanish
OCTOBER 03, 2016
bmkp_in_spec
" Riley, Alyssa A, MD
Austin
Gender: Female
NPI: 1487859500
1301 Barbara Jordan Blvd
Ste 200
(512) 628-1850
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Pediatrics
Austin
Smith, Joshua M, MD
Gender: Male
NPI: 1154528727
5359 N IH 35 Frontage
Rd Ste 100
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
68
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Garrison, Christopher J, MD
" Pena, Enrique B, MD
Aus tin
AUSTIN (cont.)
PEDIATRICS (cont.)
" Sule, Aditi J, MD
Austin
Gender: Female
NPI: 1003957812
6801 S IH 35
Ste 1E
(512) 978-9960
Clinic Affiliation: Communitycare
Board Certifications: Pediatrics
NPI: 1427066117
601 E 15th St
Fl 4 W
(512) 324-7131
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Healthsouth Rehabilitation
Hospital Of Austin
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
" Bergfeld, Deborah A, MD
Austin
#
Gender: Male
NPI: 1366734071
8015 Shoal Creek Blvd
Ste 103
(512) 467-7246
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: Physical Medicine &
Rehabilitation
Gender: Male
NPI: 1609087840
3724 Executive Center Dr
Ste 230
(512) 452-2100
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Chudleigh PA
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): German, Hungarian,
Portuguese
" Staggs, Deacon W, MD
Austin
Gender: Male
NPI: 1356551279
12501 Longhorn Blvd
(512) 382-4664
" Parthasarathy, Srinivason R, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Wright, Edward A, MD
Austin
Gender: Male
NPI: 1124017926
1301 Barbara Jordan Blvd
Ste 301
(512) 324-0919
NPI: 1124017926
9101 Burnet Rd
Ste 103
(512) 248-2422
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Physical Medicine &
Rehabilitation
Austin
" Simonsen, Rodney J, MD
Aus tin
J
Gender: Female
NPI: 1275850497
6811 Austin Center Blvd
Ste 420
(512) 324-7131
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Austin
Gender: Female
NPI: 1801820170
1301 Barbara Jordan
Blvd Ste 307
(512) 628-1893
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Dell Childrens Med Ctr Cent
Tx, Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, University Med
Ctr Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
J
" Wong, Kristin A, MD
Austin
" Sharma, Sameer, MD
" Nelson, Maureen R, MD
" Foreman, Wesley D, MD
J
Austin
Aus tin
Austin
Gender: Male
NPI: 1053357871
11851 Jollyville Rd
Ste 202
(512) 249-5583
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Physical Medicne and
Neurotoxin
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): French, Spanish
Gender: Male
NPI: 1104935030
1215 Red River St
(512) 474-5700
Clinic Affiliation: Johnny Shane Ross MD
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Male
NPI: 1609824457
1600 W 38th St
Ste 200
(512) 324-3580
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Male
NPI: 1831135953
900 W 38th St Ste 300
(512) 450-1300
Gender: Male
NPI: 1548316706
11111 Research Blvd
Ste 395
(512) 324-6785
Hospital Affiliations: Central Park Surgery
Center, Central Texas Rehab Hospital Llc,
Healthsouth Rehabilitation Hospital Of
Austin, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
" Ross, Johnny S, MD
Austin
" Moroz, Lee E, MD
" Fernandez, Jim B, MD
NPI: 1831135953
9600 Great Hills Trl
Ste 150W
(214) 452-7722
Hospital Affiliations: Central Park Surgery
Center, Dallas Medical Center Llc, Dell
Childrens Med Ctr Cent Tx, Seton Medical
Center, St Davids Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Sports Medicine,
TX Fidelis PA
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Female
NPI: 1790909067
330 W Ben White Blvd
(512) 730-4800
Hospital Affiliations: Healthsouth
Rehabilitation Hospit
Board Certifications: Physical Medicine &
Rehabilitation
Aus tin
Austin
" Urquidez, Jose A, MD
Austin
Gender: Male
NPI: 1639483969
4100 Duval Rd Ste 200
Bldg 3
(512) 485-7200
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: Physical Medicine &
Rehabilitation
" Gray, Laura A, MD
" Elizondo, Eduardo R, MD
J
" Pohlman, Dane, DO
Austin
Aus tin
Austin
Gender: Male
NPI: 1295783728
7307 Creekbluff Dr
(800) 638-7564
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Neuralwatch Texas PLLC
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Male
NPI: 1003922964
1600 W 35th St
Ste 200
(512) 324-3580
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
NPI: 1427066117
1600 W 38th St
Ste 312
(512) 324-7131
PHYSICAL MEDICINE &
REHABILITATION
Gender: Female
NPI: 1891744223
1600 W 38th St
Ste 312
(512) 324-7131
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Austin
Gender: Male
NPI: 1427066117
1301 W 38th St
Ste 113
(512) 324-3395
AUSTIN
Gender: Female
NPI: 1639122963
1215 Red River St
Ste 427
(512) 324-7000
NPI: 1356551279
12501 Longhorn Pkwy
(512) 382-4664
Clinic Affiliation: Post Acute Physicans of
Texas
Board Certifications: Physical Medicine &
Rehabilitation
NPI: 1639122963
1600 W 38th St
Ste 312
(512) 324-7131
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
" Tynes, Steven S, MD
Austin
J
Yaniv, Esther, MD
Gender: Female
NPI: 1245240712
3724 Executive Center
Dr Ste G 10
(512) 345-5925
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
PHYSICAL THERAPY
Aggelaki Wiltens, Sofia S, LPT
Gender: Female
NPI: 1376656652
1221 W Ben White Blvd
Ste 211A
J (512) 707-8392
Clinic Affiliation: Versatile Physical Therapy
&Fitness Center
Board Certifications: None
Language(s): Greek, Spanish
Austin
#
Austin
Almodovar, Eduardo, LPT
Gender: Male
NPI: 1407039951
7817 Rockwood Ln
Ste 322
(512) 323-0802
Clinic Affiliation: Hope Physical Therapy
and Wellnes
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1205837994
1215 Red River St
Ste 442
(512) 479-3632
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, Seton
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
69
Specialists
AUSTIN
Bennett, Andrew C, LPT
Gender: Male
NPI: 1053428797
4532 Westgate Blvd
Ste A
J (512) 892-7337
Austin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Aus tin
Ames, Eleanor, LPT
Gender: Female
NPI: 1063898625
1212 W Parmer Ln Ste E
(512) 270-2060
NPI: 1063898625
4532 Westgate Blvd
Ste A
(512) 892-7337
NPI: 1063898625
711 W 38th St Ste C 11
(512) 302-3922
NPI: 1063898625
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Aus tin
Anderson, Hazel D, LPT
Gender: Female
NPI: 1740548510
3745 Executive Center Dr
Ste G 10
(512) 345-5925
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Andrew, Kevin A, LPT
Gender: Male
# NPI: 1063538411
9707 Anderson Mill Rd
Ste 340
J (512) 258-5300
Clinic Affiliation: Eagle Rehab Center, One
On One Physical Therapy Inc
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Japanese, Spanish
Aus tin
Askarinasab, Laleh, LPT
Gender: Female
NPI: 1609909001
7801 N Lamar Blvd
Ste B174
(512) 371-7273
Clinic Affiliation: Austin Physical Therapy
Specialis
Board Certifications: None
Babin, Kyle R, LPT
Gender: Male
NPI: 1891127114
7401 W Hwy 71
Ste 130
(512) 835-5000
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
Benedisuk, Michele F, LPT
Gender: Female
# NPI: 1063500627
1600 W 38th St
Ste 201
J (512) 206-0433
Clinic Affiliation: Sports Center
Board Certifications: None
Language(s): Spanish
Aus tin
NPI: 1053428797
801 E William Canon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Language(s): Spanish
J
Austin
Austin
NPI: 1053428797
711 W 38th St
Ste C 11
(512) 302-3922
J
Browder, David A, LPT
Gender: Male
NPI: 1619992831
5114 Balcones Woods
Ste 306
(512) 794-8863
#
NPI: 1619992831
711 W 38th St Ste C-11
(512) 302-3922
#
NPI: 1619992831
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist,
Texas Physical Therapy Specialist PC
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
J
Bevil, Bradley J, LPT
Gender: Male
NPI: 1487034559
1212 W Parmer Ln
Ste 307
(512) 670-3238
Austin
NPI: 1487034559
1212 W Parmer Ln
Ste E
(512) 670-3238
Brown, Jason, LPT
Gender: Male
NPI: 1285922476
1212 W Parmer Ln
Ste E
(512) 670-3238
#
J
NPI: 1285922476
1212 W Parmer Ln Ste E
(512) 794-8863
Caro Mata, Aaron, LPT
Gender: Male
NPI: 1366775397
10526 W Parmer Ln
Ste 403
J (512) 900-3302
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Austin
Cartwright, Scott M, LPT
Gender: Male
# NPI: 1033286224
2013 Wells Branch Pkwy
Ste 103
J (512) 835-6077
Clinic Affiliation: Community Health and
Rehab Centre
Board Certifications: None
Language(s): Spanish
Austin
Cecalek, Matthew J, LPT
Gender: Male
NPI: 1184777476
2171 Woodward St
Ste B
J (888) 997-2669
Austin
#
J
#
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
NPI: 1487034559
2200 Park Bend Dr
Bldg 1 Ste 202
(512) 339-1500
Clinic Affiliation: Symmetry Physical
Therapy LLC, Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): Spanish
J
Brown, Michele P, LPT
Gender: Female
# NPI: 1770817900
12524 Capella Trl
(512) 587-5671
J
J
Boidock, Erin T, LPT
Gender: Female
NPI: 1700141538
7600 Burnet Rd
(512) 458-1183
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: None
Austin
Brodbeck, Linda M, LPT
Gender: Female
NPI: 1912036831
6207 Sheridan Ave
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Board Certifications: None
Language(s): American Sign, Farsi,
Persian, Spanish
Austin
NPI: 1770817900
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy,
Growing Places Therapy Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Campbell, Cheryl A, LPT
Gender: Female
NPI: 1396180279
13001 Bloomfield Hills
Ln
(512) 466-2065
Clinic Affiliation: Home Field Advantage
Therapy PLLC
Board Certifications: None
J
J
NPI: 1588617385
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
NPI: 1588617385
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): American Sign, Spanish
NPI: 1184777476
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Chiluk, Jessica P, LPT
Gender: Female
NPI: 1528288396
10001 S Interstate 35
Bldg 3 Ste 300
(888) 997-2669
NPI: 1528288396
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
#
Carl, Robert C, LPT
Gender: Male
NPI: 1588617385
10001 S Interstate 35
Bldg 3 Ste 300
J (888) 997-2669
Brophy, Laurie T, LPT
Gender: Female
# NPI: 1215174719
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Language(s): Spanish
NPI: 1184777476
8868 Research Blvd
Ste 601
(512) 467-7232
NPI: 1528288396
2171 Woodward St
Ste B
(888) 997-2669
Austin
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
#
Austin
Bledsoe, Vicky L, LPT
Gender: Female
NPI: 1336142546
7718 Wood Hollow Dr
Ste 105
J (512) 795-0053
Clinic Affiliation: Atlas Physical Therapy Inc
Board Certifications: None
Austin
Austin
NPI: 1285922476
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): American Sign, Spanish
NPI: 1184777476
4301 W William Cannon
Dr Bldg E Ste 320
(512) 467-6608
NPI: 1528288396
8868 Research Blvd
Ste 601
(888) 997-2669
NPI: 1528288396
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English
Austin
Austin
Ciaverelli, Carrie A, LPT
Gender: Female
NPI: 1538292719
3355 Bee Cave Rd
Ste 606
(512) 814-6526
Clinic Affiliation: Healing Foundations
Physical Ther
Board Certifications: None
Language(s): French, Spanish, Tagalog
Ciomperlik, Jill, LPT
Gender: Female
NPI: 1477945046
3607 Manchaca Rd
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
70
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Downing, Suzanne, LPT
Gender: Female
NPI: 1457606246
7718 Wood Hollow Dr
Ste 105
J (512) 795-0053
Clinic Affiliation: Atlas Physical Therapy Inc
Board Certifications: None
Aus tin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Austin
Clarke, Michael H, LPT
Gender: Male
NPI: 1669838736
204 N Interstate 35
Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Cohen, Eliette, LPT
Gender: Female
NPI: 1225152606
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): American Sign, Russian,
Spanish
Austin
#
Austin
Austin
Crosdale, Brandon F, LPT
Gender: Male
NPI: 1891192514
10526 W Parmer Ln
Ste 403
(512) 900-3302
(838) 590-4002
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Cuellar, Cristi Y, LPT
Gender: Female
NPI: 1669515185
6911 Rm 620N
Ste B 201
(512) 467-4546
Clinic Affiliation: Endeavor Rehab Center
Practice Information: No Patients Over 18
yrs old, No Patients Under 1 yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Dennis, Lisa J, LPT
Gender: Female
# NPI: 1942591029
8505 Cross Park Dr
Ste 120
J (512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
J
Aus tin
Aus tin
Dockery, Kimberly E, LPT
Gender: Female
NPI: 1790002939
4602 S Lamar Blvd
(800) 000-0000
Clinic Affiliation: The Weston Group Inc
Board Certifications: None
J
NPI: 1588896476
8868 Research Blvd
Ste 601
(888) 997-2669
J
Austin
NPI: 1437404191
6618 Sitio Del Rio Blvd
Ste D102
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Over 15
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Elrod, Joshua D, LPT
Gender: Male
NPI: 1932429511
4201 Marathon Blvd
Ste 204
(512) 358-1400
Clinic Affiliation: Mondo Sports Therapy
Board Certifications: None
NPI: 1588896476
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Austin
Austin
Austin
Flores, Maria L, LPT
Gender: Female
NPI: 1730236134
8505 Cross Park Dr
Ste 120
(512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Grace Jr, James G, LPT
Gender: Male
NPI: 1679773790
11150 Reasearch Blvd
Ste 212
(512) 794-8863
NPI: 1679773790
4532 Westgate Blvd
Ste A
(512) 892-7337
Fontenot, Jordan T, LPT
Gender: Male
NPI: 1235597246
1212 W Parmer Ln
Ste E
(512) 670-3238
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
NPI: 1679773790
4534 Westgate Blvd
Ste 104
(512) 892-7337
NPI: 1679773790
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): Spanish
Fuentes, Michael J, LPT
Gender: Male
! NPI: 1508230137
! 10001 S IH 35 Bldg
3 Ste 300
(888) 997-2669
English, Deborah K, LPT
Gender: Female
NPI: 1043473697
4310 James Casey St
Ste 3C
(512) 441-6008
!
!
!
!
Faubion, Cheryl A, LPT
Gender: Male
NPI: 1154576767
11007 FM 2222
J (512) 792-4041
Austin
NPI: 1154576767
6618 Sitio Del Rio Blvd
Ste D102
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Spanish
NPI: 1508230137
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
NPI: 1508230137
9333 Research Blvd Ste
400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Gaewsky, Jennifer A, LPT
Gender: Female
NPI: 1750631354
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
NPI: 1750631354
3303 Northland Dr Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL, Therapy One Austin Inc
Board Certifications: None
Austin
Gray, Mary C, LPT
Gender: Female
NPI: 1528222346
12701 FM 620
(512) 401-0700
#
#
NPI: 1528222346
4310 James Casey St
Ste 3C
(512) 441-6008
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
Grossman, Jenna M, LPT
Gender: Female
# NPI: 1710252986
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Galvan, Elias L, LPT
Gender: Male
NPI: 1730258724
1825 Fortview Rd
Ste 109
J (512) 892-5250
Clinic Affiliation: South Austin Therapy
Group Inc
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Feagin, Montgomery R, LPT
Gender: Male
NPI: 1750673893
2603 Jones Rd
J (512) 644-3354
Clinic Affiliation: The Weston Group Inc
Board Certifications: None
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gillis, Shelley L, LPT
Gender: Female
NPI: 1124450770
1212 W Parmer Ln
Ste E
(512) 670-3238
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
NPI: 1679773790
4532 Westgate Blvd
Ste 212
(512) 794-8863
Aus tin
J
Garza, Jeremy M, LPT
Gender: Male
NPI: 1922416130
11101 N Burnet Rd
Ste A170
(512) 835-5000
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
Austin
NPI: 1043473697
5625 Eiger Rd
Ste 175
(512) 401-8400
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
Austin
Austin
Dugan, Jessica L, LPT
Gender: Female
NPI: 1023343985
711 W 38th St
Ste C11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy
Board Certifications: None
Duke, Kelly A, LPT
Gender: Female
NPI: 1437404191
11007 FM 2222
J (512) 792-4041
Davis, Phillip L, LPT
Gender: Male
# NPI: 1073703203
210 Barton Springs Rd
Ste 215
(512) 442-3200
Clinic Affiliation: The Training Room
Board Certifications: None
Dehulsters, Valerie K, LPT
Gender: Female
NPI: 1588767420
7401 Hwy 71 W
Ste 130
(512) 288-2700
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
J
NPI: 1588896476
4301 W Wm Cannon Dr E
Ste 320 Bldg E
(888) 997-2669
Garwood, Margaret T, LPT
Gender: Female
NPI: 1902178189
6811 Austin Center
Blvd Ste 400
J (512) 628-1918
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Aus tin
Austin
Austin
J
NPI: 1588896476
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
Aus tin
Cope, Anne M, LPT
Gender: Female
NPI: 1215329081
10526 W Parmar Ln Ste 403
(512) 900-3302
NPI: 1215329081
10526 W Parmer Ln
Ste 403
(512) 354-4067
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Austin
Drost, Janice F, LPT
Gender: Female
# NPI: 1275796724
6207 Sheridan Ave
Ste 200
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Finger, Eric J, LPT
Gender: Male
NPI: 1588896476
10001 S Interstate 35
Bldg 3 Ste 300
J (888) 997-2669
Austin
AUSTIN
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
71
Specialists
AUSTIN
Austin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Aus tin
!
!
Gumbs, Christen, LPT
Gender: Male
NPI: 1275926941
2501 W William Cannon Dr
Bldg 1 Ste 102
(512) 651-0301
Austin
NPI: 1275926941
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Physiotherapy Assoc In
Plano, Texas Physical Therapy Specialist
Board Certifications: None
Gwyn, Katherine J, LPT
Gender: Female
# NPI: 1265780977
4201 Marathon Blvd
Ste 204
(512) 358-1400
Clinic Affiliation: Mondo Sports Therapy
Board Certifications: None
Language(s): French
Austin
Hahn, Stephanie R, LPT
Gender: Female
# NPI: 1376855239
7401 Hwy 71 W
Ste 130
(512) 288-2700
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
Austin
Aus tin
Aus tin
Aus tin
Aus tin
Halasz, Scott M, LPT
Gender: Male
NPI: 1679802060
9185 Research Blvd
(512) 996-0441
Clinic Affiliation: Champion Performance
Phys Therapy
Board Certifications: None
Hamilton, Casey P, LPT
Gender: Male
NPI: 1356644629
210 Barton Springs Rd
Ste 150
(512) 832-9411
Clinic Affiliation: Austin Manual Therapy
Assoc PC
Practice Information: No Patients Under 13
yrs old
Board Certifications: None
Language(s): Spanish
Harris, James T, LPT
Gender: Male
NPI: 1891789319
210 Barton Springs Rd
Ste 150
J (512) 832-9411
J
Aus tin
Hasham, Laila H, LPT
Gender: Female
NPI: 1255748786
10001 S Interstate 35
Bldg 3 Ste 300
(888) 997-2669
NPI: 1255748786
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
#
NPI: 1255748786
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
" Jeffery, Lisa M, LPT
Haynes, Cristina M, LPT
Gender: Female
NPI: 1134302870
4000 Medical Pkwy
Ste 100
(512) 467-0808
Clinic Affiliation: Austin Pain Therapy
Assoc Inc
Board Certifications: None
Language(s): Spanish
Austin
NPI: 1174703086
7817 Rockwood Ln
Ste 322
(512) 323-0802
Clinic Affiliation: Hope Home Rehab, Hope
Physical Therapy and Wellnes
Practice Information: No Patients Under 5
yrs old
Board Certifications: Physical Therapy
Haynes-Elam, Jennifer L, LPT
Gender: Female
NPI: 1881855286
13450 Research Blvd
Ste 102
(512) 450-1300
Clinic Affiliation: Austin Sports Medicine
Board Certifications: None
Austin
Henderson, Robert M, LPT
Gender: Male
NPI: 1750766572
7801 N Lamar Blvd
Ste B174
(512) 371-7173
Clinic Affiliation: Austin Physical Therapy
Specialis
Board Certifications: None
NPI: 1265868574
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Keeler, Karen D, LPT
Gender: Female
# NPI: 1528192549
711 W 38th St Ste G4
(512) 257-2500
Clinic Affiliation: Medicine In Motion Martha
Pyron M
Board Certifications: None
Language(s): American Sign
Keenan, Colleen M, LPT
Gender: Female
# NPI: 1942628599
4310 James Casey St
Ste 3C
(512) 441-6008
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
Laird, Nicole E, LPT
Gender: Female
# NPI: 1275880486
706A Ben White
Ste 150A
J (512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): Spanish
Landreth, Deborah J, LPT
Gender: Female
NPI: 1972899003
1825 Fortview Rd
Ste 109
J (512) 892-5250
Clinic Affiliation: South Austin Therapy
Group Inc
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Austin
Hornbecker, Jennifer M, LPT
Gender: Female
NPI: 1730405036
8863 Anderson Mill Rd
Ste 117
(512) 250-5299
Clinic Affiliation: Turning Point Integrated
Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Austin
Kertz, Laurie J, LPT
Gender: Female
# NPI: 1346319811
1600 W 38th St
Ste 201
J (512) 206-0433
Austin
Austin
Hupp, Jon A, LPT
Gender: Male
# NPI: 1013916337
7401 W Hwy 71
Ste 130
J (512) 288-2700
Clinic Affiliation: Star Physical Therapy
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Austin
#
J
Komazec, Timothy M, LPT
Gender: Male
NPI: 1164692109
2500 W William Cannon Dr
Ste 409
J (512) 852-8434
Austin
#
Jackson, Lauretta E, LPT
Gender: Female
NPI: 1336397884
6207 Sheridan Ave
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Board Certifications: None
Language(s): American Sign, Spanish
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1346319811
1600 W 38th St Ste 201
(512) 206-0433
Clinic Affiliation: Sports Center, Sports
Center Physical Therapy
Board Certifications: None
Language(s): Spanish
#
J
NPI: 1164692109
2500 William Cannon
Ste 409
(512) 852-8434
Clinic Affiliation: Your Personal Best
Physical Therapy
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Lathrop, Andrea L, LPT
Gender: Female
NPI: 1992935035
7600 Burnet Rd
Ste 560
(512) 458-1183
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: None
Lauretta, Anthony W, LPT
Gender: Male
NPI: 1568758068
711 W 38th St Ste C
(512) 302-3922
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Language(s): Spanish
Leake, Victoria M, LPT
Gender: Female
NPI: 1831271113
1212 Pamer Ln
Ste E
(512) 670-3238
NPI: 1831271113
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Kelley, Douglas F, LPT
Gender: Male
NPI: 1427303189
11007 FM 2222
J (512) 792-4041
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Hosseini, Marisa, LPT
Gender: Female
NPI: 1457757841
5114 Balcones Woods
Dr
(512) 794-8863
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Language(s): Spanish
Kroon, Pierre A, LPT
Gender: Male
NPI: 1174617641
4201 Marathon Blvd
Ste 204
(512) 903-6514
Clinic Affiliation: Mondo Sports Therapy
Board Certifications: None
Austin
Austin
Hopkins, Amy B, LPT
Gender: Female
NPI: 1255366316
2500 W William Cannon
Dr Ste 409
J (512) 852-8434
Clinic Affiliation: Your Personal Best
Physical Therapy
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Austin
Jenkins, Jovanni, LPT
Gender: Male
NPI: 1265868574
10001 S IH 35
Ste 300
(888) 997-2669
NPI: 1265868574
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
Austin
Austin
Austin
Gender: Female
NPI: 1174703086
7685 Northcross Dr
Ste 1104
(512) 720-8151
Hernandez, Luz E, LPT
Gender: Female
# NPI: 1144646308
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Aus tin
NPI: 1891789319
3508 Far West Blvd
Ste 240
(512) 832-9411
Clinic Affiliation: Austin Manual Therapy
Assoc PC
Practice Information: No Patients Under 13
yrs old
Board Certifications: None
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Leech, Joseph B, LPT
Gender: Male
NPI: 1659668945
5114 Balcones Woods Dr
Ste 306
(512) 794-8863
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Levine, Douglas C, LPT
Gender: Male
# NPI: 1013036490
12524 Capella Trl
J (512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Levine, Stephanie G, LPT
Gender: Female
# NPI: 1952420622
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
72
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Lockett, Nancy E, LPT
NPI: 1184046682
10001 S IH-35
Bldg 3 Ste 300
J (888) 997-2669
Austin
J
J
NPI: 1184046682
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
NPI: 1184046682
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Logsdon, Jamie M, LPT
Gender: Female
# NPI: 1073700274
1212 W Parmer Ln Ste E
(512) 670-3238
Austin
J
NPI: 1073700274
711 W 38th St Ste C 11
(512) 302-3922
Specialists
Man, Timothy H, LPT
Gender: Male
NPI: 1538585476
11007 FM 2222
(512) 792-4041
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Mesorana, Jennifer C, LPT
Gender: Female
# NPI: 1629471362
706 A W Ben White
J (512) 441-4100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Mankinen, Julie M, LPT
Gender: Female
# NPI: 1649380999
2200 Park Bend Dr
Bldg 1 Ste 202
J (512) 339-1500
Clinic Affiliation: Symmetry Physical
Therapy LLC
Board Certifications: None
Language(s): Spanish
Aus tin
Austin
NPI: 1174810592
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Marchand, Kyle, LPT
Gender: Male
# NPI: 1396192266
7401 Hwy 71 W
Ste 130
(512) 288-2700
Clinic Affiliation: Star Physical Therapy
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Aus tin
Austin
NPI: 1073700274
711 W 38th St Ste C11
(512) 302-3922
NPI: 1073700274
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist,
Texas Physical Therapy Specialist PC
Board Certifications: None
Language(s): Spanish
NPI: 1891029534
11150 Research Blvd
Ste 212
(512) 794-8863
Mason, Kelly M, LPT
Gender: Female
NPI: 1477951838
4425 S Mopac Expwy
Bldg 2 Ste 102
(512) 407-8766
Clinic Affiliation: Eclipse Healthcare LLC
Board Certifications: None
NPI: 1891029534
4532 Westgate Blvd
Ste A
(512) 892-7337
Lomonaco Steinberg, Jennifer, LPT
Gender: Female
# NPI: 1952659617
3211 Hancock Dr
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Aus tin
Austin
Longoria, Linda S, LPT
Gender: Female
NPI: 1558522219
1825 Fortview Rd
Ste 109
J (512) 892-5250
Austin
NPI: 1558522219
3724 Executive Center Dr
Ste G10
(512) 345-5925
Clinic Affiliation: Seton Heart Institute,
South Austin Therapy Group Inc
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Luin, Sarah J, LPT
Gender: Female
# NPI: 1093055618
7401 W Hwy 71
Ste 130
(512) 288-2700
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
NPI: 1891029534
4534 Westgate Blvd
Ste 104
(512) 892-7337
McGinty, Trent L, LPT
Gender: Male
NPI: 1114935988
4029 S Capital of
Texas Hwy Ste 111
J (512) 345-5925
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
#
J
NPI: 1891029534
711 W 38th St
Ste C11
(512) 302-3922
NPI: 1891029534
711 W 38th St Ste C11
(512) 302-3922
McTague, Edward M, LPT
Gender: Male
NPI: 1609986546
10526 W Parmer Ln
Ste 403
(512) 900-3302
NPI: 1891029534
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist
PC
Board Certifications: None
NPI: 1609986546
1212 W Parmer Ln
Ste E
(512) 670-3238
Austin
Austin
Magajna, Janet, LPT
Gender: Female
# NPI: 1831234236
3303 Northland Dr
Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Spanish
J
Austin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1609986546
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Austin
Merritt, Gussie P, LPT
Gender: Female
NPI: 1326459363
5401 La Crosse Ave
Bldg C
(512) 852-8134
Clinic Affiliation: Spero Rehabilitation LLC
Board Certifications: None
Language(s): Spanish
Moore, Carla G, LPT
Gender: Female
NPI: 1235397597
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
Morgan, Benjamin T, LPT
Gender: Male
NPI: 1992700215
10526 W Parmer Ln
Ste 403
(512) 900-3302
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Language(s): English
Morretta, Matthew P, LPT
Gender: Male
NPI: 1598995938
4532 Westgate Blvd
Ste 212
(512) 892-7337
NPI: 1598995938
4534 Westgate Blvd
Ste 104
(512) 892-7337
NPI: 1598995938
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): American Sign, Spanish
J
Austin
Austin
NPI: 1891029534
1212 W Parmer Ln
Ste E
(512) 670-3238
Aus tin
Aus tin
Austin
Mitol, Jennifer A, LPT
Gender: Female
NPI: 1891029534
10526 W Parmer Ln
Ste 403
(512) 900-3302
Marshall, Allyson L, LPT
Gender: Female
# NPI: 1649500679
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Aus tin
#
Milligan, Mark L, LPT
Gender: Male
NPI: 1174810592
5114 Balcones Woods Dr
Ste 306
(512) 372-3612
AUSTIN
Moyer, Mary B, LPT
Gender: Female
NPI: 1457471807
3508 Far West Blvd
Ste 240
(512) 832-9411
Clinic Affiliation: Austin Manual Therapy
Assoc PC
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Language(s): Spanish
Neilson, Brett D, LPT
Gender: Male
NPI: 1548497654
5114 Balcones Woods Dr
Ste 308
(512) 794-0863
NPI: 1548497654
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Nelson, Megan M, LPT
Gender: Female
NPI: 1811040215
2171 Woodward St
Ste B
J (888) 997-2669
Austin
#
J
#
J
#
J
NPI: 1811040215
4301 W William Cannon Dr
Bldg E Ste 320
(512) 467-6608
NPI: 1811040215
8868 Research Blvd
Ste 601
(512) 467-7232
NPI: 1811040215
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Nguyen, Trung S, LPT
Gender: Male
# NPI: 1649451717
2013 Wells Branch Pkwy
Ste 103
(512) 835-6077
Clinic Affiliation: Community Health and
Rehab Centre
Board Certifications: None
Language(s): Vietnamese
Austin
Nofi, Raymond, LPT
Gender: Male
# NPI: 1275647778
3724 Executive Center
Dr Ste G10
(512) 345-5925
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
73
Specialists
AUSTIN
Austin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Oden, Bryan E, LPT
Gender: Male
NPI: 1811046774
4000 Medical Pkwy Ste 100
J (512) 467-0808
Clinic Affiliation: Austin Pain Therapy
Assoc Inc
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Spanish
Aus tin
#
Parker, Brandy N, LPT
Gender: Female
# NPI: 1982065249
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Board Certifications: None
Aus tin
Parker, Mary E, LPT
Gender: Female
# NPI: 1124035951
12524 Capella Trl
J (512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Aus tin
Patterson, Heather E, LPT
Gender: Female
# NPI: 1407840861
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Pittsford, Samantha K, LPT
Gender: Female
NPI: 1073874517
13201 Ranch Rd 620 N
(512) 275-7269
Clinic Affiliation: Austin Sports Medicine
Board Certifications: None
Poche, Alicia R, LPT
Gender: Female
# NPI: 1174775530
4316 James Casey St
Ste 201 Bldg B
(512) 442-2727
Clinic Affiliation: Austin Integrative Medical
Grp PA
Board Certifications: None
Aus tin
Aus tin
NPI: 1225334808
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Sandstedt, Julie P, LPT
Gender: Female
# NPI: 1033394374
7401 W Hwy 71
Ste 130
J (512) 288-2700
Clinic Affiliation: Star Physical Therapy
Board Certifications: None
Austin
Rasoulian, Leeda, LPT
Gender: Female
NPI: 1215349519
3508 Far West Blvd
Ste 240
J (512) 832-9411
Clinic Affiliation: Austin Manual Therapy
Assoc PC
Practice Information: No Patients Under 13
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Austin
Schoener Spong, Theresa, LPT
Gender: Female
# NPI: 1033280680
8505 Cross Park Dr
Ste 120
J (512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Practice Information: No Patients Over 2
yrs old
Board Certifications: None
Language(s): Spanish
Richardson, Jesse W, LPT
Gender: Male
NPI: 1801889860
12201 Renfert Way
Ste 115
(512) 588-1000
Clinic Affiliation: Harris S Rose MD PLLC
Board Certifications: None
Robertozzi, Christian C, LPT
Gender: Male
NPI: 1093153173
711 W 38th St
Ste C11
(512) 302-3922
Austin
Schulte, Kara R, LPT
Gender: Female
# NPI: 1568839678
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Rose, Gabriele D, LPT
Gender: Female
# NPI: 1134137250
3211 Hancock St
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Language(s): American Sign, German
Austin
Rowe, Emily C, LPT
Gender: Female
# NPI: 1760648901
3211 Hancock Dr
(512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Language(s): American Sign, German
Austin
Austin
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Schulte, Carolyn A, LPT
Gender: Female
NPI: 1376730523
2106 Brookhill Dr
(512) 971-2900
Clinic Affiliation: Pro Motion Physical
Therapy LLC
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Schwarzbach, Christene R, LPT
Gender: Female
NPI: 1699050880
3211 Hancock Dr
(512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Scott, Agata, LPT
Gender: Female
NPI: 1952663320
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
#
Ruffin, Elise, LPT
Gender: Female
NPI: 1629444617
3201 Bee Caves Rd
Ste 152
(512) 306-8071
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Austin
Ruthven, Lara P, LPT
Gender: Female
NPI: 1760881445
11819 Pavilion Blvd
(512) 249-0500
Clinic Affiliation: Rehabcare Group
Board Certifications: None
Sia, Honny U, LPT
NPI: 1851585343
901 W 38th St
Ste 200
J (512) 421-4100
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Austin
Sigala, Irma A, LPT
Gender: Female
NPI: 1376765123
4310 James Casey St
Ste 3C
J (512) 326-2800
Austin
#
J
Austin
Sautell, Kate, LPT
Gender: Female
NPI: 1386882090
11007 FM 2222
(512) 792-4041
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Austin
NPI: 1093153173
711 W 38th St Ste C11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist
PC
Board Certifications: None
Pothini, Prasad, LPT
Gender: Male
NPI: 1174719165
1600 W 38th St
Ste 201
(512) 206-0433
Clinic Affiliation: Sports Center
Board Certifications: None
Powell, Christie J, LPT
Gender: Female
NPI: 1134154883
9185 Research Blvd
J (512) 996-0441
Clinic Affiliation: Champion Performance
Phys Therapy
Board Certifications: None
Aus tin
Salas, Adriana, LPT
Gender: Female
# NPI: 1225334808
4534 Westgate Blvd
Ste 104
(512) 892-7337
Austin
Rakestraw, Rebecca L, LPT
Gender: Female
NPI: 1841500147
5510 S IH 35
Ste 240
J (512) 301-1117
Clinic Affiliation: Injury 2 Wellness LLC
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Aus tin
Aus tin
Quadri, Aman U, LPT
Gender: Male
NPI: 1487769618
4425 S Mopac Expwy
Bldg 2 Ste 102
(512) 407-8766
Clinic Affiliation: Eclipse Healthcare LLC
Board Certifications: None
Language(s): Spanish, Urdu
Austin
Aus tin
Penoli, Amelia M, LPT
Gender: Female
# NPI: 1639324494
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German
OCTOBER 03, 2016
bmkp_in_spec
Shinto, Emylie M, LPT
Gender: Female
NPI: 1831429182
3607 Manchaca Rd
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): Spanish
NPI: 1376765123
5625 Eiger Rd Ste 175
(512) 401-8400
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
Simon, Justin C, LPT
Gender: Male
NPI: 1760814164
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Simpson, Cynthia, LPT
Gender: Female
# NPI: 1790072023
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English
Austin
Spaw, Vanessa M, LPT
Gender: Female
NPI: 1255609400
3211 Hancock Dr
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Austin
J
Spigarelli, Rudie N, LPT
Gender: Female
NPI: 1649603192
5608 Parkcrest Dr
Ste 100
(512) 345-4664
NPI: 1649603192
711 W 38th St Ste C11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Balance Therapy
Board Certifications: None
Stager, Brittany K, LPT
Gender: Female
NPI: 1891040705
8505 Cross Park Dr
Ste 120
J (512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Spanish
Austin
#
Stanley, Christopher W, LPT
Gender: Male
# NPI: 1457524431
3201 Bee Caves Rd
Ste 152
J (512) 306-8071
Austin
J
NPI: 1457524431
801 E William Cannon Dr
Ste 225
(512) 270-2060
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): French, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
74
OCTOBER 03, 2016
bmk_pin_spec
Aus tin
AUSTIN (cont.)
PHYSICAL THERAPY (cont.)
Stavinoha, Nicole C, LPT
Gender: Female
NPI: 1215162672
4301 W William Cannon
Dr Ste 320
J (888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Austin
#
Austin
Stevens, Lisa B, LPT
Gender: Female
NPI: 1972911576
1215 Red River St
(512) 324-7131
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Strickland, Mark T, LPT
Gender: Male
NPI: 1427076629
2501 W William Cannon Dr
Bldg 1 Ste 102
J (972) 519-9242
J
Stultz, Sarah M, LPT
Gender: Female
NPI: 1336302827
2171 Woodward St
Ste B
J (512) 440-0555
Austin
J
Austin
Austin
NPI: 1336302827
8868 Research Blvd
Ste 601
(512) 467-7232
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Sutton, Stacy L, LPT
Gender: Female
NPI: 1013357425
711 W 38th St
Ste C11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy
Board Certifications: None
Terrell, Jennifer M, LPT
Gender: Female
# NPI: 1205868643
1600 W 38th St
Ste 201
J (512) 206-0433
Clinic Affiliation: Sports Center
Board Certifications: None
Language(s): Spanish
Virani, Dhara G, LPT
Gender: Female
# NPI: 1740699727
2500 W William Cannon
Dr Ste 409
J (512) 852-8434
Clinic Affiliation: Your Personal Best
Physical Therapy
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Austin
Austin
Tillman, Michael R, LPT
Gender: Male
NPI: 1376571919
11007 FM 2222
J (512) 792-4041
J
NPI: 1376571919
6618 Sitio Del Rio Blvd
Ste D102
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Sign Language, Spanish
Waddell, Lindsey A, LPT
Gender: Female
NPI: 1912217266
3607 Manchaca Rd
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
Tranchina, Jessica M, LPT
Gender: Female
# NPI: 1427295559
1700 S Lamar Blvd Ste 330
(512) 228-1411
Clinic Affiliation: Primo Performance and
Rehab Inc
Board Certifications: None
Austin
Tsay, Elaine C, LPT
Gender: Female
NPI: 1205248507
3508 Far West Blvd
Ste 240
J (512) 832-9411
Clinic Affiliation: Austin Manual Therapy
Assoc PC
Board Certifications: None
Language(s): Spanish
Aus tin
Walk, Brenda, LPT
Gender: Female
NPI: 1871923821
1600 W 38th St
Ste 201
(512) 206-0433
Clinic Affiliation: Sports Center
Board Certifications: None
Wallace, Bridget D, LPT
Gender: Female
NPI: 1063451375
5608 Parkcrest Dr
Ste 100
J (512) 345-4664
Clinic Affiliation: Texas Balance Therapy
Board Certifications: None
Language(s): Sign Language, Spanish
Austin
Wensink, Simone E, LPT
Gender: Female
# NPI: 1588707509
8505 Cross Park Dr
Ste 120
J (512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, French,
Spanish
AUSTIN
Wooster, Rebecca S, LPT
Gender: Female
NPI: 1720357122
2013 Wells Branch Pkwy
Ste 103
J (512) 835-6077
Clinic Affiliation: Community Health and
Rehab Centre
Board Certifications: None
Language(s): Spanish
Austin
Yesian, Bonnie P, LPT
Gender: Female
NPI: 1609025048
1033 La Posada Dr
Ste 308
J (512) 284-7192
Clinic Affiliation: Endeavor Rehab Center
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Language(s): Spanish
Austin
PLASTIC SURGERY
" Beckham, Patrick H, MD
Austin
J
Urban, Travis, LPT
Gender: Male
NPI: 1043642390
10001 S Interstate 35
Bldg 3 Ste 300
(888) 997-2669
" Combs, Patrick D, MD
J
" Crawford, Jennifer L, MD
Austin
Gender: Female
NPI: 1104922269
630 W 34th St
Ste 201
(512) 459-6800
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: J Lauren Crawford MD
PLLC
Board Certifications: Plastic Surgery
Language(s): Portuguese, Spanish
Werling, James, LPT
Gender: Male
# NPI: 1386821163
2106 Brookhill Dr
(512) 971-2900
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Whittemore, Joe D, LPT
Gender: Male
# NPI: 1629370234
3201 Bee Caves
Ste 152
(512) 306-8071
Austin
NPI: 1043642390
9333 Research Blvd
Ste 400
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Aus tin
Austin
Aus tin
#
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Vander Zanden, Tyler L, LPT
Gender: Male
NPI: 1992049175
1212 W Parmer Ln
Ste E
(512) 670-3238
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
#
J
Vines, Ross R, LPT
Gender: Male
NPI: 1679687180
3724 Executive Center
Dr Ste G10
(512) 345-5925
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): Spanish
Austin
" Cullington, James R, MD
Austin
NPI: 1629370234
3201 Bee Caves Rd
Ste 152
(512) 306-8071
J
NPI: 1629370234
711 W 38th St C-11
(512) 302-3922
Clinic Affiliation: Capital Hand & Physical
Therapy, Texas Physical Therapy Specialist,
Texas Physical Therapy Specialist PC
Board Certifications: None
Language(s): American Sign, Spanish
J
Wooley, Ryan J, LPT
Gender: Male
NPI: 1699153684
3201 Bee Caves Rd
Ste 152
(512) 306-8071
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Gender: Male
NPI: 1851405310
1301 Barbara Jordan
Blvd Ste 301
(512) 324-0919
NPI: 1851405310
1400 N IH 35
Ste 320
(512) 324-8320
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Institute of Reconstructive
Plast, Pediatric Surgical Subspecialists
Board Certifications: Plastic Surgery
Language(s): American Sign, Spanish
Austin
NPI: 1043642390
4301 W William Cannon
Ste 320 Bldg E
(888) 997-2669
Gender: Male
NPI: 1144238320
6101 Balcones Dr
Ste 100
(512) 459-1442
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton Medical
Center Hays, Seton Medical Ctr Williamson,
St Davids Medical Center, University Med Ctr
Brackenridge
Board Certifications: Plastic Surgery
Austin
Austin
Turner, Pamela J, LPT
Gender: Female
# NPI: 1811035819
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Aus tin
Aus tin
Wachs, Orli J, LPT
Gender: Female
NPI: 1861876609
13450 Research Blvd
Ste 102
(512) 450-1300
Clinic Affiliation: Austin Sports Medicine
Board Certifications: None
Language(s): American Sign
Austin
Aus tin
Sykes, Peyton D, LPT
Gender: Male
NPI: 1700279122
801 E William Cannon
Dr Ste 225
(888) 590-4002
NPI: 1700279122
801 E William Cannon Dr
Ste 225
(512) 270-2060
(512) 570-2060
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Thurman, Jamie M, LPT
Gender: Female
NPI: 1851774418
5114 Balcones Woods Dr
Ste 306
(512) 794-8863
(888) 590-4002
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Aus tin
Austin
NPI: 1427076629
7600 Burnet Rd
Ste 560
(512) 458-1183
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: None
Language(s): Spanish
Specialists
Gender: Male
NPI: 1295806602
1400 N IH 35
Ste 320
(512) 324-8320
NPI: 1295806602
3724 Executive Center Dr
Ste 115
(512) 324-2765
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Center
Hays, Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: Plastic Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
75
Specialists
AUSTIN
" Henry, Steven L, MD
" Sharma, Sanjay K, MD
Austin
AUSTIN (cont.)
PLASTIC SURGERY (cont.)
!
!
" Dellinger, David B, DO
J
Aus tin
Gender: Male
NPI: 1093785404
11623 Angus Rd
Ste C15
(512) 229-1978
NPI: 1093785404
9417 Great Hills Trail
Ste 3029
(512) 229-1978
Clinic Affiliation: Elysian Plastic Surgery
PLLC
Board Certifications: Plastic Surgery
" Egeland, Brent M, MD
Aus tin
J
J
Gender: Male
NPI: 1053433375
1400 N IH 35
Ste 320
(512) 324-8320
J
Gender: Male
NPI: 1265413959
1510 W 34th St Ste 100
(512) 533-9900
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ned Snyder IV MD
Board Certifications: Plastic Surgery
Language(s): Spanish
Gender: Male
NPI: 1801980586
1215 Red River St
(512) 474-5700
J
NPI: 1063733137
4316 James Casey St
Ste 201 Bldg F
(512) 642-5050
NPI: 1801980586
900 E 30th St
Ste 107
(512) 458-9133
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Healthsouth Rehabilitation Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Healogics Specialty
Physicians of
Board Certifications: Plastic Surgery
Language(s): Spanish
" Weinfeld, Adam B, MD
Austin
Gender: Male
NPI: 1346363280
3724 Executive Center Dr
Ste 115
(512) 324-2765
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: Plastic Surgery
Language(s): Spanish
NPI: 1063733137
6836 Bee Caves Rd
Ste 103
(512) 642-5050
Clinic Affiliation: Austin Oculoplastics
Board Certifications: None
" Potter, Elisabeth H, MD
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Ames, Anne C, DPM
Austin
J
Austin
" Turner, David M, MD
NPI: 1063733137
1927 Lohmans Crossing Rd
Ste 200
(512) 642-5050
Gender: Male
NPI: 1124145255
1301 Barbara Jordan
Blvd Ste 307
(512) 324-0919
PODIATRY
Austin
Paul, Sean, MD
Gender: Male
NPI: 1063733137
12201 Renfert Way
Ste 315
(512) 642-5050
#
Gender: Male
NPI: 1891747341
1510 W 34th St Ste 100
(512) 533-9900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Center
Hays, Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ned Snyder IV MD
Board Certifications: Plastic Surgery
Language(s): Spanish
" Snyder IV, Ned, MD
Gender: Male
NPI: 1427200013
4701 Bee Cave Rd
Ste 106
(512) 270-8047
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Plastic Surgery
Board Certifications: Plastic Surgery
Language(s): Spanish
Austin
" Whitfield, Robert M, MD
Austin
Austin
" McFate, John A, MD
" Harshbarger III, Raymond J, MD
NPI: 1124145255
1400 N IH 35
Ste 320
(512) 324-8320
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Institute of Reconstructive
Plast, Pediatric Surgical Subspecialists
Board Certifications: Plastic Surgery
Language(s): American Sign, Spanish
NPI: 1083703656
6811 Austin Center Blvd
Ste 420
(512) 324-2765
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast, Pediatric Surgical Subspecialists
Board Certifications: Plastic Surgery
Language(s): Spanish
Austin
Aus tin
J
NPI: 1083703656
1400 N IH 35
Ste 320
(512) 324-8320
NPI: 1659306348
1400 N IH 35
Ste 320
(512) 324-8304
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast, Pediatric Surgical Subspecialists
Board Certifications: Plastic Surgery
Language(s): American Sign, Spanish
" Gadaria, Umeshchandra G, MD
J
NPI: 1770679607
6811 Austin Center Blvd
Ste 420
(512) 324-2765
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, University Med Ctr
Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast, Pediatric Surgical Subspecialists
Board Certifications: Plastic Surgery
Language(s): Spanish
Gender: Male
NPI: 1659306348
1301 Barbara Jordan
Blvd Ste 301
(512) 324-0919
J
Aus tin
Gender: Male
NPI: 1154301208
1015 E 32nd Ste 208
(512) 478-0993
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications: Plastic Surgery
Gender: Male
NPI: 1083703656
1301 Barbara Jordan
Blvd Ste 301
(512) 324-0919
" Kelley, Patrick K, MD
Aus tin
Gender: Male
NPI: 1366529216
1015 E 32nd St Ste 306
(512) 815-0123
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, St Davids Georgetown Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Plastic Surgery Assoc PA
Board Certifications: Plastic Surgery
Austin
Gender: Male
NPI: 1770679607
1400 N IH 35
Ste 320
(512) 324-8320
Austin
NPI: 1053433375
6811 Austin Center Blvd
Ste 420
(512) 324-2765
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: Plastic Surgery
Language(s): American Sign, Spanish
" Eggleston III, John M, MD
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1346438603
6818 Austin Ctr Blvd
Ste 204
(512) 867-6211
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Elisabeth Potter MD PLLC
Board Certifications: Plastic Surgery
Angirasa, Arush K, DPM
Gender: Male
NPI: 1740271196
2500 W Wm Cannon Dr
Ste 401
(512) 451-1969
Hospital Affiliations: Baptist Health
System, Cedar Park Regional Medical Ctr,
Methodist Hospital, Seton Medical Center
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: None
Language(s): Spanish
" Berger, Dennis L, DPM
Austin
J
Gender: Male
NPI: 1497805980
4207 James Casey St
Ste 315
(512) 447-2025
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: South Austin Foot Assoc
Board Certifications: Podiatry
Language(s): Spanish
Cassidy, Andrew P, DPM
Gender: Male
NPI: 1154379212
11614 Bee Caves Rd
Ste 150
J (512) 263-5454
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Andrew Cassidy PA
Board Certifications: None
Language(s): Spanish
Austin
Austin
" White, Aisha D, MD
Austin
Gender: Female
NPI: 1255589180
1400 N IH 35
Ste 320
(512) 324-8320
NPI: 1255589180
6811 Austin Center Blvd
Ste 420
(512) 324-2765
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Institute of Reconstructive
Plast
Board Certifications: Plastic Surgery
Gender: Female
NPI: 1083652101
1301 W 38th St Ste 707
(512) 407-8188
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Board Certifications: Podiatry
Language(s): English, Spanish
Chabokrow, Liza, DPM
Gender: Female
NPI: 1477733996
9012 Research Blvd
Ste C13
(512) 450-0101
Hospital Affiliations: Christus Santa Rosa
New Braunfels
Clinic Affiliation: Lisch Randy L DPM PA
Board Certifications: None
Language(s): Persian, Spanish
" Cohen, Jeffrey R, DPM
Austin
J
Gender: Male
NPI: 1811950249
6611 River Pl Blvd
Ste 200
(512) 351-9149
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Hill Country Surgery Ctr, North
Austin Medical Center, Oakwood Surgery
Center, Round Rock Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Precision Podiatry PA
Board Certifications: Podiatry
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
76
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" McDonnell, Mark E, DPM
Aus tin
AUSTIN (cont.)
PODIATRY (cont.)
" Drury, Angela, DPM
Austin
Gender: Female
NPI: 1083672083
2312 Western Trails Blvd
Ste 103
(512) 382-0773
Clinic Affiliation: Angela L Drury PC
Board Certifications: Podiatry
Language(s): Spanish
Emery-Culberson, Carla, DPM
Gender: Female
NPI: 1144261561
3303 Northland Dr
Ste 308
J (512) 420-0808
Hospital Affiliations: Central Park Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Healthsouth Rehabilitation Hospital Of
Austin, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Carla J Emery DPM
Board Certifications: None
Language(s): Spanish
Austin
J
Newman, Carlton E, DPM
Gender: Male
NPI: 1427130806
8312 Burnet Rd
Ste 109
J (512) 451-7929
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Smithville Reg Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Board Certifications: None
Aus tin
" Golf, Michael H, DPM
J
" Hubbard, Charles J, DPM
Austin
Gender: Male
NPI: 1609845809
1015 E 32nd St Ste 205
(512) 244-0766
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, Surgicare
Of South Austin
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Podiatry
Language(s): Spanish
Patel, Rajan, DPM
Gender: Male
! NPI: 1134474554
! 9012 Research Blvd
Ste C13
(512) 450-0101
Aus tin
NPI: 1134474554
9012 Rsearch Blvd
Ste C 13
(512) 450-0101
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Foot and Ankle
Center, Lisch Randy L DPM PA
Board Certifications: None
Aus tin
" Kaviani, Babak, DPM
J
Aus tin
" Lamour, Jeff W, DPM
Austin
J
Gender: Male
NPI: 1124081575
8015 Shoal Creek Blvd 119
(512) 451-3668
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Lamour PA
Board Certifications: Podiatry
Language(s): Spanish
" Lisch, Randy L, DPM
Austin
J
Gender: Male
NPI: 1588699730
9012 Research Blvd
Ste C13
(512) 450-0101
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Lisch Randy L DPM PA
Board Certifications: Podiatry
Language(s): Spanish
" Smedley, Jonathan G, DPM
Peterson, Perry H, DPM
Gender: Male
NPI: 1982715439
3724 Executive Center
Dr Ste 230
(512) 452-2100
Hospital Affiliations: Seton Highland Lakes
Clinic Affiliation: Chudleigh PA
Board Certifications: None
Rivera, Jose A, DPM
Gender: Male
NPI: 1902864333
4007 James Casey St
Ste D150
(512) 649-3166
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Hc Orthopaedics PA
Board Certifications: None
Language(s): Spanish
" Wood, Brent, DPM
Austin
J
" Zeringue Jr, Gerald N, DPM
J
" Snowden, Joseph H, DPM
Austin
J
Gender: Male
NPI: 1023114345
711 W 38th Ste C 4
(512) 458-3549
Hospital Affiliations: Bailey Square Surgery
Center, Round Rock Medical Center, Same
Day Surgicare, Seton Medical Center, St
Davids Georgetown Hospital
Board Certifications: Podiatry
St Louis, Jessica M, DPM
Gender: Female
NPI: 1649323270
4310 James Casey St
Ste 3A
J (512) 448-3668
Clinic Affiliation: Michael H Golf DPM PA
Board Certifications: None
Language(s): Spanish
Toussaint, Roseline, DPM
Gender: Female
NPI: 1205866548
1215 Red River St Ste 427
J (512) 251-1252
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Advanced Foot and Ankle
Family C
Board Certifications: None
Language(s): French, Spanish
Robson, Mark S, DPM
Gender: Male
NPI: 1861467904
4310 James Casey St
Ste 3A
J (512) 441-3668
Hospital Affiliations: Oakwood Surgery
Center, Same Day Surgicare, Seton Medical
Center, Seton Northwest Hospital, St Davids
S Austin Medical Center
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1669606414
3107 Oak Creek Dr Ste 120
(512) 719-4545
Clinic Affiliation: Brent S Wood DPM PLLC
Board Certifications: Podiatry
Language(s): Spanish
Austin
Gender: Male
NPI: 1083764419
4207 James Casey St
Ste 315
(512) 447-2025
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: South Austin Foot Assoc
Board Certifications: Podiatry
Language(s): Spanish
PULMONARY DISEASES
" Anderson, Matthew A, MD
Austin
J
Gender: Male
NPI: 1023221959
3600 W Parmer Ln
Ste 106
(512) 977-0123
Hospital Affiliations: Cornerstone Regional
Hospital Llc, Healthsouth Rehabilitation
Hospit, North Austin Medical Center,
Parkland Health And Hospital Sys, Round
Rock Medical Center, Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Pulmonary Diseases
Austin
Wang, Jennifer H, DPM
Gender: Female
NPI: 1619950565
13502 Paddington Cir
J (877) 801-1188
Clinic Affiliation: Jennifer H Wang DPM PC
Board Certifications: None
Language(s): Chinese
" Babbar, Harsh, MD
Austin
#
" Bartek, William M, MD
Austin
Wilson, Christina H, DPM
Gender: Female
NPI: 1487654943
4310 James Casey Ste 3A
J (512) 326-5600
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Board Certifications: None
Austin
Wokasien, Ronald L, DPM
Gender: Male
# NPI: 1104825538
12710 Research Blvd
Ste 140
J (512) 250-0444
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center,
Oakwood Surgery Center, Round Rock
Medical Center, Seton Medical Center, St
Davids Georgetown Hospital, St Davids
Medical Center
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1114105418
1210 Braker Ln
(512) 978-9300
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
Healthsouth Rehabilitation Hospit, Seton
Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital
Clinic Affiliation: Communitycare
Board Certifications: Pulmonary Diseases
Language(s): Spanish
Austin
J
J
Gender: Male
NPI: 1598722522
3600 W Parmer Ln
Ste 106
(512) 977-0123
NPI: 1598722522
4007 James Casey St
Ste B200
(512) 441-9799
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center, Texas
Neurorehab Center, Tx Hlth Presbyterian
Hosp Plano
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Pulmonary Diseases
Language(s): Spanish
" Cain, Harold D, MD
Austin
Austin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Gender: Male
NPI: 1679535553
6611 River Pl Blvd
Ste 200
(512) 351-9149
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Precision Podiatry PA
Board Certifications: Podiatry
Austin
NPI: 1851656318
9012 Rsearch Blvd
Ste C 13
(512) 450-0101
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Foot and Ankle
Center, Lisch Randy L DPM PA
Board Certifications: None
Austin
Gender: Male
NPI: 1962698241
2200 Park Bend Ste 300
Bldg 2
(512) 836-5665
Clinic Affiliation: Austin Primary Care
Physicians
Board Certifications: Podiatry
Language(s): Farsi, Hindi, Persian, Spanish
Patel, Nilesh P, DPM
Gender: Male
NPI: 1851656318
9012 Research Blvd
Ste C13
(512) 450-0101
Shock, Ryan P, DPM
Gender: Male
NPI: 1952590754
6611 River Pl Blvd
Ste 200
(512) 351-9149
Clinic Affiliation: Precision Podiatry PA
Board Certifications: None
Austin
Aus tin
Austin
Gender: Male
NPI: 1588673420
4310 James Casey St Ste 3A
(512) 448-3668
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Michael H Golf DPM PA
Board Certifications: Podiatry
Language(s): Spanish
Austin
Gender: Male
NPI: 1477526374
7900 FM 1826
Ste 100 Bldg 2
(512) 301-5350
Hospital Affiliations: Seton Medical Center,
Seton Southwest, St Davids S Austin
Medical Center
Clinic Affiliation: Hill Country Sports
Medicine
Board Certifications: Podiatry
Language(s): Spanish
AUSTIN
J
Gender: Male
NPI: 1225031669
3600 W Palmer Ln
Ste 106
(512) 977-0123
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Pulmonary Diseases
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
77
Specialists
AUSTIN
" Weingarten, Jordan S, MD
Middleton, Ellen A, MD
Gender: Female
# NPI: 1215132881
1210 Braker Ln
(512) 978-9300
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: Internal Medicine
Austin
AUSTIN (cont.)
PULMONARY DISEASES (cont.)
" Clark, Mark C, MD
Aus tin
Gender: Male
NPI: 1376568691
1400 N IH 35
Ste LL400
(512) 324-7300
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, Spanish
" Dallas, John D, MD
Aus tin
Gender: Male
NPI: 1972687127
601 E 15th St
(512) 324-7000
Hospital Affiliations: Cornerstone Hospital
Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, German, Spanish
Gilbey, Sean C, MD
Gender: Male
NPI: 1184628828
3600 W Parmer Ln
Ste 106
J (512) 977-0123
J
Aus tin
Harford, Paul H, MD
Gender: Male
NPI: 1710902036
601 E 15th St
(512) 324-7000
Hospital Affiliations: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Practice Information: No Patients Under 15
yrs old
Board Certifications: None
Language(s): French, German, Spanish
J
Austin
Gender: Female
NPI: 1003849431
1400 N IH 35
Ste CL400
(512) 324-7300
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Practice Information: No Patients Under 15
yrs old
Board Certifications: Pulmonary Diseases
Language(s): French, Spanish
Ortiz, Edward H, MD
Gender: Male
NPI: 1225049935
1110 W William Cannon
Ste 303
(512) 670-1212
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Quality Care Sleep
Diagnostics
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1790701894
601 E 15th St
(512) 324-7000
Hospital Affiliations: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, German, Spanish
J
J
J
Gender: Male
NPI: 1134392152
2600 E M L K Jr Blvd
(512) 505-5500
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Brown, George R, MD
Gender: Male
NPI: 1104897271
12221 N Mopac Expwy
J (512) 505-5500
" Morton, Jeffery D, MD
Austin
J
Austin
Gender: Male
NPI: 1306861604
1400 N IH 35
Ste CL400
(512) 324-7300
Hospital Affiliations: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, German, Spanish
J
NPI: 1104897271
2600 E M L K Jr Blvd
(512) 505-5500
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: None
Language(s): Spanish
" Nuesch, Carl E, MD
J
J
" Brown, Stephen L, MD
Gender: Male
NPI: 1891893186
3600 W Parmer Ln
Ste 106
(512) 977-0123
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: Pulmonary Diseases
Language(s): Spanish
Vedavalli, Abhishek, MD
Gender: Male
NPI: 1942536164
2901 Montopolis Dr
(512) 978-9901
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Communitycare
Board Certifications: None
J
Gender: Male
NPI: 1346210051
11111 Research Blvd
Ste LL2
(512) 531-5200
J
NPI: 1346210051
12221 N Mopac Expwy
(512) 505-5500
J
NPI: 1346210051
2600 E M L K
Jr Blvd
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Gender: Male
NPI: 1497799605
6204 Balcones Dr
(512) 302-1771
Hospital Affiliations: Denton Regional
Medical Center, Las Colinas Medical Center,
Medical Center Of Lewisville, Medical City
Dallas Hospital, Tx Hlth Presby Hospital
Denton
Clinic Affiliation: Texas Oncology PA
Board Certifications: Radiation Oncology
Austin
Austin
" Sint, Thaw, MD
Austin
NPI: 1073551420
805 W 37th St
(512) 421-4280
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Radiation Oncology
" Ghafoori, Ahmad P, MD
" Boyle, Teresa, MD
Gender: Female
NPI: 1164482287
2600 E M L K Jr Blvd
(512) 505-5500
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Gender: Male
NPI: 1073551420
6204 Balcones Dr
(512) 302-1771
Austin
Austin
" Shapiro, Michael, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Dziuk, Timothy W, MD
Austin
RADIATION ONCOLOGY
Austin
Austin
NPI: 1386614022
2600 E M L K Jr Blvd
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Ziebert, Carol L, MD
" Perret II, Kenneth A, MD
J
Gender: Male
NPI: 1386614022
12221 N Mopac Expwy
(512) 505-5500
Austin
Austin
" Hinze, John D, DO
" Cox, Shannon D, MD
Austin
Gender: Male
NPI: 1639194939
1305 W 34th St
Ste 400
(512) 459-6599
NPI: 1639194939
601 E 15 St
(512) 324-7000
Hospital Affiliations: Cornerstone Hospital
Austin, Healthsouth Rehabilitation Hospital
Of Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, German, Spanish
Naik, Shantanu S, MD
Gender: Male
# NPI: 1942362520
1210 Braker Ln
(512) 978-9300
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Cornerstone Hospital Medical
Ctr, Healthsouth Rehabilitation Hospit, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Communitycare
Board Certifications: None
Aus tin
Gender: Male
NPI: 1013933019
601 E 15th St
(512) 324-7000
Hospital Affiliations: Cornerstone Hospital
Austin, Dell Childrens Med Ctr Cent Tx,
Healthsouth Rehabilitation Hospital Of
Austin, Heart Hospital Of Austin, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Pulmonary Diseases
Language(s): French, Spanish
Austin
Austin
Aus tin
NPI: 1184628828
4007 James Casey St
Ste B200
(512) 441-9799
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
St Davids S Austin Medical Center, Texas
Neurorehab Center
Clinic Affiliation: Austin Pulmonary
Consultants PA
Board Certifications: None
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1659318095
6101 Balcones Dr
Ste 101
(512) 406-5150
NPI: 1659318095
6204 Balcones Dr
(512) 427-9400
Hospital Affiliations: Hsps Of Providence
Sierra Campus, Hsps Providence Memorial
Campus, Las Palmas Camp Lpdsh, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Radiation Oncology
Language(s): Spanish
" Rivera, Douglas J, MD
Austin
J
J
Gender: Male
NPI: 1073583274
12221 N Mopac Expwy
(512) 505-5500
NPI: 1073583274
2600 E MLK Jr Blvd
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
78
OCTOBER 03, 2016
AUSTIN (cont.)
RADIATION ONCOLOGY (cont.)
Austin
Thatikonda, Srivani, MD
Gender: Female
NPI: 1881631356
805 W 37th St
(512) 421-4280
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
" Tierney, Ryan M, MD
Austin
J
Gender: Male
NPI: 1154416923
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Radiation Oncology
bmk_pin_spec
REPRODUCTIVE ENDOCRINOLOGY &
INFERTILITY
Aus tin
J
NPI: 1407826605
12221 N Mopac Expwy
(512) 505-5500
Crawford, Natalie M, MD
Gender: Female
NPI: 1114186533
2200 Park Bend Dr Ste 402
Bldg 1
(512) 339-4234
Clinic Affiliation: Austin Fertility Institute PA
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Moghadam, Kenneth K, MD
Gender: Male
# NPI: 1033120282
2200 Park Bend Dr
Ste 402 Bldg 1
(512) 339-4234
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Fertility Institute PA
Board Certifications: None
Language(s): Farsi, Persian, Spanish
Aus tin
" Warhoe, Kirsten A, MD
J
" Uchiyama, Robert C, MD
Austin
J
J
Aus tin
Austin
Gender: Female
NPI: 1407826605
11111 Research Blvd
Ste LL2
(512) 531-5200
Specialists
Skillern, Amanda A, MD
Gender: Female
NPI: 1659687275
12200 Renfert Way
Ste 100
(512) 451-8211
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Aa OB/GYN PLLC
Board Certifications: None
Language(s): Spanish
J
" Brown, Mark T, MD
Austin
J
Austin
RETAIL HEALTH PROVIDER
Banigan, Mercedes B, PA
Gender: Female
! NPI: 1952515926
! 11521 Ranch Rd 620 N
J (512) 687-0556
Clinic Affiliation: Rediclinic Austin LLC
Board Certifications: None
" Wilbanks, John H, MD
Austin
J
J
Gender: Male
NPI: 1194795831
12221 N Mopac Expwy
(512) 505-5500
NPI: 1194795831
2600 E M L K
Jr Blvd
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Wu, Catherine S, MD
Austin
J
Gender: Female
NPI: 1013931716
4101 James Casey St
Ste 100
(512) 447-2202
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Radiation Oncology
REG NURSE FIRST ASSIST
" Linsalata, Tina L, RNFA
Flury, Kristine D, APN
Gender: Female
! NPI: 1255670956
! 11521 Ranch Rd 620 N
J (512) 687-0556
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Aus tin
Gender: Male
NPI: 1023024395
11762 Jollyville Rd
(512) 258-2300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Heart Hospital Of Austin,
Northwest Surgery Center Llp, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Great Hills ENT
Board Certifications: Otolaryngology, Sleep
Medicine
Language(s): Spanish
Ortiz, Edward H, MD
Gender: Male
NPI: 1225049935
1110 W William Cannon
Ste 303
(512) 670-1212
Hospital Affiliations: Cornerstone Hospital
Austin, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Quality Care Sleep
Diagnostics
Board Certifications: None
Language(s): Spanish
Toupin, Leo R, MD
Gender: Male
NPI: 1518052224
12335 Hymeadow Dr
Ste 150
J (512) 977-8300
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center
Clinic Affiliation: Leo Toupin MD
Board Certifications: Internal Medicine
Martin, Margaret A, APN
Gender: Female
! NPI: 1912302514
! 11521 Ranch Rd 620 N
J (512) 687-0556
SPEECH PATHOLOGY
NPI: 1912302514
6900 Brodie Ln
(512) 892-2300
Clinic Affiliation: Rediclinic Austin LLC
Board Certifications: None
Austin
Pierce Bregante, Sarah A, PA
Gender: Female
!# NPI: 1124164934
! 11521 Ranch Rd 620 N
J (512) 687-0556
Aus tin
!# NPI: 1124164934
! 6900 Brodie Ln
J (512) 892-2300
Clinic Affiliation: Rediclinic LLC
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Ansel, Meredith L, SLP
Gender: Female
NPI: 1669570776
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Askew, Jennifer L, SLP
Gender: Female
NPI: 1992003735
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Board Certifications: None
Austin
RHEUMATOLOGY
Austin
Gender: Female
NPI: 1730260589
9600 Escarpment Blvd
Ste 745 195
(512) 497-4092
Clinic Affiliation: Austin Area Surgical
Assistants
Board Certifications: Reg Nurse First
Assist
Language(s): American Sign, Spanish
" Ahmed, Mohammed A, MD
Bailey, Natasha F, SLP
Gender: Female
# NPI: 1922232792
9707 Anderson Mill Rd
Ste 220
(512) 827-7011
Clinic Affiliation: Building Blocs
Practice Information: No Patients Over 16
yrs old
Board Certifications: None
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Baker, Carri D, SP
Gender: Female
# NPI: 1295763134
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Language(s): Spanish
Austin
Bartelt, Amy K, SLP
Gender: Female
NPI: 1245354679
7800 Shoal Creek Blvd
Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Board Certifications: None
Language(s): Spanish
Austin
Bassford, Lesli, SLP
Gender: Female
# NPI: 1801803663
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Gender: Male
NPI: 1538443791
7307 Creekbluff Dr
(512) 349-9100
Hospital Affiliations: North Austin Medical
Center, Seton Medical Ctr Williamson
Clinic Affiliation: Mark T Malone MD
Board Certifications: Rheumatology
Basurto, Sofia, SLP
Gender: Female
NPI: 1487896361
1333 Shore District Dr
Ste 1213
(512) 993-6808
NPI: 1487896361
1825 Fortview Rd
Ste 105
(512) 351-7837
Clinic Affiliation: Behavioral Therapy
Center of Aust, Soal Home Health Services
LLC
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Aus tin
!
!
J
NPI: 1134200934
313 E 12th St
Ste 103
(512) 324-9650
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: University Physicians
Group
Practice Information: No Patients Under 18
yrs old
Board Certifications: Rheumatology
Language(s): Spanish
SLEEP MEDICINE
Aus tin
NPI: 1407826605
2600 E M L K Jr Blvd
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
St Davids Georgetown Hospital, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Gender: Male
NPI: 1134200934
1400 N IH 35
Lower Level Cl 400
(512) 324-7300
AUSTIN
Beaty, April D, SLP
Gender: Female
NPI: 1538391131
3724 Jefferson St
Ste 316
(512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Benning, Caroline, SLP
Gender: Female
# NPI: 1992198493
4422 Pack Saddle Pass
Ste 104
(512) 444-3345
Clinic Affiliation: Total Communication
Board Certifications: None
Austin
Boon, Anne L, SLP
Gender: Female
NPI: 1578573986
6811 Austin Center
Blvd Ste 400
J (512) 628-1918
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Brandel, Donna T, SP
Gender: Female
# NPI: 1710995824
3211 Hancock Dr
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Language(s): American Sign, German
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
79
Specialists
AUSTIN
Austin
AUSTIN (cont.)
SPEECH PATHOLOGY (cont.)
Aus tin
#
Bremer, Andrea M, SLP
Gender: Male
NPI: 1518203165
12524 Capella Trl
(512) 587-5671
NPI: 1518203165
7800 Shoal Creek Blvd
Ste 110W
(512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc, Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Aus tin
Aus tin
Buba, Ashley E, SLP
Gender: Female
NPI: 1023146735
3506 Purple Heron Dr
(512) 686-1612
Board Certifications: None
Connell, Tara C, SLP
Gender: Female
NPI: 1700265428
9707 Anderson Mill Rd
Ste 220
(512) 827-7011
Clinic Affiliation: Building Blocs
Board Certifications: None
Cruz, Tina, SLP
Gender: Female
# NPI: 1386739050
8863 Anderson Mill Rd
Ste 117
J (512) 250-5299
Clinic Affiliation: Turning Point Integrated
Therapy
Board Certifications: None
Language(s): Spanish
Austin
Curtis, Michelle B, SLP
Gender: Female
NPI: 1467681312
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
#
Darwin, Elizabeth W, SP
Gender: Female
# NPI: 1639207137
3607 Manchaca
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Davis, Amelia B, SLP
Gender: Female
# NPI: 1982942835
7800 Shoal Creek Blvd
Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Davis, Brenda P, SLP
Gender: Female
# NPI: 1225051451
4009 Banister Ln Ste 280
J (512) 789-3398
Austin
NPI: 1770899635
3303 Northland Dr
Ste 312
(512) 291-2669
Clinic Affiliation: Growing Places Therapy
Services, Line Leader Pediatric Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Dewitt, Shanna L, SLP
Gender: Female
NPI: 1710383237
4425 S Mopac Expwy
Bldg 2 Ste 102
(512) 740-5941
Clinic Affiliation: Eclipse Healthcare LLC
Board Certifications: None
Austin
Gillies, Alison C, SP
Gender: Female
# NPI: 1972919033
3211 Hancock Dr
(512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Easter, Laura M, SLP
Gender: Female
NPI: 1326335449
13642 N Hwy 183 Ste 200
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Austin
Ferguson, Jayme S, SLP
Gender: Female
NPI: 1487910931
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Austin
Flesner, Abbey R, SP
Gender: Female
# NPI: 1417394800
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Grantham, Jennifer A, SLP
Gender: Female
NPI: 1912321852
9707 Anderson Mill Rd
Ste 220
(512) 827-7011
Clinic Affiliation: Building Blocs
Board Certifications: None
Gray, Brandy L, SLP
Gender: Female
NPI: 1396145827
12524 Capella Trl
J (512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
#
Franks, Adeola S, SLP
Gender: Female
NPI: 1275839607
5401 La Crosse Ave
Bldg C
(512) 852-8134
Clinic Affiliation: Spero Rehabilitation LLC
Board Certifications: None
Austin
Fuentes, Maria E, SLP
Gender: Female
NPI: 1144415993
8505 Cross Park Dr
Ste 120
(512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): Spanish
#
NPI: 1225051451
8900 Shoal Creek Blvd
Ste 103
(512) 789-3398
Board Certifications: None
Gillingham, Laura, SLP
Gender: Female
NPI: 1932583028
9707 Anderson Mill Rd
Ste 220
(512) 827-7011
Clinic Affiliation: Building Blocs
Board Certifications: None
Granberry, Mindy L, SP
Gender: Female
# NPI: 1639317860
1705 S Capital of Texas
Hwy Ste 150
J (512) 327-2083
Clinic Affiliation: Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Austin
Austin
#
Austin
Gregoire, Simone J, SLP
Gender: Female
NPI: 1144569542
8505 Cross Park Dr
Ste 120
(512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): Spanish
Hammer, Brittney N, SLP
Gender: Female
NPI: 1952696502
6207 Sheridan Ave
Ste 200
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Harriman, Jill M, SLP
Gender: Female
NPI: 1225318371
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Board Certifications: None
Heidemann, Kacey N, SLP
Gender: Female
NPI: 1477934479
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Herrejon, Kimberly D, SLP
Gender: Female
NPI: 1407141468
6207 Sheridan Ave
Ste 200
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Austin
#
Austin
Austin
Austin
Ely, Allison L, SLP
Gender: Female
# NPI: 1073900767
3303 Northland Dr
Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
Garcia, Katherine S, SLP
Gender: Female
NPI: 1801943899
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Hanvey, Kristen D, SLP
Gender: Female
# NPI: 1649501438
3303 Northland Dr
Ste 312
J (512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
#
Austin
Aus tin
J
Gale, Meghan A, SLP
Gender: Female
# NPI: 1770899635
12524 Capella Trl
J (512) 587-5671
Austin
Downing, Amanda N, SLP
Gender: Female
# NPI: 1740624576
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Aus tin
Aus tin
Delgado, Alejandra, SLP
Gender: Female
NPI: 1457712457
1333 Shore District Dr
Ste 1213
(512) 993-6808
Clinic Affiliation: Soal Home Health
Services LLC
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Austin
Hewitt, Brooke E, SLP
Gender: Female
NPI: 1912331075
706 W Ben White Blvd
Ste 150A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Huston, Carmen I, SLP
Gender: Female
NPI: 1467897132
4607 Edgemont Dr
(512) 865-9845
Clinic Affiliation: Takes2therapy PLLC
Board Certifications: None
Ibarra, Christina, SP
Gender: Female
# NPI: 1124105168
4422 Pack Saddle Pass
Ste 104
J (512) 444-3345
Clinic Affiliation: Total Communication
Board Certifications: None
Austin
Austin
#
Israelson, Rachel L, SLP
Gender: Female
NPI: 1700295110
12524 Capella Trl
(512) 587-5671
NPI: 1700295110
3303 Northland Dr
Ste 312
(512) 291-2669
Clinic Affiliation: Growing Places Therapy
Services, Line Leader Pediatric Therapy PLL
Board Certifications: None
Jackson, Ladaun S, SLP
Gender: Female
# NPI: 1366837403
4607 Manchaca Rd
J (512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Austin
Johnson, Viki D, SLP
Gender: Female
NPI: 1720227903
13642 N Hwy 183
Ste 200 Bldg 2
J (512) 331-4115
Clinic Affiliation: Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
80
OCTOBER 03, 2016
bmk_pin_spec
Specialists
McDaniel, Jennifer L, SLP
Gender: Female
# NPI: 1831523893
7800 Shoal Creek Blvd
Ste 110W
J (512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Ochoa Guerrero, Oralia O, SLP
Gender: Female
NPI: 1285890178
6207 Sheridan Ave
J (512) 334-4411
Clinic Affiliation: Any Baby Can
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
AUSTIN (cont.)
SPEECH PATHOLOGY (cont.)
Austin
Kester, Ellen S, SLP
Gender: Female
NPI: 1649301847
8505 Cross Park Dr
Ste 120
(512) 615-6908
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Farsi,
Mandarin, Spanish
Knowlton, Melissa M, SLP
Gender: Female
# NPI: 1922476787
7800 Shoal Creek Blvd
Ste 110W
(512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
Larson, Jayne D, SP
Gender: Female
NPI: 1760525570
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Practice Information: No Patients Over 22
yrs old, No Patients Under 1 yrs old
Board Certifications: None
Language(s): American Sign
Austin
#
Lavelle, Kari A, SLP
Gender: Female
# NPI: 1912032723
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Board Certifications: None
Leoni, Holly K, SLP
Gender: Female
NPI: 1518253293
13642 N Hwy
Bldg 2 Ste 200
(512) 331-4115
NPI: 1518253293
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Austin
Massey, Anne M, SLP
Gender: Female
NPI: 1144437609
706A W Ben White Blvd
Ste 150 A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Practice Information: No Patients Over 22
yrs old
Board Certifications: None
Language(s): Spanish
May, Jessica A, SLP
Gender: Female
# NPI: 1417344946
3303 Northland Dr Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Pfeiffer, Lauren M, SLP
Gender: Female
NPI: 1114248606
3607 Manchaca Rd
J (512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
McNeil, Noelle P, SLP
Gender: Female
# NPI: 1124262852
12710 Research Blvd
Ste 395
(512) 250-8706
Clinic Affiliation: Capital Area Speech
Therapy PLLC
Board Certifications: None
Putnam, Jamie L, SLP
Gender: Female
# NPI: 1033231055
12710 Research Blvd
Ste 395
(512) 250-8706
(800) 280-4316
Clinic Affiliation: Capital Area Speech
Therapy PLLC, Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Meredith, MacKenzie A, SLP
Gender: Female
# NPI: 1720490774
3607 Manchaca Rd
(512) 444-7219
Clinic Affiliation: Pokluda Rebecca L OT
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Aus tin
Aus tin
Austin
Mueller, Kira, SLP
Gender: Female
NPI: 1316221153
8505 Cross Park Dr
Ste 120
(512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
* Leaving Network: 2016-11-01
Murphy, Angela M, SLP
Gender: Female
NPI: 1659562767
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Language(s): Spanish
Newhouse, Carly E, SLP
Gender: Female
NPI: 1972739688
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Reeder, Michele A, SLP
Gender: Female
# NPI: 1538475306
12505 Rush Creek Ln
J (512) 368-2238
Clinic Affiliation: Hill Country Speech
Therapy PLLC
Practice Information: No Patients Over 18
yrs old, No Patients Under 2 yrs old
Board Certifications: None
Riddel, Melissa, SLP
Gender: Female
# NPI: 1326423997
9433 Bee Cave Rd
Ste 101 Bldg 3
J (512) 306-8007
Clinic Affiliation: Big Sky Pediatric Therapy
Board Certifications: None
Austin
Rooker, Emily F, SLP
Gender: Female
# NPI: 1184096265
7800 Shoal Creek Blvd
Ste 110W
(512) 610-1190
Clinic Affiliation: Austin Communication
Station Inc
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Austin
NPI: 1790922292
3103 Bee Caves Rd
Ste 104
(512) 327-2083
Clinic Affiliation: Austin Area Speech and
Language, Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Nitschke, Amanda L, SLP
Gender: Female
NPI: 1801109129
5504 Humming Bird Ln
(512) 573-7486
Clinic Affiliation: Leaps With Language
Board Certifications: None
Language(s): Spanish
Ross, Carolina, SLP
Gender: Female
# NPI: 1437532942
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
O Malley, Megan M, SLP
Gender: Female
NPI: 1245397553
3211 Hancock Dr
J (512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Board Certifications: None
Language(s): American Sign, German
#
Samaratunga, Erin, SLP
Gender: Female
NPI: 1588057632
208 Drury Ln
(512) 699-3794
Board Certifications: None
Sanchez, Heather J, SLP
Gender: Female
# NPI: 1821237967
13642 N Hwy 183
Ste 200 Bldg 2
J (512) 331-4115
Austin
NPI: 1821237967
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Austin
Austin
Sankovich, Kristin, SLP
Gender: Female
NPI: 1144517970
1611 Headway Cir
Bldg 2
(512) 615-6809
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Schlankey Dejernett, Susanne, SP
Gender: Female
NPI: 1457462368
3103 Bee Caves Rd
Ste 104
(512) 327-2083
Clinic Affiliation: Austin Area Speech and
Language, Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Schleck, Susan, SLP
Gender: Female
NPI: 1326178872
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Board Certifications: None
Austin
Austin
Smith, Nadine M, SLP
Gender: Female
NPI: 1396178661
9433 Bee Cave Rd
Ste 101 Bldg 3
(512) 306-8007
NPI: 1396178661
9707 Anderson Mill Rd
Ste 220
(512) 827-7011
Clinic Affiliation: Big Sky Pediatric Therapy,
Building Blocs
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Radabaugh, Brooke A, SLP
Gender: Female
NPI: 1619286358
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
Austin
Niedert, Julie A, SLP
Gender: Female
# NPI: 1790922292
1705 S Capital of Texas
Hwy Ste 15
J (512) 327-2083
Aus tin
Austin
NPI: 1619286358
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Austin
NPI: 1982841441
3103 Bee Caves Rd
Ste 104
(512) 327-2083
Clinic Affiliation: Austin Area Speech and
Language, Therapy One Austin Inc
Board Certifications: None
Language(s): American Sign
Austin
Aus tin
Aus tin
Russell, Tamara L, SLP
Gender: Female
# NPI: 1982841441
1705 S Capital of Texas
Hwy Ste 15
J (512) 327-2083
Austin
Austin
Aus tin
Austin
Austin
Austin
AUSTIN
Austin
Smith, Rachel D, SLP
Gender: Female
NPI: 1477854586
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
81
Specialists
AUSTIN
Weber, Susan E, SLP
Gender: Female
# NPI: 1184736472
13642 N Hwy 183
Ste 200 Bldg 2
J (512) 331-4115
Woodfin, Shelia T, SP
Gender: Female
# NPI: 1477696052
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
AUSTIN (cont.)
SPEECH PATHOLOGY (cont.)
Aus tin
#
Sowa, Rachelle A, SLP
Gender: Female
NPI: 1053649467
3211 Hancock Dr
(512) 533-9313
Clinic Affiliation: Childrens Therapeutics of
Austin
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Stech, Callie C, SLP
Gender: Female
# NPI: 1427459668
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Tate, Lisa A, SLP
Gender: Female
# NPI: 1013052000
8505 Cross Park Dr
Ste 120
J (512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc
Board Certifications: None
Language(s): American Sign, Burmese,
Spanish
Aus tin
Veach, Sarah J, SLP
Gender: Female
# NPI: 1386021046
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Language(s): Spanish
Aus tin
Aus tin
Venhuizen, Karen J, SLP
Gender: Female
NPI: 1306962337
12710 Research Blvd
Ste 395
(512) 331-4115
Clinic Affiliation: Therapy One Austin Inc
Board Certifications: None
Vincent, Robin J, SLP
Gender: Female
# NPI: 1528104627
706A W Ben White Blvd
Ste 150A
(512) 441-5100
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): Spanish
Aus tin
Walkey, Diane J, SLP
Gender: Female
NPI: 1235328386
3724 Jefferson St
Ste 316
J (512) 453-6778
Clinic Affiliation: The Live Oak Center For
Communication Disorders
Board Certifications: None
Weber, Rebecca E, SLP
Gender: Female
NPI: 1376776997
13642 N Hwy 183
Bldg 2 Ste 200
(512) 331-4115
NPI: 1376776997
13642 N Hwy 183 Ste 200
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Austin
NPI: 1184736472
13642 N Hwy 183 Ste 200
Bldg 2
(512) 331-4115
Clinic Affiliation: Capital Therapy Group
LLC, Therapy One Austin Inc
Board Certifications: None
Language(s): Spanish
Austin
SPORTS MEDICINE
Breazeale, Nathan M, MD
Gender: Male
NPI: 1194795062
900 W 38th St Ste 300
J (512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Austin
Wermuth, Emma K, SLP
Gender: Female
# NPI: 1114336476
4422 Pack Saddle Pass
Ste 104
J (512) 444-3345
Clinic Affiliation: Total Communication
Board Certifications: None
Language(s): American Sign
Whitehead Allen, Dara J, SLP
Gender: Female
NPI: 1679702666
3705 Medical Pkwy
Ste 320
J (512) 466-5013
Austin
J
Burris, Michael W, MD
Gender: Male
NPI: 1003029828
12201 Renfert Way
Ste 370
J (512) 617-1989
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids Medical Center
Clinic Affiliation: Capital City Orthopaedics
PA
Board Certifications: Orthopedic Surgery
NPI: 1679702666
4009 Banister Ln
Ste 280
(512) 466-5013
Cunningham, F K, MD
Gender: Male
NPI: 1528038312
900 W 38th St
Ste 300
J (512) 450-1300
Austin
Wilde, Kate J, SLP
Gender: Female
# NPI: 1730494196
12524 Capella Trl
(512) 587-5671
Clinic Affiliation: Growing Places Therapy
Services
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Austin
Austin
J
NPI: 1528038312
911 W 38th St Ste 101
(512) 410-0767
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Sports Medicine, F
Kelly Cunningham MD
Board Certifications: Orthopedic Surgery
Willcutts, Katherine J, SLP
Gender: Female
NPI: 1457602583
3607 Manchaca
(512) 444-7219
#
Elenz, Douglas R, MD
Gender: Male
NPI: 1205806171
900 W 38th St Ste 300
J (512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
NPI: 1457602583
8505 Cross Park Dr
Ste 120
(512) 478-2581
Clinic Affiliation: Easter Seals Central
Texas Inc, Pokluda Rebecca L OT
Board Certifications: None
Language(s): American Sign, Spanish
Windham, Brandy L, SLP
Gender: Female
# NPI: 1407176787
9707 Anderson Mill Rd
Ste 220
J (512) 827-7011
Clinic Affiliation: Building Blocs
Practice Information: No Patients Over 16
yrs old, No Patients Under 1 yrs old
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
McCarty, Robyn E, MD
Gender: Female
NPI: 1730293929
3200 Red River St
Ste 201
J (512) 473-0201
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Sports and Family
Medicine PLLC
Practice Information: No Patients Under 2
yrs old
Board Certifications: Family Practice
Language(s): Spanish
Austin
!
!
Wise, Stephanie J, SLP
Gender: Female
NPI: 1992170724
4607 Manchaca Rd
(512) 916-1511
Clinic Affiliation: Kidtherapy PLLC
Board Certifications: None
Schoch III, Eugene P, MD
Gender: Male
NPI: 1023011889
3001 Bee Caves Rd Ste 220
(512) 244-0766
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, St Marks Medical Center, Surgicare
Of South Austin
Clinic Affiliation: Orthopaedic Assoc of
Central Texas PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Thomas, Darryl B, MD
Gender: Male
NPI: 1326029497
5510 S IH 35
Ste 250A
(512) 301-1166
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Wellness Med Clinics LLC
Board Certifications: None
Language(s): Spanish
Windler, Edwin C, MD
Gender: Male
NPI: 1619947587
900 W 38th St
Ste 300
J (512) 450-1300
Hospital Affiliations: Central Park Surgery
Center, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Sports Medicine
Board Certifications: Orthopedic Surgery
Austin
SURG ASSIST
" Batiz, Sergio J, LSA
Austin
Gender: Male
NPI: 1326152638
3005 S Lamar Blvd
Ste D109302
(512) 215-4945
Clinic Affiliation: Surgical Assistants of
Austin
Board Certifications: Surg Assist
Language(s): Spanish
" Hampton, Tony L, LSA
Austin
Gender: Male
NPI: 1285760769
14713 Noya Dr
(512) 825-2147
Board Certifications: Surg Assist
Austin
Austin
Austin
Austin
Austin
NPI: 1679702666
4315 James Casey St
Ste 300
(512) 466-5013
Board Certifications: None
J
Austin
Zapalac, Amy L, SLP
Gender: Female
# NPI: 1598052268
13776 N Hwy 183
Ste 107
(512) 827-3601
Clinic Affiliation: Little Land Pediatric
Therapy and
Board Certifications: None
Weiss, Emily S, SLP
Gender: Female
NPI: 1932428687
3303 Northland Dr Ste 312
(512) 291-2669
Clinic Affiliation: Line Leader Pediatric
Therapy PLL
Practice Information: No Patients Over 14
yrs old
Board Certifications: None
#
Pyron, Martha I, MD
Gender: Female
# NPI: 1184667123
711 W 38th St
Ste G4
(512) 257-2500
Clinic Affiliation: Medicine In Motion Martha
Pyron M
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
Phillips, Carl R, LSA
Gender: Male
NPI: 1861537680
900 W 38th St
Ste 300
J (512) 450-1300
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin Sports Medicine
Board Certifications: None
Austin
THERAPEUTIC OPTOMETRY
Austin
Ali, Shazeen A, OD
Gender: Female
NPI: 1477992170
7300 Ranch Rd 2222
Ste 112
(512) 893-2020
Clinic Affiliation: Ranch Road Vision
Source
Board Certifications: None
Language(s): Hindi, Spanish, Urdu
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
82
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Coldiron, Barbara A, OD
Gender: Female
# NPI: 1033205414
3908 Far West Blvd
J (512) 343-0432
Board Certifications: None
Language(s): Spanish
Gajda, Kevin, OD
Gender: Male
# NPI: 1396851242
2510 Guadalupe St
J (512) 472-4498
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
AUSTIN (cont.)
THERAPEUTIC OPTOMETRY (cont.)
Austin
Azadi, Soroush B, OD
Gender: Male
NPI: 1003825621
4211 S Lamar Blvd
Ste E3
(512) 916-4600
Clinic Affiliation: Freedom Eye Care PLLC
Board Certifications: None
Language(s): Farsi, Persian, Spanish
#
Barit, Nolan A, OD
Gender: Male
# NPI: 1730273665
12921 Shops Pkwy Ste 500
J (512) 275-6354
Clinic Affiliation: Bee Cave Eyecare
Essentials Inc
Board Certifications: None
Language(s): Spanish
Austin
Beavers, Guy R, OD
Gender: Male
NPI: 1144279092
2600 Via Fortuna
Ste 400
J (512) 327-4127
Austin
J
Austin
NPI: 1144279092
4314 W Braker Ln
Ste 215
(512) 327-4127
Clinic Affiliation: Mann Eye Center
Board Certifications: None
Language(s): Spanish
Beck, Mary M, OD
Gender: Female
NPI: 1770622045
3305 Northland Dr
Ste 312
(512) 419-1212
Clinic Affiliation: Austin Eye Gym
Board Certifications: None
Language(s): Spanish
Bristol, Danny R, OD
Gender: Male
# NPI: 1821194259
14058 Bee Cave Pkwy
Bldg D Ste A
J (512) 263-3937
Clinic Affiliation: Bristol Family Eyecare PC
Board Certifications: None
Austin
Austin
Cansler, Whitney G, OD
Gender: Female
NPI: 1427463744
1009 E 40th St
Ste 200
(512) 454-2020
NPI: 1427463744
11901 Jollyville Rd
(512) 250-2020
Clinic Affiliation: Austin Eye Clinic Assoc
Board Certifications: None
Austin
Cantrell, Lisa R, OD
Gender: Female
NPI: 1245240688
106 E Oltorf St
(512) 442-2308
Clinic Affiliation: Texas State Optical
Board Certifications: None
Language(s): Spanish
Cessac, Honour L, OD
Gender: Female
NPI: 1417950759
2600 Via Fortuna
Ste 400
J (512) 327-3524
Clinic Affiliation: Mann Eye Center
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Austin
Crothers, Ellen A, OD
Gender: Female
# NPI: 1285747956
13343 N Hwy 183
Ste 260
J (512) 258-2120
Clinic Affiliation: Arbor Eye Center PA
Board Certifications: None
Language(s): Spanish
George, Hayley M, OD
Gender: Female
# NPI: 1467834739
12701 Research Blvd
Ste 101
(512) 258-2020
Clinic Affiliation: Vision Centers Inc
Board Certifications: None
Aus tin
Austin
Cunningham, Derek N, OD
Gender: Male
NPI: 1265407084
901 S Mopac Expwy
Bldg 4 Ste 350
J (512) 347-0255
Clinic Affiliation: Dell Laser Consultants
Board Certifications: None
Green, Kelly P, OD
Gender: Male
NPI: 1649230947
9515 N Lamar
J (512) 458-3937
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Hammond, David J, OD
Gender: Male
# NPI: 1811952484
13376 Research Blvd 124
J (512) 336-2371
Clinic Affiliation: Balcones Eyecare
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Dugas, James A, OD
Gender: Male
# NPI: 1538294848
1000 W 39th St
J (512) 458-5400
Board Certifications: None
Language(s): Spanish
Aus tin
Duke, Roger A, OD
Gender: Male
NPI: 1033106737
4409 Manchaca Rd
J (512) 443-4317
Clinic Affiliation: Austin Eyecare
Board Certifications: None
Language(s): Spanish
Aus tin
Harrison, Patrick R, OD
Gender: Male
# NPI: 1689649154
13376 Research Blvd
Ste 124
J (512) 336-2371
Clinic Affiliation: Balcones Eyecare
Board Certifications: None
Language(s): Spanish
Elizondo, Susan, OD
Gender: Female
NPI: 1073814216
2901 S Capital of Texas
Hwy Ste F7
J (512) 306-8949
Clinic Affiliation: Barton Creek Eyecare
PLLC, Soltys Enterprises PC
Board Certifications: None
Language(s): Samoan, Spanish
Harrison, Yi Ming T, OD
Gender: Female
# NPI: 1982669560
13376 Research Blvd 124
J (512) 336-2371
Clinic Affiliation: Balcones Eyecare
Board Certifications: None
#
Austin
Austin
Fadel, Emile B, OD
Gender: Male
# NPI: 1972509164
10000 Research Blvd
Ste 150
J (512) 345-5642
Clinic Affiliation: Fadel Eye Pro Inc
Board Certifications: None
Language(s): Arabic, French, Korean,
Lebanese, Spanish
Aus tin
Hutson, Mark F, OD
Gender: Male
NPI: 1467460550
2415 Exposition Blvd
Ste D
J (512) 477-2282
Austin
Franklin, Sonja M, OD
Gender: Female
# NPI: 1407947542
2222 Rio Grande St
Ste 180
J (512) 476-3937
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
#
Aus tin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Hung, Justine Y, OD
Gender: Female
NPI: 1063852838
10000 Research Blvd
Ste 150
(512) 345-5642
Clinic Affiliation: Fadel Eye Pro Inc
Board Certifications: None
Language(s): Thai
#
J
Fuller, Bridgette D, OD
Gender: Female
NPI: 1528025582
13343 N Hwy 183
Ste 260
(512) 258-2120
Clinic Affiliation: Arbor Eye Center PA
Board Certifications: None
Language(s): Spanish
NPI: 1467460550
7301 N FM 620
Ste 165
(512) 258-2282
Clinic Affiliation: Austin Vision Center
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Jackson Hughes, Judy D, OD
Gender: Female
NPI: 1245481464
2901 S Capital of TX Hwy
Ste F7
(979) 693-7528
NPI: 1245481464
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8749
Clinic Affiliation: Barton Creek Eyecare
PLLC, Soltys Enterprises PC
Board Certifications: None
Kaufman, Katie, OD
Gender: Female
# NPI: 1558593251
360 Nueces St Ste 70
J (512) 634-2020
Clinic Affiliation: Westlake Eyecare PLLC
Board Certifications: None
Austin
Kennedy, Catherine K, OD
Gender: Female
# NPI: 1154396307
11645 Angus Rd Bldg A
Ste 5
J (512) 345-5641
Clinic Affiliation: Arboretum Vision Care
Board Certifications: None
Language(s): English, German, Spanish
Austin
Kerr, Carolyn J, OD
Gender: Female
# NPI: 1972570299
11645 Angus Rd
Bldg A Ste 5
(512) 345-5641
Clinic Affiliation: Arboretum Vision Care
Board Certifications: None
Language(s): Spanish
Austin
Austin
Austin
Aus tin
Chiang, Erica W, OD
Gender: Female
# NPI: 1942546676
1030 Norwood Park Blvd
Ste A
J (512) 491-9707
Clinic Affiliation: Austin Family Vision PLLC
Board Certifications: None
Language(s): Spanish
Gibson, Sarah E, OD
Gender: Female
NPI: 1467846931
3313 RR 620 S
Ste 200
(512) 263-3550
Clinic Affiliation: Sarah E Gibson OD PA
Board Certifications: None
Austin
Drees, Adam J, OD
Gender: Male
# NPI: 1811126949
3801 N Capital of Texas
Hwy Ste C100
J (512) 651-5186
Clinic Affiliation: Westlake Hills Vision
Center
Board Certifications: None
Aus tin
Austin
Austin
Austin
Aus tin
Aus tin
AUSTIN
Kirkland, Bruce W, OD
Gender: Male
NPI: 1174610661
4970 Hwy 290 W
(512) 899-9744
Board Certifications: None
Language(s): Spanish
Lamei, Parisa, OD
Gender: Female
# NPI: 1194872630
5900 W Slaughter Ln
Ste 450
(512) 288-0090
Clinic Affiliation: Eye Tech Professional
Assoc
Board Certifications: None
Language(s): French, Spanish
Austin
Lane, Jeffery R, OD
Gender: Male
NPI: 1285619932
5717 Balcones Dr
J (512) 327-7000
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Langer, Sara R, OD
Gender: Female
# NPI: 1801051164
11200 Manchaca Rd
Bldg 4 Ste 2
(512) 596-5544
Clinic Affiliation: 512 Eye PLLC
Board Certifications: None
Austin
Austin
Lechlitner, Stephanie L, OD
Gender: Female
NPI: 1003297417
360 Nueces St
Ste 70
(512) 643-2020
Clinic Affiliation: Westlake Eyecare PLLC
Board Certifications: None
Lopez, Adriel, OD
Gender: Male
# NPI: 1902837891
4436 B Pack Saddle Pass
J (512) 444-7200
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center, University
Med Ctr Brackenridge
Board Certifications: None
Language(s): English, Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
83
Specialists
AUSTIN
Austin
AUSTIN (cont.)
THERAPEUTIC OPTOMETRY (cont.)
Aus tin
Lubeck, Matthew C, OD
Gender: Male
NPI: 1851733612
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Barton Creek Eyecare
PLLC
Board Certifications: None
Ly, Chris N, OD
Gender: Male
NPI: 1801984372
1030 Norwood Park Blvd
Ste A
J (512) 491-9707
Aus tin
#
#
J
NPI: 1801984372
12900 N Interstate 35
Ste 2
(512) 977-9707
Clinic Affiliation: Austin Family Vision PLLC
Board Certifications: None
Language(s): Spanish, Vietnamese
McCormick, John W, OD
Gender: Male
# NPI: 1871642173
12701 Research Blvd
J (512) 258-2020
Clinic Affiliation: Vision Centers Inc
Board Certifications: None
Language(s): Spanish
Aus tin
Miller, Carolyn A, OD
Gender: Female
# NPI: 1720141476
13201 N FM 620
Ste 127
J (512) 335-2077
Clinic Affiliation: My Eye Site
Board Certifications: None
Language(s): Spanish
Aus tin
Mock, Virginia J, OD
Gender: Female
# NPI: 1780998302
2901 S Capital of Texas
Hwy Ste F7
J (512) 306-8946
Clinic Affiliation: Soltys Enterprises PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Aus tin
Aus tin
Schukar, Matthew P, OD
Gender: Male
# NPI: 1427490192
12921 Hill Country Blvd
Ste D2 Bldg 115
J (512) 263-1023
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Schutte, Meghan A, OD
Gender: Female
# NPI: 1649541053
10000 Research Blvd
Ste 150
(512) 345-5642
Clinic Affiliation: Fadel Eye Pro Inc
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Pagan, Ardith R, OD
Gender: Female
# NPI: 1013086362
11005 Burnet Rd
(512) 596-2020
Clinic Affiliation: Sharpevision PLLC
Board Certifications: None
Payne, Christine E, OD
Gender: Female
NPI: 1699964338
6000 W Wm Cannon Dr
Ste 100 Bldg A
J (512) 288-0444
Clinic Affiliation: David W Tybor OD PC
Board Certifications: None
Language(s): Spanish
Austin
Austin
Serafine, Patrick R, OD
Gender: Male
# NPI: 1548231145
11645 Angus Rd Bldg A
Ste 5
J (512) 345-5641
Clinic Affiliation: Arboretum Vision Care
Board Certifications: None
Language(s): English
Prevost, Nancy E, OD
Gender: Female
NPI: 1770588964
3313 RR 620 S
Ste 200
(512) 263-3550
Clinic Affiliation: Sarah E Gibson OD PA
Board Certifications: None
Language(s): Spanish
Austin
Simpson, Sue, OD
Gender: Female
NPI: 1649244633
12921 Hill Country Blvd
Ste D2 Bldg 115
(512) 306-8979
NPI: 1649244633
2901 S Capital of TX Hwy
Ste F7
(512) 306-8979
Clinic Affiliation: Soltys Enterprises PC
Practice Information: No Patients Under 2
yrs old
Board Certifications: None
Language(s): English
Prosise, Melanie M, OD
Gender: Female
NPI: 1801988316
3410 Far West Blvd
Ste 140
J (512) 427-1100
Clinic Affiliation: Eye Clinic of Austin
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Austin
Provost, Drew A, OD
Gender: Male
# NPI: 1265621882
10401 Research Blvd
Ste A
J (512) 345-2000
Clinic Affiliation: Great Hills Eye Care PC
Board Certifications: None
Austin
Reed, Jason G, OD
Gender: Male
# NPI: 1710047824
9300 S IH 35
Ste C100b
J (512) 693-2020
Board Certifications: None
Language(s): Spanish
Austin
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Smith, Dennis E, OD
Gender: Male
NPI: 1609973163
10601 FM 2222
Ste G
(512) 343-2020
Board Certifications: None
Language(s): Spanish
#
Austin
Austin
J
Soltys, Robert G, OD
Gender: Male
NPI: 1801950217
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Tam, Collin E, OD
Gender: Male
# NPI: 1942494299
4800 Burnet Rd
Ste A-100
J (512) 407-9002
Clinic Affiliation: Spectacle Eye Design PA
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Riegler, Robert F, OD
Gender: Male
NPI: 1376518480
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Practice Information: No Patients Under 7
yrs old
Board Certifications: None
Thames, Lacey S, OD
Gender: Female
NPI: 1265729495
1206 W 38th St
Ste 1204A
(512) 454-1900
NPI: 1265729495
6000 W Wm Cannon Dr
Ste A100
(512) 288-0444
Clinic Affiliation: Bella Vision PLLC, David
W Tybor OD PC
Board Certifications: None
Language(s): Spanish
Torre, Andres, OD
Gender: Male
NPI: 1508949090
5017 W Hwy 290
J (512) 892-2015
Austin
#
#
J
Austin
Austin
Austin
Austin
Austin
Austin
Nelson, Alexandra M, OD
Gender: Female
NPI: 1356783641
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Nguyen, Thi K, OD
Gender: Male
# NPI: 1720410459
1000 E 41st St
Ste 406
(512) 872-2955
Board Certifications: None
Aus tin
Salkhordeh, Sharareh, OD
Gender: Female
# NPI: 1730213901
10901 Lakeline Mall Dr
J (512) 328-2015
Board Certifications: None
Language(s): Farsi, Spanish
Austin
Packer, James C, OD
Gender: Male
# NPI: 1619289873
2700 Barton Creek
Blvd Ste 110
(512) 328-7300
Clinic Affiliation: Lone Star Eye PLLC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
McCormick, Michael N, OD
Gender: Male
# NPI: 1528117835
12701 Research Blvd
Ste 101
J (512) 258-2020
Clinic Affiliation: Vision Centers Inc
Board Certifications: None
McGowan, Joseph J, OD
Gender: Male
# NPI: 1740255215
2110 W Slaughter Ln
Ste 129
J (512) 280-0520
Clinic Affiliation: Joseph J McGowan
Board Certifications: None
Language(s): Spanish
Novak, Michaela T, OD
Gender: Female
NPI: 1780848879
13343 N Hwy 183
Ste 260
(512) 258-2120
Clinic Affiliation: Arbor Eye Center PA
Board Certifications: None
Austin
Aus tin
Aus tin
OCTOBER 03, 2016
bmkp_in_spec
NPI: 1508949090
710 E Ben White Blvd
(512) 586-2020
Clinic Affiliation: Optica Torre
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): Spanish
Tran, Duc M, OD
Gender: Male
# NPI: 1356622013
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Austin
Trinh, Kim C, OD
Gender: Female
NPI: 1457535163
9616 N Lamar Blvd
Ste 159
J (512) 835-9226
Clinic Affiliation: Clear Vision Optometry
PC
Board Certifications: None
Language(s): Spanish, Vietnamese
Austin
#
Truong, Baotram P, OD
Gender: Female
# NPI: 1245478155
1030 Norwood Park Blvd A
(512) 491-9707
Clinic Affiliation: Austin Family Vision PLLC
Board Certifications: None
Language(s): Spanish
Austin
Tybor, David W, OD
Gender: Male
NPI: 1912064957
6000 W William Cannon
Ste 100 Bldg A
J (512) 288-0444
Clinic Affiliation: David W Tybor OD PC
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Language(s): Spanish
Austin
Ung, Sylvian H, OD
Gender: Female
NPI: 1659338291
1700 S Mopac
J (512) 327-7000
Austin
J
NPI: 1659338291
5717 Balcones Dr
(512) 327-7000
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish,
Vietnamese
Vincent, Christopher, OD
Gender: Male
# NPI: 1356481972
15004 Avery Ranch
Blvd Ste 1
J (512) 255-7070
Clinic Affiliation: Avery Ranch Eye Care
PLLC
Board Certifications: None
Austin
Ruiz, Alan, OD
Gender: Male
NPI: 1831321595
10000 Research Blvd
Ste 150
(512) 345-5610
Clinic Affiliation: Fadel Eye Pro Inc
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
84
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Dewan, Stephen J, MD
" Kessler, William F, MD
Aus tin
AUSTIN (cont.)
THERAPEUTIC OPTOMETRY (cont.)
Vo, Betty T, OD
Gender: Female
# NPI: 1982789574
6611 S Mo Pac Expwy
Ste A500
J (512) 327-5725
Clinic Affiliation: B Vo Vision Inc
Board Certifications: None
Language(s): Spanish
Austin
Vo, Tammy M, OD
Gender: Female
# NPI: 1548675465
2007 S First St
Ste 104
(512) 774-6002
Clinic Affiliation: Look See Vision Care
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Austin
Watson, Robin K, OD
Gender: Female
NPI: 1083699748
1700 S Mo Pac Expwy
J (512) 327-7000
J
" Dilling, Emery W, MD
Aus tin
J
Austin
NPI: 1083699748
5717 Balcones Dr
(512) 314-1613
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish
J
Austin
Wilkins, Thomas R, OD
Gender: Male
NPI: 1821268848
2410 E Riverside Dr
Ste H10
(512) 344-9775
Clinic Affiliation: Texas State Optical
Riverside
Board Certifications: None
Language(s): Spanish
Wright, Timothy D, OD
Gender: Male
NPI: 1831106699
2901 S Capital of Texas
Hwy Ste F7
(512) 306-8949
Clinic Affiliation: Barton Creek Eyecare
PLLC, Soltys Enterprises PC
Board Certifications: None
Language(s): Spanish
Yee, Fern, OD
Gender: Female
NPI: 1558462143
8001 Burnet Rd
J (512) 454-5117
Clinic Affiliation: Eyes of Texas Vision Care
Board Certifications: None
Language(s): Chinese, Spanish
J
Church, Phillip J, MD
Gender: Male
NPI: 1386651206
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
J
Gender: Male
NPI: 1770507030
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
" Kirkland, Hunter Q, MD
J
Gender: Male
NPI: 1356313043
1010 W 40th St
(512) 459-8753
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
" Hyde, Brannon R, MD
Aus tin
Gender: Male
NPI: 1487858056
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Gender: Male
NPI: 1801887864
1010 W 40th
(512) 459-8753
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Austin
Yang, Jonathan, MD
Gender: Male
NPI: 1528206901
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
" Landaverde, Carmen E, MD
Gender: Male
NPI: 1902093263
1111 W 34th St
Ste 210
(512) 454-8378
Hospital Affiliations: Doctors Hospital At
Renaissance
Clinic Affiliation: Texas Liver Consultants
Inc
Board Certifications: Transplant
Hepatology
" Wells, Jennifer T, MD
Austin
Gender: Female
NPI: 1710920921
1111 W 34th St
Ste 210
(512) 454-8378
Hospital Affiliations: Doctors Hospital At
Renaissance
Clinic Affiliation: Texas Liver Consultants
Inc
Board Certifications: Transplant
Hepatology
Franklin, Sara, DO
Gender: Female
NPI: 1962471508
12221 Mopac Expwy N
(512) 901-1750
Hospital Affiliations: Baylor Scott & White White Rock, Baylor Scott & White Lake
Pointe, John Peter Smith Hospital, Medical
Center Of Plano, Medical City Dallas
Hospital, Nacogdoches Medical Center,
Paris Regional Medical Center, Tx Hlth
Huguley Fort Worth South, Valley Baptist
Medical Center, Valley Baptist Medical
Center Brownsville
Clinic Affiliation: Han Pham Hulen MD
Board Certifications: None
Language(s): Spanish, Vietnamese
Springmeyer, Melissa, MD
Gender: Female
NPI: 1952697872
12221 Mopac Expwy N
(512) 901-1855
Hospital Affiliations: Baylor Scott & White White Rock, Medical City Dallas Hospital
Clinic Affiliation: Han Pham Hulen MD
Board Certifications: None
URGENT CARE PROVIDER
Belsher, Jon L, MD
Gender: Male
!# NPI: 1801810080
! 2120 Guadalupe St
Ste 100
J (512) 861-8030
Clinic Affiliation: Medspring
Board Certifications: None
Language(s): Spanish
Austin
Childs, Christopher M, DO
Gender: Male
! NPI: 1851676928
! 10001 S IH-35
Bldg 3 Ste 300
(866) 944-6046
Austin
!
!
NPI: 1851676928
4301 W William Cannon
Blvdg E Ste 320
(512) 467-6608
!
!
NPI: 1851676928
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Duren Jr, Murray, MD
Gender: Male
! NPI: 1629074166
! 10001 S IH 35
Ste 300 Bldg 3
(866) 944-6046
Austin
!
!
NPI: 1629074166
4301 W William Cannon
Ste 320 Bldg E
(866) 944-6046
!
!
NPI: 1629074166
9333 Research Blvd
Ste 400
(866) 944-6046
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Language(s): Spanish
Austin
" Kerendi, Faraz, MD
Gender: Male
NPI: 1376727842
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Heart Hospital Of Austin, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton Medical
Center Hays, Seton Medical Ctr Williamson,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Farsi, Spanish
Gender: Male
NPI: 1174547509
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
TRANSPLANT HEPATOLOGY
Aus tin
" Conner, William C, MD
Gender: Male
NPI: 1912019019
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
" Oswalt, John D, MD
" Hoenicke, Eric M, MD
Austin
Gender: Male
NPI: 1942214788
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
Aus tin
J
Austin
Austin
J
Gender: Male
NPI: 1124037486
1010 W 40th
(512) 459-8753
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
J
UNDERSEA MEDICINE
" New, Ronald B, MD
" Fortes, Daniel L, MD
J
Gender: Male
NPI: 1013925585
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Austin
Aus tin
Austin
J
#
J
" Felger, Mark C, MD
Austin
THORACIC SURGERY
Gender: Male
NPI: 1073527008
1010 W 40th St
(512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Aus tin
#
Austin
Austin
Gender: Male
NPI: 1245254515
1010 W 40th St
(512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
AUSTIN
Frederick, John W, MD
Gender: Male
!# NPI: 1578546610
! 3906 N Lamar Blvd
Ste 100
(512) 861-8040
Clinic Affiliation: Medspring
Board Certifications: None
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
85
Specialists
AUSTIN
Singhal, Ashish R, MD
Gender: Male
! NPI: 1699837435
! 6611 Riverplace Blvd
Ste 100
(512) 373-8583
Hospital Affiliations: Christus Santa Rosa
New Braunfels, Northeast Methodist Hospital
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Language(s): Hindi, Spanish
Austin
AUSTIN (cont.)
URGENT CARE PROVIDER (cont.)
Aus tin
!
!
Hair, Barbara M, DO
Gender: Female
NPI: 1912027483
10001 S IH-35
Blvd 3 Ste 300
(866) 944-6046
!
!
NPI: 1912027483
4301 W William
Cannon Dr Ste 320
(254) 772-2777
!
!
NPI: 1912027483
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Head, Jerald L, MD
Gender: Male
! NPI: 1144342981
! 10001 S IH-35
Bldg 3 Ste 300
J (866) 944-6046
Vanshaar, Jason R, MD
Gender: Male
! NPI: 1497983076
! 10001 S Interstate 35
Bldg 3 Ste 300
(866) 944-6046
!
!
J
!
!
J
NPI: 1144342981
4301 W William Cannon
Bldg E Ste 320
(512) 467-6608
NPI: 1144342981
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Language(s): Spanish
NPI: 1942329776
4301 W William Cannon
Dr Ste 320
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Joseph, Anly, MD
Gender: Female
! NPI: 1881615565
! 10001 S IH-35
Bldg 3 Ste 300
(866) 944-6046
!
!
!
!
NPI: 1881615565
4301 W William Cannon
Bldg E Ste 320
(512) 467-6608
NPI: 1881615565
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Knaus, Kimberly A, DO
Gender: Female
!# NPI: 1184886335
! 2120 Guadalupe St
Ste 100
J (512) 561-8030
Clinic Affiliation: Medspring
Board Certifications: None
J
J
Boone, Bradley A, MD
Gender: Male
NPI: 1730151457
1010 W 40th
J (512) 459-8753
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
Austin
Gender: Male
NPI: 1255447926
6500 N Mo Pac Expwy
Ste II-2102
(512) 476-6060
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center
Clinic Affiliation: Austin Urological Assoc
Board Certifications: Urology
Language(s): Spanish
Church, Phillip J, MD
Gender: Male
NPI: 1386651206
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Austin
" Mistry, Sandeep, MD
Austin
J
Gender: Male
NPI: 1104039916
6818 Austin Center
Blvd Ste 105
(512) 238-0762
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Sandeep G Mistry MD
Board Certifications: Urology
Language(s): Spanish, Tagalog
Foteh, Mazin I, MD
Gender: Male
NPI: 1811191794
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Parkland Health And Hospital Sys,
Round Rock Medical Center, Seton Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Austin
" Ong, Stacy E, MD
Austin
Aus tin
!
!
Aguilar, Vivian D, MD
Gender: Female
NPI: 1144286014
1313 Red River
Ste 320
(512) 978-8870
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare
Board Certifications: None
" Chhikara, Subir, MD
Aus tin
Patel, Rohitkumar, MD
Gender: Male
! NPI: 1528229432
! 4301 W William Cannon
Bldg E Ste 320
J (512) 467-6608
Apple, Jeffrey M, MD
Gender: Male
NPI: 1750354924
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
Austin
Austin
Aus tin
J
NPI: 1528229432
9333 Research Blvd
Ste 400
(512) 467-7232
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Ding, Ming Chieh, MD
Gender: Male
NPI: 1316258163
601 E 15th St
(512) 324-3540
Hospital Affiliations: University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
VASCULAR SURGERY
UROLOGY
Hinman, Charles, MD
Gender: Male
! NPI: 1942329776
! 10001 S IH-35
Bldg 3 Ste 300
(866) 944-6046
!
!
NPI: 1497983076
9333 Research Blvd
Ste 400
(866) 944-6046
Clinic Affiliation: Concentra Urgent Care
Board Certifications: None
Vik, Michael P, MD
Gender: Male
!# NPI: 1528061884
! 10815 RR 2222
Bldg 3A
J (512) 327-4262
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
Aus tin
Austin
Jobe, Jeffrey S, MD
Gender: Male
NPI: 1124042411
1010 W 40th St
J (512) 459-8753
Austin
#
J
Austin
Austin
Austin
VASCULAR NEUROLOGY
Warach, Steven J, MD
Gender: Male
NPI: 1407925886
1400 N IH 35 Ste 300
J (512) 324-8300
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
Language(s): Spanish
Austin
Aus tin
!
!
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1356345821
6818 Austin Center
Blvd Ste 105
(512) 238-0762
Hospital Affiliations: North Austin Medical
Center, North Austin Surgery Center, Round
Rock Medical Center, Seton Highland Lakes,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Sandeep G Mistry MD
Board Certifications: Urology
Language(s): Spanish, Vietnamese
Austin
NPI: 1124042411
4007 James Casey St
Ste A220
(512) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Nation, David A, MD
Gender: Male
NPI: 1518126234
1010 W 40th
(512) 459-8753
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Politz, John K, MD
Gender: Male
# NPI: 1780608935
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Austin
Seidel, Scott A, MD
Gender: Male
NPI: 1497721005
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Austin
Settle, Stephen M, MD
Gender: Male
NPI: 1982628137
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
Austin
Stewart, Mark T, MD
Gender: Male
# NPI: 1336163633
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge,
West Houston Medical Center
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: General Surgery
Language(s): Spanish
Austin
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
86
OCTOBER 03, 2016
bmk_pin_spec
Specialists
DERMATOLOGY
Pulley Alberts, Virginia S, APN
Gender: Female
NPI: 1841493939
3101 Hwy 71 E Ste 203
(512) 451-0139
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Bas trop
AUSTIN (cont.)
VASCULAR SURGERY (cont.)
Wells, Joe K, MD
Gender: Male
NPI: 1629092903
1010 W 40th St
J (512) 459-8753
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Austin
J
" Gomez Meade, Carlos, DO
Bastrop
Gender: Male
NPI: 1922435759
3101 Hwy 71 E
Ste 101
(512) 304-0300
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Ladd Jr, Daniel J, DO
Gender: Male
NPI: 1477556256
3101 Hwy 71 E Ste 203
(512) 451-0139
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Language(s): Spanish
Bastrop
CARDIOVASCULAR DISEASE
" Frischhertz, Eric J, MD
Bas trop
NPI: 1962404699
3201 Hwy 71 E
(512) 732-2774
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Family Health Center of
Bastrop, Ronald L Cox MD Inc
Board Certifications: Allergy-Immunology
Language(s): Spanish
Gender: Male
NPI: 1982658589
3101 Hwy 71 E
Ste 107
(512) 324-3447
Hospital Affiliations: North Austin Medical
Center, Seton Edgar B Davis, Seton Medical
Center, Seton Medical Center Hays, Seton
Southwest, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
" Hollander, Seth M, MD
Bastrop
Gender: Male
NPI: 1255451886
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: Allergy-Immunology
" Hayes, David W, MD
Bas trop
J
ANP/CERT/CLNP
Blankenship, Olivia Y, APN
Gender: Female
NPI: 1427362219
3101 Hwy 71 E
Ste 101
J (512) 304-0300
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: None
Language(s): French, Spanish
Bastrop
" Carson, Gay L, APN
Bastrop
" Nguyen, Tuan D, MD
Gender: Male
NPI: 1952341034
441 Hwy 71 W
Ste D
(512) 324-3440
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
Bastrop
Herbin, Jennifer, APN
Gender: Female
NPI: 1962827576
195 S Hasler Blvd
Ste B-1
(512) 308-1555
Clinic Affiliation: Bastrop Medical Clinic PA
Board Certifications: None
Bastrop
Gender: Male
NPI: 1093801581
441 Hwy 71 W
Ste H
(512) 474-5551
Hospital Affiliations: Heart Hospital Of
Austin, Seton Medical Center, Seton
Smithville Reg Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Heart of Texas Cardiology
PA
Practice Information: No Patients Under 18
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Bas trop
Gender: Female
NPI: 1821471020
1109 Church St
(512) 321-3311
Clinic Affiliation: Lerma III Sammy MD
Board Certifications: Anp/Cert/Clnp
Harris, Joy G, APN
Gender: Female
NPI: 1942450713
605 Old Austin Hwy
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Gender: Male
NPI: 1023235579
208 Hwy 71 W
(512) 321-9400
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
!
!
J
" Ward, David, APN
" Cox, Ronald L, MD
Gender: Male
NPI: 1962404699
3101 Hwy 71 E
Ste 101
(512) 304-0300
Gender: Male
NPI: 1194766444
441 Hwy 71 W
Ste E
(512) 321-9400
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
#
Bas trop
Bastrop
" Sayed, Amara Z, DO
Bastrop
!
!
J
Gender: Female
NPI: 1831215763
441 Hwy 71 W
(512) 321-9400
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish, Urdu
" Smetanick, Matthew T, DO
Bastrop
!
!
J
Gender: Male
NPI: 1306023114
441 Hwy 71 W
(512) 581-5033
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
ENDOCRINOLOGY, DIABETES &
METABOLISM
Wenzel, Marc E, MD
Gender: Male
NPI: 1265709315
441 Hwy 71 W Ste C
J (512) 304-0313
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): American Sign, Spanish
Bastrop
GASTROENTEROLOGY
" Reddy, Sridhar P, MD
INTERNAL MEDICINE
Reddy, Sridhar P, MD
Gender: Male
NPI: 1134123938
441 Hwy 71 W
Ste G
J (512) 474-6321
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Sridhar P Reddy MD
Board Certifications: Gastroenterology
Language(s): Hindi, Spanish, Telugu
Bastrop
" Wenzel, Marc E, MD
Bastrop
Gender: Male
NPI: 1265709315
441 Hwy 71 W Ste C
(512) 304-0313
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): American Sign, Spanish
J
NUCLEAR CARDIOLOGY
Nguyen, Tuan D, MD
Gender: Male
NPI: 1952341034
441 Hwy 71 W
Ste D
(512) 324-3440
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
Bastrop
OBSTETRICS-GYNECOLOGY
Caverly, Ola G, MD
Gender: Female
NPI: 1386761252
301 Hwy 71 W
STE111
(512) 445-4800
Bastrop
Bastrop
J
CHIROPRACTIC
Gender: Male
NPI: 1134123938
441 Hwy 71 W
Ste G
(512) 474-6321
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Sridhar P Reddy MD
Board Certifications: Gastroenterology
Language(s): Hindi, Spanish, Telugu
NPI: 1386761252
301 W Hwy 71
Ste 111
(512) 445-4800
Hospital Affiliations: Memorial Medical
Center Livingston, San Marcos Surgery
Center, St Davids Medical Center, St Davids
S Austin Medical Center
Clinic Affiliation: Austin OB/GYN
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
GENERAL SURGERY
Taylor, Frederic H, DC
Gender: Male
# NPI: 1679585418
909 Main St
Taylor Family Chiro
J (512) 303-9995
Board Certifications: None
Bas trop
" Folkers, David C, MD
Bastrop
J
Lundgren, Lacey D, APN
Gender: Female
NPI: 1689088205
1109 Church St
(512) 321-3311
Clinic Affiliation: Lerma III Sammy MD
Board Certifications: None
Language(s): Spanish
Bastrop
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1104917202
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: General Surgery
Language(s): Spanish
" Adelman, Eric A, DO
Smith, Marcy L, APN
Gender: Female
NPI: 1629093067
3101 Hwy 71 E
Ste 107
J (512) 324-3447
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
ALLERGY-IMMUNOLOGY
" Smith, Clyde D, MD
Bastrop
Bastrop
Bas trop
BASTROP
BASTROP
Gender: Male
NPI: 1538265442
623 Hwy 71 W Ste 204
(512) 402-5806
Hospital Affiliations: North Austin Medical
Center, Seton Smithville Reg Hospital, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center
Board Certifications: General Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
87
Specialists
BASTROP
" Sullivan, Brian L, MD
Riley, Scott M, LPT
Gender: Male
# NPI: 1336243484
623 Hwy 71 W
Ste 100
J (512) 321-9659
Clinic Affiliation: Garner & Riley Physical
Therapy
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): German
Bastrop
BASTROP (cont.)
" Diclemente, Michael J, MD
Bas trop
J
NPI: 1639160088
3101 Hwy 71 E
Ste 211
(512) 308-1866
Hospital Affiliations: North Austin Medical
Center, St Marks Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Family Health Center of
Bastrop, St Marks Medical Center
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Hagen, Jeff E, MD
Gender: Male
NPI: 1710965488
301 Hwy 71 W
Ste 111
(512) 445-4800
Zachrison, Jamie V, MD
Gender: Male
NPI: 1649431818
441 Hwy 71 W Ste C
J (512) 504-0851
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, University Med
Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
" Marquis, Robert E, MD
Bas trop
J
Gender: Male
NPI: 1902881048
85 Loop 150 W
(512) 321-2106
Hospital Affiliations: John Peter Smith
Hospital, Parkland Health And Hospital Sys,
Seton Medical Center, Seton Northwest
Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Sargent, Julia B, MD
Bas trop
J
Gender: Female
NPI: 1699752576
85 Loop 150 W
(512) 321-2106
Hospital Affiliations: Bailey Square Surgery
Center, Seton Medical Center, Seton
Northwest Hospital, University Med Ctr
Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish,
Vietnamese
ORTHOPEDIC SURGERY
" Clark, Russell J, MD
Bas trop
Gender: Male
NPI: 1740232156
3101 Hwy 71 E
Ste 170
(979) 242-2387
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: St Marks Medical Center
Board Certifications: Orthopedic Surgery
Winkelhaus, John W, LPT
Gender: Male
# NPI: 1356774111
623 Hwy 71 W
Ste 100
(512) 321-9659
Clinic Affiliation: Garner & Riley Physical
Therapy
Board Certifications: None
Language(s): German
PODIATRY
" Handy, James, DPM
Bastrop
Gender: Male
NPI: 1528027992
3101 Hwy 71 E
Ste 101
(512) 304-0300
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center, Seton Smithville Reg
Hospital, Surgicare Of South Austin,
University Med Ctr Brackenridge, Warm
Springs Special Hosp Luling
Clinic Affiliation: Family Health Center of
Bastrop
Board Certifications: Podiatry
Language(s): Greek, Spanish
" Tsourmas, Nicholas F, MD
J
Gender: Male
NPI: 1336130665
441 Hwy 71 W
Ste F
(512) 451-1969
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Smithville
Reg Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
SPEECH PATHOLOGY
Cruz, Tina, SLP
Gender: Female
# NPI: 1386739050
150 Settlement Dr
Ste C
J (512) 250-5299
Clinic Affiliation: Turning Point Integrated
Therapy
Board Certifications: None
Language(s): Spanish
PAIN MANAGEMENT
Bastrop
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
3101 Hwy 71 E
Ste 211
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Bastrop
THERAPEUTIC OPTOMETRY
Jones, Deborah S, OD
Gender: Female
NPI: 1275521726
747 Hwy 71 W
Ste A 550
(512) 321-3042
Clinic Affiliation: TSO Bastrop
Board Certifications: None
Bastrop
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
3101 Hwy 71 E Ste 211
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
Bastrop
Licatino, Mark A, OD
Gender: Male
NPI: 1083690051
85 Loop 150W
J (512) 321-2106
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): Sign Language, Spanish
Bastrop
Neiman, Noah D, OD
Gender: Male
NPI: 1174811210
85 Loop 150 W
J (512) 321-2106
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): Spanish
Bastrop
PHYSICAL THERAPY
Garner, Timothy A, LPT
Gender: Male
# NPI: 1922119874
623 Hwy 71 W
Ste 100
J (512) 321-9659
Clinic Affiliation: Garner & Riley Physical
Therapy
Board Certifications: None
Language(s): German
Bastrop
Sabol, Jeslyn R, OD
Gender: Female
# NPI: 1609216282
747 Hwy 71 W
Ste 550
(512) 321-3042
Clinic Affiliation: TSO Bastrop
Board Certifications: None
Language(s): Spanish
Bastrop
Gerber, Kyle M, LPT
Gender: Male
# NPI: 1558761486
623 Hwy 71W Ste 100
(512) 321-9659
Clinic Affiliation: Garner & Riley Physical
Therapy
Board Certifications: None
Language(s): American Sign
Bastrop
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Solly, Pamela S, OD
Gender: Female
# NPI: 1346252319
747 Hwy 71 W
Ste A-550
J (512) 321-3042
Clinic Affiliation: TSO Bastrop
Board Certifications: None
Language(s): Spanish
Bastrop
Stalcup, Anna Margaret, OD
Gender: Male
NPI: 1346229754
747 Hwy 71 W
Ste A-550
(512) 321-3042
Clinic Affiliation: TSO Bastrop
Board Certifications: None
Bastrop
Bastrop
Bastrop
Bas trop
OPHTHALMOLOGY
NPI: 1053395079
815 Hwy 71 W
Ste 1150
(512) 451-1969
NPI: 1053395079
815 Hwy 71 W Ste 1150
(512) 321-1098
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Medical Center
Hays, Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Smithville Reg
Hospital, Seton Southwest, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Desmar Walkes MD,
Family Health Center of Bastrop, Southwest
Orthopaedic Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Bas trop
NPI: 1710965488
301 W Hwy 71
Ste 111
(512) 445-4800
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin OB/GYN
Board Certifications: None
Language(s): Spanish
Bastrop
Gender: Male
NPI: 1053395079
3101 Hwy 71 E
Ste 101
(512) 304-0300
OBSTETRICS-GYNECOLOGY (cont.)
Gender: Male
NPI: 1639160088
3101 Hwy 71 E
Ste 107
(512) 304-0300
OCTOBER 03, 2016
bmkp_in_spec
Tauch, David R, OD
Gender: Male
NPI: 1942286448
85 Loop 150 W
J (512) 303-7300
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Sign
Language, Spanish
Bastrop
Ziegler, Leigh P, OD
Gender: Female
NPI: 1124093620
85 Loop 150 W
J (512) 321-2106
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish
Bastrop
URGENT CARE PROVIDER
Bates, Gina S, APN
Gender: Female
! NPI: 1063524791
! 717 Hwy 71 W
Ste 500
(512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Gonzalez, Dina, APN
Gender: Female
!# NPI: 1063730828
! 717 Hwy 71 W
Ste 500
J (512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Heausler, Charles E, PA
Gender: Male
NPI: 1306023239
717 Hwy 71 W
Ste 500
(512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Practice Information: No Patients Under 2
yrs old
Board Certifications: None
Language(s): Spanish
Bastrop
!
!
McAlister, Amy B, PA
Gender: Female
! NPI: 1659397768
! 717 Hwy 71 W
Ste 600
(512) 332-2279
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Parsons, Rebecca L, PA
Gender: Female
! NPI: 1306826557
! 717 Hwy 71 W
Ste 500
(254) 634-6999
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Passe, Megan C, APN
Gender: Female
!# NPI: 1396895579
! 717 Hwy 71 W Ste 500
J (512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
88
OCTOBER 03, 2016
BASTROP (cont.)
bmk_pin_spec
Specialists
CHIROPRACTIC
BEE CAVES
Rao, Susan K, DC
Gender: Female
# NPI: 1447366521
12921 Shops Pkwy
Ste 200
J (512) 263-3334
Clinic Affiliation: Rao Family Chiropractic
PA
Board Certifications: None
Language(s): Hindi, Punjabi, Spanish
Bee Cave
URGENT CARE PROVIDER (cont.)
Rodriguez, Jesse S, MD
Gender: Male
! NPI: 1184676058
! 717 Hwy 71 W
Ste 500
(512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Shomo, Richard L, PA
Gender: Male
!# NPI: 1609853720
! 717 Hwy 71 W
Ste 500
(512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Bastrop
Wang, Priscilla, MD
Gender: Female
!# NPI: 1447418876
! 717 Hwy 71 W
Ste 500
J (512) 332-2273
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
BEE CAVE
Foreman, Brooke C, LAC
Gender: Female
NPI: 1659678092
11719 FM 2244
Ste 101
(512) 263-4099
Clinic Affiliation: Bee Cave Acupuncture
LLC
Board Certifications: None
Bee Cave
" Junco, Alejandra C, LAC
Bee Cave
Gender: Female
NPI: 1295099778
11719 FM 2244 Rd
Ste 101
(512) 263-4099
Clinic Affiliation: Bee Cave Acupuncture
LLC
Board Certifications: Acupuncture
Language(s): French, Spanish
ALLERGY-IMMUNOLOGY
NUTRITION & DIETETICS
Gender: Female
NPI: 1730545914
12600 Hill Country Blvd
Ste 275
(512) 537-3171
Board Certifications: Nutrition & Dietetics
" Smith, Thomas F, MD
" Queen, David A, APN
Bee Caves
Gender: Male
NPI: 1306251954
12801 Shops Pkwy
Ste 400
(512) 732-2774
NPI: 1306251954
12801 Shops Pkwy Ste 400
(512) 732-2774
Clinic Affiliation: Eric D Schultz DO PA,
Henry Joseph Legere III MD, Seth M
Hollander MD
Board Certifications: Anp/Cert/Clnp
Jackson Hughes, Judy D, OD
Gender: Female
NPI: 1245481464
12921 Hill Country Blvd
Ste D2 Bldg 115
(979) 693-7528
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
PEDIATRICS
Lubeck, Matthew C, OD
Gender: Male
NPI: 1851733612
12700 Hill Country
Ste D2 115
(512) 263-1023
Bee Cave
" Reshamwala, Neha, MD
Gender: Female
NPI: 1780874578
12801 Shops Pkwy
Ste 400
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Neha Reshamwala MD
Board Certifications: Allergy-Immunology,
Pediatrics
BELTON
ACUPUNCTURE
Mock, Virginia J, OD
Gender: Female
NPI: 1780998302
12921 Hill Country Blvd
Ste D2 115
J (512) 263-1023
(512) 263-1518
Clinic Affiliation: Galleria Eyecare PLLC,
Soltys Enterprises PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Bee Cave
Gender: Female
NPI: 1366602690
1300 E Sixth Ave
(254) 788-5400
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
" Ilse, Jordan R, MD
Belton
J
Gender: Male
NPI: 1477712479
1300 E Sixth Ave
(254) 778-5400
Clinic Affiliation: Dermatology Assoc of
Central Texas, Dermatology Assoc of Tyler
Board Certifications: Dermatology
" Johnson, Weilan, MD
Belton
Gender: Female
NPI: 1992091326
1300 E Sixth Ave
(254) 788-5400
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
BLANCO
PHYSICAL THERAPY
" Blakely, William D, LAC
Neffendorf, Craig F, LPT
Gender: Male
# NPI: 1487660437
825 Fourth St
J (830) 833-5581
Clinic Affiliation: Blanco Physical Therapy
Board Certifications: None
Language(s): Spanish
Blanco
BRYAN
ALLERGY-IMMUNOLOGY
" Paull, Keith J, MD
Bryan
Belton
J
Gender: Male
NPI: 1013052620
401 E Sixth Ave
(512) 630-7278
Board Certifications: Acupuncture
CHIROPRACTIC
Gardner, Charles J, DC
Gender: Male
# NPI: 1801953831
325 N Main St
J (254) 933-2273
Clinic Affiliation: Belton Chiropractic and
Wellness
Board Certifications: None
Language(s): French, Spanish
Belton
Soltys, Robert G, OD
Gender: Male
NPI: 1801950217
12921 Hill Country Blvd
Ste D2 115
(512) 263-1518
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Bee Cave
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Dorsey, Jessica S, MD
Belton
Bee Caves
NPI: 1851733612
12921 Hill Country Blvd
Ste D2 115
(512) 263-1023
Clinic Affiliation: Galleria Eyecare PLLC,
Soltys Enterprises PC
Board Certifications: None
Pulley Alberts, Virginia S, APN
Gender: Female
NPI: 1841493939
11612 Bee Cave Rd
Ste 175
(512) 451-0139
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Gender: Male
NPI: 1346207917
12801 Shops Pkwy Ste 400
(512) 732-2774
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Greater Austin Allergy
Asthma and
Board Certifications: Allergy-Immunology
Gender: Male
NPI: 1588665772
1300 E Sixth Ave
(254) 778-5400
NPI: 1588665772
1300 E Sixth Avenu
(254) 778-5400
Clinic Affiliation: Dermatology Assoc of
Central Texas, Dermatology Assoc of Tyler
Board Certifications: Dermatology
Bee Caves
Bee Cave
Bee Cave
J
ANP/CERT/CLNP
Elizondo, Susan, OD
Gender: Female
# NPI: 1073814216
12921 Hill Country Blvd
Ste D2 115
J (512) 263-1518
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Language(s): Samoan, Spanish
" Legere III, Henry J, MD
ANP/CERT/CLNP
Gender: Male
NPI: 1609070291
12801 Shops Pkwy
Ste 400
(512) 732-2774
Clinic Affiliation: Paul Scibielski MD
Board Certifications: Allergy-Immunology
Language(s): Hindi, Spanish
J
Bee Cave
Bee Cave
J
" Scibielski, Paul, MD
THERAPEUTIC OPTOMETRY
Gender: Male
NPI: 1255451886
12801 Shops Pkwy
Ste 400
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seth M Hollander MD
Board Certifications: Allergy-Immunology
" Conger Jr, Leo A, MD
Belton
Bee Caves
Bee Cave
" Hollander, Seth M, MD
Gender: Male
NPI: 1669464723
12801 Shops Pkwy
Ste 400
(512) 732-2774
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Henry Joseph Legere III
MD
Board Certifications: Allergy-Immunology
Language(s): Spanish
Gender: Female
NPI: 1780874578
12801 Shops Pkwy
Ste 400
(512) 732-2774
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Neha Reshamwala MD
Board Certifications: Allergy-Immunology,
Pediatrics
" Mattinson, Stacey, RD
Bee Cave
Gender: Female
NPI: 1487614459
1300 E Sixth Ave
(254) 778-5400
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Dermatology Assoc of
Central Texas, Dermatology Assoc of Tyler
Board Certifications: Dermatology
Language(s): Spanish
" Reshamwala, Neha, MD
Ladd Jr, Daniel J, DO
Gender: Male
NPI: 1477556256
11612 Bee Caves Rd
Ste 175
(512) 451-0139
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Language(s): Spanish
ACUPUNCTURE
" Chiles, Lenore R, MD
Bee Caves
Bee Cave
#
DERMATOLOGY
Belton
ALLERGY-IMMUNOLOGY
DERMATOLOGY
Bastrop
BRYAN
#
J
Gender: Male
NPI: 1992798532
3201 University Dr E
Ste 245
(979) 776-0700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Paull Allergy and
Asthma Clin
Board Certifications: Allergy-Immunology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
89
Specialists
BRYAN
BRYAN (cont.)
DIETICIAN
Bryan
ANP/CERT/CLNP
Clarke, Brenda K, APN
Gender: Female
NPI: 1164858767
1301 Memorial Dr
J (979) 731-4520
(979) 846-1100
Bryan
J
NPI: 1164858767
3370 S Texas Ave
Ste B
(979) 595-1700
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Henthorn, Laura K, APN
Gender: Female
NPI: 1740276591
3370 S Texas Ave
Ste B
J (979) 595-1700
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
Bryan
Bryan
Mitchell, Belinda Y, APN
Gender: Female
NPI: 1699836700
2700 E 29th St
Ste 300
(979) 776-0371
Hospital Affiliations: Tomball Regional
Hospital
Clinic Affiliation: Family Health Services
Board Certifications: None
J
Gender: Female
NPI: 1447383732
2801 Franciscan Dr
(979) 776-3777
Bryan
Peddy, Roderick L, DC
Gender: Male
NPI: 1306998109
3131 E 29th St Bldg A
(979) 774-0055
Board Certifications: None
Renner, William B, DC
Gender: Male
# NPI: 1326276098
1121 Briarcrest Dr
Ste 100
(979) 774-6337
Clinic Affiliation: Renner Chiropractic
Board Certifications: None
Language(s): Spanish
Bryan
Stephenson, Richard J, DC
Gender: Male
NPI: 1295741189
322 N Main St
J (979) 775-8451
Clinic Affiliation: ABC Chiropractic PA
Board Certifications: None
Language(s): Spanish
Bryan
Stephenson, Ted R, DC
Gender: Male
# NPI: 1285639583
1313 Briarcrest Dr
J (979) 776-2828
Board Certifications: None
Language(s): Spanish
Bryan
" Anekwe, Emmanuel C, MD
J
Saville, Jessianna R, RD
Gender: Female
NPI: 1811305303
2110 E Villa Maria Rd
(512) 960-4550
Clinic Affiliation: Preventative Nutrition
Specialist
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Gender: Male
NPI: 1205871720
1673 Briarcrest Dr
Ste 100B
(979) 985-5339
Hospital Affiliations: Del Sol Camp Lpdsh,
Hsps Of Providence Sierra Campus, Hsps
Providence Memorial Campus
Clinic Affiliation: Brazos Vascular Access
Center PLL
Practice Information: No Patients Under 17
yrs old
Board Certifications: Nephrology
Language(s): Spanish
J
Bryan
J
Gender: Male
NPI: 1154582716
2900 E 29th St
Ste 200
(979) 776-8440
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Texas A&M University
System H
Board Certifications: Family Practice
Language(s): Spanish
Gender: Male
NPI: 1235275900
1673 Briarcrest Dr
Ste 100B
(210) 985-5339
NPI: 1235275900
2801 E 29th St Ste 117
(979) 402-2115
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Vascular Access
Center PLL
Board Certifications: Nephrology
Language(s): Spanish
NPI: 1205801826
3370 S Texas Ave
Ste B
(979) 595-1700
Hospital Affiliations: Christus Spohn
Hospital Shoreline
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Bryan
" Gerges, Anwar S, MD
Bry an
Gender: Male
NPI: 1922074798
1673 Briarcrest Dr
Ste 100B
(979) 985-5339
Hospital Affiliations: Baptist Health
System, Hsps Of Providence Sierra
Campus, Las Colinas Medical Center,
Methodist Hospital, Southwest General
Hospital
Clinic Affiliation: Brazos Vascular Access
Center PLL
Board Certifications: Nephrology
Language(s): Arabic, French
Marsh, Laura E, MD
Gender: Female
NPI: 1750602199
3121 University Dr E
Ste 100
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
HAND SURGERY
NPI: 1790890259
2801 Franciscan Dr
(979) 776-3777
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Valley Obstetrics
Hospital, Family Health Services
Board Certifications: None
Language(s): Spanish
" Khan, Asad, MD
J
" Doss, David R, MD
Bryan
Gender: Male
NPI: 1801901350
2700 E 29th St Ste 300
(979) 776-5602
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Tan, Frederick S, MD
Bry an
INTERNAL MEDICINE
Scheinost, Nancy A, MD
Gender: Female
NPI: 1740238450
3201 University Dr E
Ste 205
J (979) 774-7896
Clinic Affiliation: Nancy A Scheinost
Board Certifications: None
Language(s): Spanish
Bryan
J
Gender: Male
NPI: 1689698615
2801 E 29th St Ste 117
(979) 774-3960
Hospital Affiliations: College Station
Medical Center
Board Certifications: Nephrology
Bryan
" Vasudev, Rejeesh V, MD
Bry an
Vasudev, Rejeesh V, MD
Gender: Male
NPI: 1083807937
2110 E Villa Maria Rd
J (979) 822-5555
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Bryan Kidney Center Inc
Board Certifications: Nephrology
Language(s): Hindi, Malayalam, Spanish,
Urdu
Bryan
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1154483949
2110 E Villa Maria
(979) 822-5555
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Bryan Kidney Center Inc
Board Certifications: Nephrology
Language(s): Hindi, Spanish, Tamil, Urdu
J
Gender: Male
NPI: 1083807937
2110 E Villa Maria Rd
(979) 822-5555
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Bryan Kidney Center Inc
Board Certifications: Nephrology
Language(s): Hindi, Malayalam, Spanish,
Urdu
NUTRITION & DIETETICS
" Bennett Herrman, Barbara J, RD
Bry an
J
Gender: Female
NPI: 1346596954
1600 Joseph Dr
(979) 821-7527
Clinic Affiliation: Kelly W Lobb MD
Board Certifications: Nutrition & Dietetics
Language(s): Spanish
Dawson, Daniel D, MD
Gender: Male
NPI: 1790890259
1301 Memorial Dr
(979) 846-1100
NPI: 1790890259
2700 E 29th St
Ste 300
(979) 776-0371
Bry an
Richardson, George A, MD
Gender: Male
NPI: 1427026152
3201 University Dr E
Ste 255
J (979) 774-0411
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Center For Orthopaedic
Spec Ialties PA
Board Certifications: Orthopedic Surgery
Bryan
Brown, Dawn T, MD
Gender: Female
NPI: 1205801826
1301 Memorial Dr
(979) 731-4520
NPI: 1205801826
2700 E 29th St
Ste 300
(979) 776-0371
" Ezeanuna, Prosperity U, MD
J
Gender: Female
NPI: 1902150048
1600 Joseph Dr
(979) 821-7527
Clinic Affiliation: Kelly W Lobb MD
Board Certifications: Nutrition & Dietetics
Language(s): Spanish
OBSTETRICS-GYNECOLOGY
Bry an
" Gill, Kory L, DO
" Wolfe, Holly L, APN
CHIROPRACTIC
Drysdale, Toni F, RD
Gender: Female
NPI: 1336266048
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): Spanish
" Lobb, Kasey, RD
Bryan
Bry an
Bryan
Bryan
NPI: 1447383732
8441 State Hwy 47
Ste 4200 Bldg 1
(979) 703-1914
Clinic Affiliation: St Joseph Regional
Health Center
Board Certifications: Anp/Cert/Clnp
NEPHROLOGY
FAMILY PRACTICE
Bryan
NPI: 1447383732
3841 Sagebriar Dr
(979) 774-1377
OCTOBER 03, 2016
bmkp_in_spec
Gayle, Lelve J, MD
Gender: Male
NPI: 1285632737
3201 University Dr E
Ste 370
(979) 704-6173
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: L Justin Gayle MD PLLC
Board Certifications: None
" Jansky, Cynthia A, MD
Bryan
Gender: Female
NPI: 1689789158
1301 Memorial Dr
(979) 776-0371
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
90
OCTOBER 03, 2016
bmk_pin_spec
Bry an
BRYAN (cont.)
OBSTETRICS-GYNECOLOGY (cont.)
" Johnson, Noreen Z, MD
Bryan
Gender: Female
NPI: 1700801214
4112 E 29th St
(979) 764-4043
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Medical Assoc,
Bryan Medical Assoc Medical
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Moore, Lee D, MD
Bry an
Specialists
OTOLARYNGOLOGY
Hedrick, April M, OT
Gender: Female
NPI: 1376677005
3201 University Dr E
Ste 365
(979) 703-1909
Clinic Affiliation: Texas Hand Therapy
Board Certifications: None
" Smith, Virginia E, MD
Bryan
Gender: Female
NPI: 1952530628
3201 University Dr E
Ste 370
(979) 704-6173
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: L Justin Gayle MD PLLC
Board Certifications:
Obstetrics-Gynecology
" South, Jamie K, DO
Bryan
" Shipman, Nolan D, MD
#
J
McCracken, Keeli R, OT
Gender: Female
NPI: 1154677383
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Spanish
Bryan
Yasskin, Sandy, OT
Gender: Female
NPI: 1093727828
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Hebrew,
Spanish
NPI: 1245467026
2801 Franciscan Dr
(979) 776-3777
NPI: 1245467026
2900 E 29th St Ste 300
(979) 846-1100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Valley Obstetrics
Hospital, Family Health Services
Board Certifications:
Obstetrics-Gynecology
OCCUPATIONAL THERAPY
Barrow, Catherine E, OT
Gender: Female
NPI: 1740507235
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): Spanish
" Bramhall, Joe P, MD
J
" Sewrathan Ghosh, Sherry, DO
Bryan
Gender: Male
NPI: 1972577708
3121 University Dr E
Ste 100
(979) 776-0169
Hospital Affiliations: College Station
Medical Center, Tomball Regional Hospital
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Gender: Female
NPI: 1477577815
1600 Joseph Dr
(979) 821-7527
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Kelly W Lobb MD
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
PHYSICAL THERAPY
" Solcher, Barry W, MD
Bry an
Gender: Male
NPI: 1902874639
3121 University Dr E
Ste 100
(979) 776-0169
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Bryan
Aguilar, Jana D, LPT
Gender: Female
NPI: 1376981654
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Bradway, Leon F, LPT
Gender: Male
# NPI: 1932179306
2705 Osler Blvd
J (979) 776-2225
Clinic Affiliation: Sports Back and Pain
Management C
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Language(s): Spanish
Bryan
" Whitmer, Wade W, MD
Bry an
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1528038858
1600 Joseph Dr
Ste 2202
(979) 821-7527
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Kelly W Lobb MD
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Male
NPI: 1073668091
3201 University Dr E
Ste 175
(903) 983-0747
Hospital Affiliations: College Station
Medical Center, Longview Regional Medical
Center
Clinic Affiliation: Orthopaedic Assoc of
Brazos
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Foreman, Aaron E, LPT
Gender: Male
NPI: 1033214952
2611 E 29th St
(979) 704-6309
Clinic Affiliation: Blue Sky Orthotic and
Prosthetics
Board Certifications: None
Language(s): Spanish
Joseph, Michael G, LPT
Gender: Male
NPI: 1043468515
3121 University Dr E
Ste 100
J (979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
Language(s): Spanish
Bryan
Bryan
" Lobb, Kelly W, MD
" Seabolt, Brian R, MD
Carson, Mary E, OT
Gender: Female
NPI: 1437236254
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Spanish
Bryan
Bryan
Gender: Male
NPI: 1427026152
3201 University Dr E
Ste 255
(979) 774-0411
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Center For Orthopaedic
Spec Ialties PA
Board Certifications: Orthopedic Surgery
Bry an
J
Caverlee, Sherry A, LPT
Gender: Female
NPI: 1669641858
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Spanish
PHYSICAL MEDICINE &
REHABILITATION
" Richardson, George A, MD
Bryan
Ferguson, Miranda D, OT
Gender: Female
NPI: 1760777262
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1558350181
3121 University Dr
Ste 100
(979) 776-0169
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Bry an
Bryan
Bryan
Paull, Keith J, MD
Gender: Male
# NPI: 1992798532
3201 University Dr E
Ste 245
J (979) 776-0700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Paull Allergy and
Asthma Clin
Board Certifications: Allergy-Immunology
Language(s): Spanish
Bryan
Bry an
J
Owens, Brian K, MD
Gender: Male
NPI: 1992816292
8447 Hwy 47
Building 1 Ste 4200
(979) 485-2966
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Owens Interventl Pain
Mgnt PLLC
Board Certifications: None
Language(s): Spanish
Campbell, Jenna N, LPT
Gender: Female
NPI: 1336505569
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Romanian,
Spanish
Bryan
PEDIATRIC ALLERGY & IMMUNOLOGY
ORTHOPEDIC SURGERY
J
Gender: Male
NPI: 1306846084
3201 University Dr E
Ste 375
(979) 731-8284
Hospital Affiliations: College Station
Medical Center
Board Certifications: Otolaryngology
Language(s): Sign Language
PAIN MANAGEMENT
Bry an
Gender: Female
NPI: 1245467026
1301 Memeorial Dr
(979) 846-1100
Bryan
Bryan
Bryan
Gender: Male
NPI: 1861648248
2700 E 29th St Ste 300
(979) 776-0371
Clinic Affiliation: Family Health Services
Board Certifications:
Obstetrics-Gynecology
BRYAN
Kucherka, Katherine R, LPT
Gender: Female
NPI: 1346688892
3201 University Dr E
Ste 115
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
Language(s): Spanish
Lightsey, Amanda J, LPT
Gender: Female
NPI: 1174586432
2651 Boonville Rd
Ste 115
J (979) 446-0422
Clinic Affiliation: Lightsey Physical Therapy
Board Certifications: None
Bryan
Merritt, Melissa M, LPT
Gender: Female
NPI: 1043538093
3201 University Dr E
Ste 365
J (979) 703-1909
Clinic Affiliation: Texas Hand Therapy
Board Certifications: None
Bryan
Rich, Ronald S, LPT
Gender: Male
NPI: 1831378066
8441 State Hwy 47
Ste 1200
J (979) 776-5533
Clinic Affiliation: Tbsi Therapies LLC
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Bryan
Bryan
Scarmardo, Teresa K, LPT
Gender: Female
NPI: 1215311840
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Romanian,
Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
91
Specialists
BRYAN
BRYAN (cont.)
SPEECH PATHOLOGY
Bry an
James Ofczarzak, Mendi S, SLP
Gender: Female
NPI: 1649397910
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Spanish
Bryan
PHYSICAL THERAPY (cont.)
Bryan
Bryan
Bryan
Smith, Karen J, LPT
Gender: Female
NPI: 1255572673
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
South, Carol G, LPT
Gender: Female
NPI: 1033250014
1318 Memorial Dr
(979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign, Spanish
Walker, Kayce D, LPT
Gender: Female
NPI: 1609265370
3121 University Dr E
Ste 100
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
Language(s): Spanish
Ward, Michael T, LPT
Gender: Male
# NPI: 1386704187
2701 E 29th St
J (979) 776-0247
Clinic Affiliation: Brazos Orthopedica
Physical Therapy PC
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Bryan
Watts, Brian A, LPT
Gender: Male
NPI: 1205132701
3121 University Dr E
Ste 100
J (979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
Language(s): Spanish
Bryan
#
Bryan
" Haase, Amy L, DPM
J
Gender: Female
NPI: 1366485286
3201 University Dr E
Ste 135
(979) 774-3668
Clinic Affiliation: Diagnostic Foot
Specialists
Board Certifications: Podiatry
Language(s): Spanish
RADIATION ONCOLOGY
" Kirby, James M, MD
Bry an
J
Raasch, Sara M, SLP
Gender: Female
NPI: 1174665939
1318 Memorial Dr
(975) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Board Certifications: None
Language(s): American Sign
" Napoli, Peter, MD
J
Bramhall, Joe P, MD
Gender: Male
NPI: 1558350181
3121 University Dr
Ste 100
J (979) 776-0169
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Bryan
" Smith, Charles H, MD
J
" Distefano, James S, DO
Gender: Male
NPI: 1457324782
3121 University Dr E
Ste 100
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: Sports Medicine
Language(s): Spanish
RHEUMATOLOGY
Scheinost, Nancy A, MD
Gender: Female
NPI: 1740238450
3201 University Dr E
Ste 205
J (979) 774-7896
Clinic Affiliation: Nancy A Scheinost
Board Certifications: None
Language(s): Spanish
Bryan
Hamilton, John B, MD
Gender: Male
NPI: 1972515914
3201 University Dr E
Ste 135
J (254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
Hamilton, Rebecca, PA
Gender: Female
! NPI: 1629322854
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
Bryan
Marsh, Laura E, MD
Gender: Female
NPI: 1750602199
3121 University Dr E
Ste 100
(979) 776-0169
Clinic Affiliation: Central Texas Sports
Medicin& Ortho PA
Board Certifications: None
House, Jon R, OD
Gender: Male
# NPI: 1053549899
3201 University Dr E
Ste 140
J (979) 731-8446
Clinic Affiliation: Texas State Optical of
Bryanpc
Board Certifications: None
Language(s): Spanish
!
!
Dark III, Foy E, DO
Gender: Male
! NPI: 1003928060
! 3201 University Dr E
Ste 135
(254) 537-9452
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Language(s): Spanish
Bryan
Davidhizar Jr, John D, MD
Gender: Male
! NPI: 1922392430
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Lively, Michael S, MD
Gender: Male
NPI: 1962460303
3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Pepper, Jennifer L, MD
Gender: Female
! NPI: 1245334853
! 3201 University Dr E
Ste 135
(254) 537-9452
Hospital Affiliations: Wadley Regional
Medical Center
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
Bry an
Hancock, Justin, PA
Gender: Male
NPI: 1235415175
3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Language(s): Spanish
Bryan
Bryant, Jason K, MD
Gender: Male
! NPI: 1558473504
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bry an
Bryan
Bryan
Bryan
Bry an
Greene, Mindi M, OD
Gender: Female
# NPI: 1811200389
725 E Villa Maria Rd
Ste 1500
J (979) 775-4900
Clinic Affiliation: Greene Eyes Inc
Board Certifications: None
Language(s): Spanish
!
!
Brillhart, Daniel B, MD
Gender: Male
! NPI: 1902164569
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bry an
THERAPEUTIC OPTOMETRY
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1659337608
2700 E 29th St
Ste 240
(979) 776-0750
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Drs Fedorchik and
Kirbymd
Practice Information: No Patients Under 16
yrs old
Board Certifications: Thoracic Surgery
URGENT CARE PROVIDER
Bryan
Schlichtemeier, Alvin L, MD
Gender: Male
NPI: 1366415416
2215 E Villa Maria
Ste 130
J (979) 774-0808
Clinic Affiliation: Brazos Radiation
Oncology PA
Board Certifications: None
Language(s): German, Spanish
Bryan
Gender: Male
NPI: 1518922772
2700 E 29th St
Ste 240
(979) 776-0750
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Drs Fedorchik and
Kirbymd
Board Certifications: Thoracic Surgery
Bry an
Bryan
Bryan
Gender: Male
NPI: 1861458804
2700 E 29th St
Ste 240
(979) 776-0750
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Drs Fedorchik and
Kirbymd
Practice Information: No Patients Under 16
yrs old
Board Certifications: Thoracic Surgery
Language(s): Spanish
Fichter Jr, Michael P, PA
Gender: Male
! NPI: 1215116652
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Language(s): Spanish
Bryan
Bry an
SPORTS MEDICINE
J
Williamson, Mandy L, OD
Gender: Female
NPI: 1174867352
3201 University Dr E
Ste 140
(979) 731-8446
Clinic Affiliation: Texas State Optical of
Bryanpc
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
THORACIC SURGERY
Larson, Linda M, SLP
Gender: Female
NPI: 1134298607
1318 Memorial Dr
J (979) 776-2872
Clinic Affiliation: Temple Memorial
Rehabilitation Center
Practice Information: No Patients Over 3
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Bryan
PODIATRY
Bryan
OCTOBER 03, 2016
bmkp_in_spec
!
!
Riddle, Mark L, DO
Gender: Male
NPI: 1770748972
3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Ruscitto, Meghan M, PA
Gender: Female
! NPI: 1538419395
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Smith, Jason D, DO
Gender: Male
! NPI: 1598976367
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Strommen, Joshua J, MD
Gender: Male
! NPI: 1629398771
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
92
OCTOBER 03, 2016
bmk_pin_spec
Specialists
McCarty, Matthew F, MD
Gender: Male
NPI: 1235132432
181 Cimarron Park Loop
Ste A
J (512) 834-4141
Hospital Affiliations: Cornerstone Hospital
Austin, East Texas Medical Center, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Buda
BRYAN (cont.)
URGENT CARE PROVIDER (cont.)
Tauferner, Dustin H, DO
Gender: Male
! NPI: 1174724744
! 3201 University Dr E
Ste 135
(254) 537-9452
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
Uptergrove, Wade, MD
Gender: Male
! NPI: 1518987494
! 3201 University Dr E
Ste 135
(254) 537-9452
Hospital Affiliations: Tx Hlth Harris
Methodist Hosp
Clinic Affiliation: Premier Urgent Care Plus
Board Certifications: None
Bryan
Buda
BUDA
ANP/CERT/CLNP
" Prall, Kimberly A, APN
Buda
Gender: Female
NPI: 1669737268
181 Cimarron Park Loop
Ste A
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: Anp/Cert/Clnp
Buda
OCCUPATIONAL THERAPY
Danner, Teresa C, OT
Gender: Female
# NPI: 1366832495
181 Cimarron Park Loop
Ste D
J (512) 295-2273
Clinic Affiliation: Therapy Center of Buda
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Buda
Rosado, Danniel R, OT
Gender: Female
# NPI: 1962893602
181 Cimarron Park Loop
Ste D
(512) 295-2273
Clinic Affiliation: Therapy Center of Buda
Board Certifications: None
Language(s): Spanish
Buda
" Fox, Charlotte S, APN
Burnet
J
Burnet
" Adelman, Eric A, DO
Burnet
Gonzalez, Sonia, APN
Gender: Female
NPI: 1164827275
200 County Rd 340A
Bldg 1 Ste A
(512) 715-3110
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
J
Heinzman, Kristopher M, MD
Gender: Male
NPI: 1669640892
200 Cr34a
Ste B Bldg 1
(512) 715-3032
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
" Collins, Kristina M, MD
Gender: Female
NPI: 1881895118
200 County Rd 340A
Bldg 4 Ste B
(512) 756-2525
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Jan, Mollie M, DO
Burnet
J
" Smetanick, Matthew T, DO
!
!
J
Gasparini, Carla G, OD
Gender: Female
# NPI: 1922142231
690 Old San Antonio Rd
(512) 312-2140
Clinic Affiliation: Hill Country Eye Care
Board Certifications: None
Language(s): Spanish
Buda
Burnet
Ho, Noriko M, OD
NPI: 1801121488
690 Old San Antonio
J (512) 312-2140
Clinic Affiliation: Hill Country Eye Care
Board Certifications: None
Buda
#
BUFFALO
CHIROPRACTIC
Tieperman, Robert T, DC
Gender: Male
NPI: 1619971348
2700 W Commerce St
J (903) 322-2116
Board Certifications: None
Language(s): Spanish
Buffalo
Pirwitz, Mark J, MD
Gender: Male
NPI: 1063436152
200 County Rd 340A
Bldg 1 Ste B
(512) 715-3032
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Gender: Male
NPI: 1306023114
200 County Rd 340A
Ste 4
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
GENERAL SURGERY
" Sartor, Tammy L, MD
Burnet
Gender: Female
NPI: 1023083839
202 County Rd 340A
Bldg 1
(512) 715-3046
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: General Surgery
Language(s): Spanish
" Heinzman, Kristopher M, MD
Gender: Male
NPI: 1669640892
200 Cr34a
Ste B Bldg 1
(512) 715-3032
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
Gender: Female
NPI: 1801072855
202 County Rd 340A
Bldg 4 Ste B
(512) 756-2525
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Burnet
Burnet
Farmer, Kara R, OD
Gender: Female
NPI: 1871839001
3310 B FM 967
Ste A 108
(512) 295-0076
Clinic Affiliation: Buda Vision Source PLLC
Board Certifications: None
Gender: Male
NPI: 1194766444
202 County Rd 340A
Ste B Bldg 4
(512) 756-2525
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
Burnet
CARDIOVASCULAR DISEASE
THERAPEUTIC OPTOMETRY
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
DERMATOLOGY
CARDIAC ELECTROPHYSIOLOGY
Grant, Amy M, SLP
Gender: Female
# NPI: 1942324280
181 Cimarron Park Loop
Ste D
J (512) 295-2273
Clinic Affiliation: Therapy Center of Buda
Board Certifications: None
Language(s): American Sign, Sign
Language
Buda
Gender: Female
NPI: 1235327792
200 County Rd 340A
Bldg 1
(512) 715-3032
Clinic Affiliation: Seton Heart Institute
Board Certifications: Anp/Cert/Clnp
Language(s): Samoan, Spanish
Funkhouser, Jana R, APN
Gender: Female
NPI: 1760409684
200 County Rd 340A
Bldg I
J (512) 715-3110
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): Sign Language, Spanish
Buda
Buda
Burnikel, Devin L, DC
Gender: Male
NPI: 1467573139
1001 W Buchanan Dr
Ste 10
J (512) 756-6279
Board Certifications: None
Burnet
Burnet
Skulpoonkitti, Bryan, DO
Gender: Male
NPI: 1588984439
181 Cimarron Park Loop
Ste A
(512) 834-4141
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
CHIROPRACTIC
Burnet
ANP/CERT/CLNP
SPEECH PATHOLOGY
PAIN MANAGEMENT
Lowry, Angus M, MD
Gender: Male
NPI: 1073773727
181 Cimarron Park Loop
Ste A
J (512) 834-4141
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Ozuna, Eduardo, MD
Gender: Male
NPI: 1003007469
181 Cimarron Park Loop
Ste A
(512) 834-4141
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
BURNET
BURNET
" Scoggin, Stephen D, MD
Burnet
Gender: Male
NPI: 1043201247
200 County Rd 340A
Bldg 111
(512) 715-3046
Hospital Affiliations: Brownwood Regional
Medical Center, Gulf Coast Medical Center,
Oakbend Medical Center, Seton Highland
Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: General Surgery
Language(s): Spanish
HEMATOLOGY-ONCOLOGY
Kasper, Michael L, MD
Gender: Male
NPI: 1669414652
516 Buchanan Dr
J (512) 756-8282
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Burnet
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
93
Specialists
BURNET
BURNET (cont.)
OPHTHALMOLOGY
PULMONARY DISEASES
Malamud, Kenneth L, MD
Gender: Male
NPI: 1659524007
1001 Buchanan Dr
J (512) 715-3937
Hospital Affiliations: Round Rock Medical
Center, Seton Highland Lakes, St Davids
Georgetown Hospital
Clinic Affiliation: Kenneth Lester Malamud
MD PLLC
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certifications: None
Language(s): Spanish
" Hughes, Erica J, MD
Burnet
INTERNAL MEDICINE
Hughes, Erica J, MD
Gender: Female
NPI: 1316080740
200 County Rd 340A
Bldg 1
J (512) 715-3130
Hospital Affiliations: Parkland Health And
Hospital Sys, Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Pulmonary Diseases
Language(s): Spanish
Burnet
INTERVENTIONAL CARDIOLOGY
Burnet
Pirwitz, Mark J, MD
Gender: Male
NPI: 1063436152
200 County Rd 340A
Bldg 1 Ste B
(512) 715-3032
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
J
Gender: Female
NPI: 1154606168
302 W Hwy 21
(979) 567-3287
Clinic Affiliation: Family Health Services
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
CHIROPRACTIC
" Sanders, Jeffrey S, MD
Cameron
Gender: Male
NPI: 1790898146
806 N Crockett
(254) 605-0025
Hospital Affiliations: Fish Pond Surgery
Center, Hill Regional Hospital, Providence
Health Center
Clinic Affiliation: Little River Healthcare
Family Ca
Board Certifications: Urology
Language(s): Spanish
CEDAR PARK
ACUPUNCTURE
" Stivers, Hannah C, LAC
Cedar Park
J
Gender: Male
NPI: 1740224195
200 County Rd 340A
Bldg 2 Ste C
(512) 715-3114
Hospital Affiliations: Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Orthopedic Surgery
Language(s): Spanish
PODIATRY
Abbey, Brian T, DPM
Gender: Male
NPI: 1407960917
1101 Woodson Dr
J (979) 776-6060
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): Spanish
Gender: Female
NPI: 1962802884
715 Discovery Blvd
Ste 412A
(512) 260-1710
Clinic Affiliation: Usaacumed PLLC
Board Certifications: Acupuncture
#
Yen, Jimmy I, LAC
Gender: Male
NPI: 1366595159
715 Dissovery Blvd
Ste 412A
(512) 260-1710
Clinic Affiliation: Usaacumed PLLC
Board Certifications: None
Language(s): Chinese, Mandarin, Mandingo
Cedar Park
Elliott, Johanna A, DC
Gender: Female
NPI: 1609947654
101 E Hwy 21
(979) 567-7001
Board Certifications: None
" Hussaini, Akbar A, MD
" Yuan, Ling, LAC
Cedar Park
Gender: Female
NPI: 1346504461
930 S Bell Blvd
Ste 303
(512) 331-8000
Clinic Affiliation: Lings Golden Needle
Acupuncture
Board Certifications: Acupuncture
Caldwell
OTOLARYNGOLOGY
" Sawyer, Drew S, MD
Burnet
Gender: Male
NPI: 1679629349
200 County Rd 340A
Bldg 2 Ste D
(512) 593-5200
Hospital Affiliations: Bailey Square Surgery
Center, Central Park Surgery Center, Dell
Childrens Med Ctr Cent Tx, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Joseph Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Drew S Sawyer MD PLLC
Board Certifications: Otolaryngology
#
ALLERGY-IMMUNOLOGY
Albertson, Gary R, DO
Gender: Male
NPI: 1225063951
351 Cypress Creek Rd
Ste 100
(512) 462-3627
Hospital Affiliations: Round Rock Medical
Center, Ward Memorial Hospital
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): Spanish, Tagalog
Cedar Park
" Aguilar, Robert G, DPM
Caldwell
J
PLASTIC SURGERY
Gender: Male
NPI: 1043279631
1101 Woodson Dr
(979) 776-6060
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: Podiatry
Language(s): Spanish
Kearney, Tyler P, DPM
Gender: Male
NPI: 1376788752
1101 Woodson Dr
J (979) 776-6060
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): Spanish
Caldwell
" Conner, Christopher W, MD
Burnet
Gender: Male
NPI: 1477501005
202 County Rd 340A
Ste B Bldg 4
(512) 756-2525
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Plastic Surgery
" Rice Jr, Lee R, MD
Orihuela Jr, Eduardo, DPM
Gender: Male
NPI: 1982682720
1101 Woodson Dr
J (979) 776-6060
Hospital Affiliations: College Station
Medical Center, Falls Community Hospital
And Clinic
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): German, Spanish
" Barstow Jr, Douglas G, MD
Cedar Park
J
Caldwell
PODIATRY
" Carmack, David L, DPM
Burnet
ONCOLOGY
" Kasper, Michael L, MD
Burnet
J
" Varley, Elizabeth S, APN
Caldwell
Burnet
Burnet
J
Gender: Male
NPI: 1902881048
2801 S Water St
(512) 327-7000
Hospital Affiliations: John Peter Smith
Hospital, Parkland Health And Hospital Sys,
Seton Medical Center, Seton Northwest
Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
UROLOGY
Caldwell
OBSTETRICS-GYNECOLOGY
Gender: Male
NPI: 1164459004
200 County Rd 340A
Bldg 2
(512) 715-3130
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
CALDWELL
ANP/CERT/CLNP
ORTHOPEDIC SURGERY
" Buxton, Lawrence F, MD
Leeds, Timothy G, MD
Gender: Male
NPI: 1386644227
200 County Rd 340A
Bldg 3 Ste 3
(512) 931-1656
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Central Texas OB/GYN
Assoc Pl
Board Certifications: None
Gender: Female
NPI: 1316080740
200 County Rd 340A
Bldg 1
(512) 715-3130
Hospital Affiliations: Parkland Health And
Hospital Sys, Seton Highland Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Pulmonary Diseases
Language(s): Spanish
J
" Marquis, Robert E, MD
Burnet
Burnet
Burnet
Burnet
NEUROLOGY
Gender: Male
NPI: 1871586305
202 County Rd 340A
Bldg 3 Ste B
(512) 715-3135
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Midland/Ode,
Midland Memorial Hospital, Seton Highland
Lakes
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Neurology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1669414652
516 Buchanan Dr
(512) 756-8282
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1043212889
200 County Rd 340A
Bldg I Ste A
(512) 715-3110
Hospital Affiliations: Baptist Beaumont
Hospital, Christus Hospital St Elizabeth
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Podiatry
CAMERON
PODIATRY
" Madden, Thomas W, DPM
Cameron
J
Gender: Male
NPI: 1265523138
806 N Crocket
(254) 697-6591
Hospital Affiliations: Seton Medical Center
Board Certifications: Podiatry
Language(s): Spanish
Gender: Male
NPI: 1326166273
500 W Whitestone Blvd
Ste 100
(512) 349-0777
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
" Henry, Anthony R, MD
Cedar Park
#
J
Gender: Male
NPI: 1245232487
103 N Bell Blvd Ste A2
(512) 388-1861
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Georgetown Hospital
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
94
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Hollembeak, Dawn B, APN
Zenon, Nicole, APN
Gender: Female
NPI: 1497137731
450 Cypress Creek Rd
Bldg 5
(512) 249-1400
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Cedar Park
CEDAR PARK (cont.)
ALLERGY-IMMUNOLOGY (cont.)
" Leath, Thomas M, MD
#
Cedar Park
Gender: Male
NPI: 1497767420
500 W Whitestone Blvd
(512) 349-0777
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
Language(s): Spanish
J
J
Jones, Megan M, APN
Gender: Female
NPI: 1548714124
1401 Medical Pkwy
Ste 412
(512) 260-6050
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
" Miller, Brian T, DO
J
Gender: Male
NPI: 1790882108
103 A1 N Bell Blvd
(512) 610-3388
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
ANP/CERT/CLNP
Blackburn, Mary Z, APN
Gender: Female
NPI: 1699930628
351 Cypress Creek Rd
Ste 201
(512) 416-7246
Clinic Affiliation: Greater Houston
Anesthesiology
Board Certifications: None
Cedar Park
" Butler, Krista J, APN
Cedar Park
J
Gender: Female
NPI: 1972991743
351 Cypress Creek Rd
Ste 201
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
Conley, Tara, APN
Gender: Female
NPI: 1659662799
801 E Whitestone Blvd
Ste 201
J (512) 341-0900
Clinic Affiliation: Timberland Medical Group
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Language(s): Spanish
McClendon, Melinda M, APN
Gender: Female
NPI: 1003212184
351 Cypress Creek Rd
Ste 201
J (512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Mijares, Robert F, APN
Gender: Male
# NPI: 1467452003
1201 N Lakeline Blvd
Ste 400
J (512) 379-7272
Clinic Affiliation: Zest Family Practice
PLLC
Board Certifications: None
Language(s): Spanish, Tagalog
#
Curry, Christopher W, DC
Gender: Male
NPI: 1841639085
401 E Whitestone Blvd
Ste C 104
(512) 260-4020
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Dunn, Duvelsa, DC
Gender: Female
NPI: 1659771830
1335 E Whitestone Blvd
Ste O 300
(512) 986-7329
Clinic Affiliation: 100 Percent Chiropractic
Austin O
Board Certifications: None
Griffith, Natalie C, DC
Gender: Female
# NPI: 1104080365
921 W New Hope Dr
Ste 701
J (512) 259-7900
Clinic Affiliation: Axis Family Chiropractic
PA
Board Certifications: None
Cedar Park
" Prather, Kelsey M, APN
Cedar Park
Gender: Female
NPI: 1902214422
715 Discovery Blvd
Ste 412A
(512) 260-1710
Clinic Affiliation: Usaacumed PLLC
Board Certifications: Anp/Cert/Clnp
Williams, Jason T, DC
Gender: Male
# NPI: 1891189536
1103 Cypress Creek Rd
Ste 102
(512) 814-1018
Clinic Affiliation: Williams Wellness
Chiropractic LL
Board Certifications: None
Cedar Park
DERMATOLOGY
" Adelman, Eric A, DO
Cedar Park
J
Langan, Timothy D, DC
Gender: Male
NPI: 1639461056
1464 E Whitestone Blvd
Bldg 1
(512) 986-7255
Clinic Affiliation: Living Well Chiropractic
PA
Board Certifications: None
J
NPI: 1841493939
701 E Whitestone Blvd
Ste 150
(512) 321-7001
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Neblett Jr, Donald T, DC
Gender: Male
# NPI: 1356344212
401 E Whitestone Blvd
Ste C104
(512) 260-4020
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Language(s): Spanish
* Leaving Network: 2016-11-01
Scott, Tiffani L, APN
Gender: Female
NPI: 1902090798
1464 E Whitestone Blvd
Ste 901
J (512) 260-8100
Clinic Affiliation: Whitestone Pediatrics
Incorporate
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Reynolds, Austin L, DC
Gender: Male
NPI: 1154679264
2000 Windy Ter Bldg 10
(512) 346-5735
Board Certifications: None
Cedar Park
#
" Scrimpsher, Lisa M, APN
Cedar Park
Smith, Aaron D, DC
Gender: Male
# NPI: 1710046701
1464 E Whitestone Blvd
Ste 1302
J (512) 918-2225
Clinic Affiliation: Texas Chiropractic and
Rehab PC
Board Certifications: None
Language(s): Spanish
Cedar Park
Gender: Female
NPI: 1871848127
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: Anp/Cert/Clnp
NPI: 1194766444
1610 E Whitestone Blvd
(512) 260-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Bhandarkar, Sulochana, MD
J
Gender: Female
NPI: 1215114368
1610 E Whitestone Blvd
(512) 260-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Cabrera, Elizabeth, MD
Cedar Park
!
!
J
Gender: Female
NPI: 1245242262
1610 E Whitestone Blvd
(512) 260-3376
Hospital Affiliations: North Austin Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Dorsey, Jessica S, MD
Cedar Park
Gender: Female
NPI: 1366602690
1401 Medical Pkwy
Building B Ste 300
(512) 260-5860
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
Cedar Park
Cedar Park
Gender: Male
NPI: 1194766444
1431 Whitestone Blvd
Ste 301
(512) 260-3376
Cedar Park
Cedar Park
Pulley Alberts, Virginia S, APN
Gender: Female
NPI: 1841493939
2500 S Lakeline Blvd
Ste 100
(512) 321-7001
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Tuttle, Tara A, DC
Gender: Female
# NPI: 1992081459
1625 N Bell Blvd
Ste H
J (309) 798-3101
Clinic Affiliation: Tat Wellness PLLC
Board Certifications: None
Cedar Park
Cedar Park
Gender: Female
NPI: 1669737268
500 W Whitestone Blvd
Ste 250
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: Anp/Cert/Clnp
#
Tuggle, John D, DC
Gender: Male
# NPI: 1578668539
930 S Bell Blvd
Ste 103
J (512) 257-2225
Clinic Affiliation: Wellness To Better Health
Chiro
Board Certifications: None
Language(s): Spanish
Cedar Park
Cedar Park
" Prall, Kimberly A, APN
Cedar Park
Higginbotham, Nicole H, APN
Gender: Female
NPI: 1902828759
1301 Medical Pkwy
Ste 200
J (512) 324-0919
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Language(s): American Sign, Spanish
Calhoun, Lynn E, DC
Gender: Male
NPI: 1831338979
601A S Bell Blvd
J (512) 689-9864
Board Certifications: None
Language(s): Spanish
Cedar Park
Cedar Park
Donovan, Linda S, APN
Gender: Female
NPI: 1508986514
601 E Whitestone Blvd
Ste 308
J (512) 528-9996
Clinic Affiliation: Lighthouse Pediatrics
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Language(s): Spanish
Cedar Park
CHIROPRACTIC
Cedar Park
Cedar Park
Gender: Female
NPI: 1346697711
351 Cypress Creek Rd
Ste 201
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 17
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
Rohner, Ann E, AUDIO
Gender: Female
NPI: 1336307560
601 E Whitestone Blvd
Ste 512
(512) 260-2665
Clinic Affiliation: Cook Hearing and
Balance
Board Certifications: None
Cedar Park
Cedar Park
Cedar Park
" Gainer, Kristin D, APN
AUDIOLOGY
Cedar Park
Cedar Park
#
Cedar Park
Gender: Female
NPI: 1265659783
1201 N Lakeline Blvd
Ste 400
(512) 379-7272
Clinic Affiliation: Zest Family Practice
PLLC
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish, Tagalog
CEDAR PARK
" Hartmann, Aubrey C, MD
Cedar Park
Gender: Male
NPI: 1194713933
1401 Medical Parkway
Building B Ste 300
(512) 260-5860
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
95
Specialists
CEDAR PARK
NUTRITION & DIETETICS
" Garcia, Nilda M, MD
Cedar Park
CEDAR PARK (cont.)
Gender: Female
NPI: 1407815533
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Parkland Health And Hospital Sys, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: General Surgery
Language(s): Spanish
DERMATOLOGY (cont.)
" Jones Jr, Christopher R, MD
Cedar Park
Gender: Male
NPI: 1013122753
1464 E Whitestone Blvd
Ste 301
(512) 260-3376
!
!
NPI: 1013122753
1610 E Whitestone Blvd
(512) 260-3376
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Greek, Spanish
!
!
Ladd Jr, Daniel J, DO
Gender: Male
NPI: 1477556256
2500 S Lakeline Blvd
Ste 100
(512) 451-0139
Cedar Park
NPI: 1477556256
701 E Whitestone Blvd
Ste 150
(512) 451-0139
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Language(s): Spanish
" Lester, Laura J, MD
Cedar Park
Gender: Female
NPI: 1265696538
1401 Medical Pkwy Blvg
B Ste 300
(512) 260-5860
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
GASTROENTEROLOGY
" Siddiqui, Junaid, MD
Cedar Park
Gender: Male
NPI: 1093750770
801 E Whitestone Blvd
Ste 201
(512) 341-0900
Clinic Affiliation: Timberland Medical Group
Practice Information: No Patients Under 14
yrs old
Board Certifications: Gastroenterology
J
" Basa, Nicole R, MD
J
Gender: Female
NPI: 1508969452
1401 Medical Pkwy
Ste 101
(512) 260-3444
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Cedar Park Surgeons PA
Board Certifications: General Surgery
Language(s): Spanish
Hinds, Frank C, MD
Gender: Male
NPI: 1376649574
1401 Medical Pkwy
Ste 307 Bldg B
(512) 379-3790
" Paicurich, Jean E, MD
Cedar Park
HEMATOLOGY
Gender: Female
NPI: 1962451807
1401 B Medical Pkwy
Ste 419
(512) 528-7385
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Timberland Medical Group
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Balasubramanian, Lakshmi, MD
Gender: Female
NPI: 1063433381
1401 Medical Pkwy
Ste 412
J (512) 260-6050
Hospital Affiliations: Cornerstone Hospital
Austin, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Cedar Park
West, Jessica, OT
Gender: Female
# NPI: 1366824815
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
ONCOLOGY
" Aung, Thomas L, MD
Cedar Park
OCCUPATIONAL THERAPY
Gebhart, Katherine E, OT
Gender: Female
NPI: 1417254103
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
INTERNAL MEDICINE
" Masood, Mujahid, MD
Cedar Park
Gender: Male
NPI: 1710913058
2800 E Whitestone Blvd
Ste 120 and 180
(512) 323-5465
Hospital Affiliations: North Austin Medical
Center, St Davids Medical Center, St Davids
S Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Complete Cure Health
Care PLLC
Board Certifications: Internal Medicine
Hoffman, Karen M, OT
Gender: Female
# NPI: 1164468518
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
J
Cedar Park
NEUROLOGY
" Mukundan, Lakshmi, MD
Cedar Park
Gender: Female
NPI: 1619137015
1401 Medical Pkwy
Bldg B Ste 313
(512) 528-7202
Clinic Affiliation: Timberland Medical Group
Practice Information: No Patients Under 15
yrs old
Board Certifications: Neurology
Language(s): Tamil
" Mummaneni, Reddiah B, MD
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Toney, Samantha M, OT
Gender: Female
NPI: 1558569152
715 Discovery Blvd
Ste 211
(512) 259-4263
Clinic Affiliation: The Hand Clinic of Austin
PC
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
NPI: 1376649574
1401 Medical Pkwy
Ste 419
(512) 528-7385
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Round Rock Medical Center
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1952564056
1785 E Whitestone Blvd
Ste 300
(512) 387-0114
Clinic Affiliation: Texan Vein and Vascular
PLLC
Board Certifications: General Vascular
Surgery, Thoracic Cardiovascular Surgery
Language(s): Spanish
J
Skoza, Emily K, OT
Gender: Female
NPI: 1902138092
715 Discovery Blvd
Ste 211
(512) 259-4263
Clinic Affiliation: The Hand Clinic of Austin
PC
Board Certifications: None
Cedar Park
Cedar Park
" Varu, Vinit N, MD
Cedar Park
Murillo, Dilia Y, OT
Gender: Female
# NPI: 1225405434
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
OBSTETRICS-GYNECOLOGY
Cedar Park
Cedar Park
Gender: Male
NPI: 1073561387
1401 Medical Pkwy
Ste 101
(512) 260-3444
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Cedar Park Surgeons PA
Board Certifications: General Surgery
Language(s): Spanish
Fowler, Jessica L, RD
Gender: Female
NPI: 1841661642
1401 Medical Pkwy B
Ste 101
(512) 260-3444
Clinic Affiliation: Cedar Park Surgeons PA
Board Certifications: None
Cedar Park
GENERAL VASCULAR SURGERY
GENERAL SURGERY
" Abando, Alan R, MD
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1568516987
1401 Medical Pkwy
Bldg B Ste 313
(512) 528-7202
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Neurology, Sleep
Medicine
Hughes, Kristin M, OT
Gender: Female
NPI: 1720496698
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): Samoan
" Balasubramanian, Lakshmi, MD
Cedar Park
J
Cedar Park
McQueen, Sarah, OT
Gender: Female
NPI: 1962861914
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
Gender: Male
NPI: 1679515530
1401 Medical Pkwy
Ste 412
(512) 260-6050
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids S
Austin Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Chinese
Gender: Female
NPI: 1063433381
1401 Medical Pkwy
Ste 412
(512) 260-6050
Hospital Affiliations: Cornerstone Hospital
Austin, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
OPHTHALMOLOGY
" Branch, John W, MD
Cedar Park
Gender: Male
NPI: 1417142977
700 E Whitestone Blvd
Ste 203
(512) 259-3800
(512) 327-7000
NPI: 1417142977
925 Starwood Dr
(512) 327-7000
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Texan Eye, Vision Center
of Texas PA
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
96
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Malone, Mark T, MD
Anderson, Christine M, MD
Gender: Female
NPI: 1265575260
3201 Cypress Creek Rd
Ste 201
(512) 416-7246
Cedar Park
CEDAR PARK (cont.)
OPHTHALMOLOGY (cont.)
" Monheit, Blythe E, MD
Cedar Park
J
Gender: Female
NPI: 1336196542
925 Starwood Dr
(512) 327-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
" Tipton Jr, George W, MD
Cedar Park
Chavez, Justin C, MD
Gender: Male
NPI: 1841470275
1130 Cottonwood
Creek Trail Ste C1
(512) 454-1234
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Cedar Park Pain & Sports
Medicine
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): American Sign, Spanish
NPI: 1508970096
715 Discovery Blvd
Ste 407
(512) 345-5925
Hospital Affiliations: Central Park Surgery
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Orthopedic Surgery
Language(s): Spanish
OTOLARYNGOLOGY
" Briggs, Russell D, MD
Cedar Park
J
" Ezekiel, Bennett J, MD
Cedar Park
Gender: Male
NPI: 1477734721
351 Cypress Crek Rd
Ste 201
(512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Southwest, St Davids Georgetown
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Language(s): Sign Language
Gender: Male
NPI: 1942245196
1730 E Whitestone Blvd
(512) 328-7722
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Hill Country Surgery Ctr, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ear Nose and Throat
Center of Aus
Board Certifications: Otolaryngology
Language(s): American Sign, Spanish
" Fulmer, Robert P, MD
Cedar Park
Gender: Male
NPI: 1447223003
1464 E Whiteston Blvd
Ste 301
(512) 550-1800
Hospital Affiliations: East Texas Medical
Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
" Thompson, Christopher P, MD
Cedar Park
Gender: Male
NPI: 1548234842
1464 E Whitestone Blvd
Ste 301
(512) 550-1800
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
St Davids Medical Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
Language(s): Spanish
PAIN MANAGEMENT
Amasha, Raimy, MD
Gender: Male
NPI: 1760643498
2500 S Lakesline Blvd
Ste 100
J (512) 467-7246
Clinic Affiliation: Capitol Pain Institute PA
Board Certifications: None
Cedar Park
Le, Paul H, MD
Gender: Male
NPI: 1770766313
351 Cypress Creek Rd
Ste 201
J (512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, St Davids Georgetown
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Cedar Park
Lowry, Angus M, MD
Gender: Male
NPI: 1073773727
500 W Whitestone Blvd
Ste 250
J (512) 834-4141
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
McCarty, Matthew F, MD
Gender: Male
NPI: 1235132432
500 W White Stone Blvd
Ste 250
J (512) 834-4141
Hospital Affiliations: Cornerstone Hospital
Austin, East Texas Medical Center, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Cedar Park
Cedar Park
Rabon, Shona, MD
Gender: Female
NPI: 1679739502
1301 Medical Pwky
Ste 200
(512) 628-1831
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Spanish
Cedar Park
Gender: Male
NPI: 1659399871
1464 E Whitestone Blvd
Ste 402
(512) 244-4272
Hospital Affiliations: Providence Health
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): American Sign, Spanish
J
NPI: 1265575260
351 Cypress Creek Rd
Ste 201
(512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Georgetown Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Board Certifications: None
Language(s): American Sign
ORTHOPEDIC SURGERY
Gender: Male
NPI: 1508970096
1401 Medical Pkwy
Ste 300
(512) 708-1234
Cedar Park
CEDAR PARK
Ozuna, Eduardo, MD
Gender: Male
NPI: 1003007469
500 W Whitestone
Blvd Ste 250
(512) 834-4141
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
Cedar Park
Skulpoonkitti, Bryan, DO
Gender: Male
NPI: 1588984439
500 W White Stone Blvd
Ste 250
(512) 834-4141
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
" Tacquard, Stephanie L, MD
Cedar Park
Gender: Female
NPI: 1669721916
1301 Medical Pkwy
Ste 200
(512) 628-1831
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Endocrinology
PEDIATRIC GASTROENTEROLOGY
Easley, David J, MD
Gender: Male
NPI: 1639139488
1301 Medical Pkwy
Ste 200
J (512) 628-1811
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, San Angelo Community Medical
Center
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Czech, French, Spanish
Cedar Park
" Heintz, D Dyer, MD
Cedar Park
Gender: Male
NPI: 1568673705
1301 Medical Pkwy
Ste 200
(512) 628-1811
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
Cedar Park
" Wages, John W, MD
" Rangwalla, Sujal C, DO
Cedar Park
Cedar Park
Gender: Male
NPI: 1013139286
351 Cypress Creek Rd
Ste 201
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, Seton Medical Ctr Williamson, Seton
Northwest Hospital, St Davids Georgetown
Hospital, St Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc
Board Certifications: Pain Management
Language(s): American Sign, Portuguese,
Spanish
Yeh, Clement C, MD
Gender: Male
NPI: 1275744435
1401 Medical Pkwy
(512) 528-7001
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Northwest Hospital
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Cedar Park
J
Gender: Male
NPI: 1144354440
1301 Medical Pkwy
Ste 200
(512) 628-1811
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Driscoll ChildrensHospital'
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Gastroenterology
Language(s): Spanish
PEDIATRIC OTOLARYNGOLOGY
Clark, Stacey L, MD
Gender: Female
NPI: 1184808511
1401 Medical Pkwy
Ste 320
J (512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
PEDIATRIC ENDOCRINOLOGY
" Leyva, Bonnie Gayle, MD
Cedar Park
Gender: Female
NPI: 1952560062
1301 Medical Pkwy
Ste 200
(512) 628-1831
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Specially For Children
Board Certifications: Pediatric
Endocrinology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
97
Specialists
CEDAR PARK
CEDAR PARK (cont.)
PEDIATRIC SURGERY
" Rana, Ankur R, MD
Cedar Park
Garcia, Nilda M, MD
Gender: Female
NPI: 1407815533
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Parkland Health And Hospital Sys, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: General Surgery
Language(s): Spanish
PEDIATRIC OTOLARYNGOLOGY (cont.)
Cedar Park
Roehm, Corrie E, MD
Gender: Female
NPI: 1770736084
1401 Medical Pkwy
Ste 320
(512) 324-2720
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): Spanish
Zapata, Syboney, MD
Gender: Female
NPI: 1295822757
1401 Medical Pkwy
Ste 320
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center,
Surgicare Of South Austin, University Med
Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Gender: Male
NPI: 1003945411
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Practice Information: No Patients Over 18
yrs old
Board Certifications: Pediatric Surgery
Language(s): Spanish
J
" Schlechter, Robert D, MD
Cedar Park
Gender: Male
NPI: 1396737599
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
J
" Horwitz, Jeffrey R, MD
J
Gender: Male
NPI: 1083617369
1301 Medical Pkwy
St E 200
(512) 708-1234
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Edgar B Davis, Seton Highland Lakes, Seton
Medical Center, Seton Northwest Hospital,
Seton Southwest, St Davids Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
" Tuggle, David W, MD
Cedar Park
Gender: Male
NPI: 1346218526
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
" Josephs, Michael D, MD
Cedar Park
J
PEDIATRIC PULMONOLOGY
Corrigan, Danielle A, MD
Gender: Female
NPI: 1437387800
1301 Medical Pkwy
Ste 200
(512) 380-9200
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Austin Childrens Chest
Assoc
Board Certifications: None
Gender: Female
NPI: 1649262841
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Cedar Park
Cedar Park
Cedar Park
" Sanchez, Julie I, MD
PEDIATRICS
Gender: Male
NPI: 1083606289
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Leath, Thomas M, MD
Gender: Male
NPI: 1497767420
500 W Whitestone Blvd
J (512) 349-0777
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Allergy & Asthma Asso
Ciatespllc
Board Certifications: Allergy-Immunology
Language(s): Spanish
Cedar Park
Smith, Joshua M, MD
Gender: Male
NPI: 1154528727
1301 Medical Pkwy
Ste 200
(512) 628-1830
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Specially For Children
Board Certifications: None
Cedar Park
" Meyer, Tory A, MD
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Female
NPI: 1801820170
1301 Medical Pkwy
Ste 200
(512) 324-0645
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, Dell Childrens Med Ctr Cent
Tx, Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, University Med
Ctr Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Cedar Park
" Grethel, Erich J, MD
Nowlin, John H, MD
Gender: Male
NPI: 1952497497
1401 Medical Pkwy
Ste 320
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
J
Cedar Park
Cedar Park
" Nelson, Maureen R, MD
Cedar Park
Gender: Male
NPI: 1184840886
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
Cedar Park
Connolly, Patrick K, MD
Gender: Male
NPI: 1497841084
1401 Medical Pkwy
Ste 320
(512) 324-2720
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton ENT
Board Certifications: None
Language(s): American Sign, Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1205828407
1301 Medical Pkwy
Ste 200
(512) 708-1234
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pediatric Surgery
Board Certifications: Pediatric Surgery
Language(s): Spanish
PHYSICAL MEDICINE &
REHABILITATION
" Chavez, Justin C, MD
Cedar Park
Gender: Male
NPI: 1841470275
1130 Cottonwood
Creek Trail Ste C1
(512) 454-1234
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Cedar Park Pain & Sports
Medicine
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): American Sign, Spanish
" Wright, Edward A, MD
Cedar Park
Gender: Male
NPI: 1124017926
1301 Medical Pwky
Ste 200
(512) 324-0645
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Physical Medicine &
Rehabilitation
PHYSICAL THERAPY
Akrout, Anissa A, LPT
Gender: Female
NPI: 1356797419
1335 E Whitestone Blvd
Ste O 100
(512) 539-0032
Clinic Affiliation: Results Physiotherapy
Board Certifications: None
Cedar Park
Callanen, Mark L, LPT
Gender: Male
NPI: 1730164815
1335 E Whitestone Blvd
Ste O 100
(615) 465-0922
Clinic Affiliation: Results Physiotherapy
Board Certifications: None
Cedar Park
Chiluk, Jessica P, LPT
Gender: Female
NPI: 1528288396
1335 E Whitestone Blvd
Ste O 100
(512) 539-0032
Clinic Affiliation: Results Physiotherapy
Board Certifications: None
Cedar Park
Chu, Jennifer W, LPT
Gender: Female
# NPI: 1962877860
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 9
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
De La Rosa, Jenny H, LPT
Gender: Female
NPI: 1144379645
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Language(s): Spanish
Cedar Park
Debnam, Thomas F, LPT
Gender: Male
NPI: 1871969857
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Cedar Park
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
98
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Mitol, Jennifer A, LPT
Gender: Female
NPI: 1891029534
1103 Cypress Creek Rd
Ste 103
(512) 918-0044
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Tillman, Michael R, LPT
Gender: Male
NPI: 1376571919
2519 S Lakeline Blvd
Ste 100
J (512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Sign Language, Spanish
Cedar Park
CEDAR PARK (cont.)
PHYSICAL THERAPY (cont.)
Duke, Kelly A, LPT
Gender: Female
NPI: 1437404191
2519 S Lakeline Blvd
Ste 100
J (512) 940-2392
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Over 15
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
#
Faubion, Cheryl A, LPT
Gender: Male
# NPI: 1154576767
2519 S Lakeline Blvd
Ste 100
J (512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): Spanish
Cedar Park
Halasz, Scott M, LPT
Gender: Male
# NPI: 1679802060
12617 Ridgeline Blvd
Ste 105 Bldg C
(512) 996-0441
Clinic Affiliation: Champion Performance
Phys Therapy
Board Certifications: None
Cedar Park
Ohagan, Erin M, LPT
Gender: Female
# NPI: 1518259951
700 E Whitestone Blvd
Ste 105
J (512) 260-9600
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Cedar Park
Lauretta, Anthony W, LPT
Gender: Male
NPI: 1568758068
1103 Cypress Creek Rd
Ste 103
(512) 918-0044
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): Spanish
Cedar Park
Man, Timothy H, LPT
Gender: Male
NPI: 1538585476
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
Cohen, Brenda K, DPM
Gender: Female
NPI: 1417910845
1103 Cypress Creek Rd
Ste 101
J (512) 336-2300
Hospital Affiliations: Round Rock Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Precision Podiatry PA
Board Certifications: None
" Cohen, Jeffrey R, DPM
Cedar Park
Powell, Christie J, LPT
Gender: Female
# NPI: 1134154883
12617 Ridgeline Blvd
Ste 105 Bldg C
J (512) 996-0441
Clinic Affiliation: Champion Performance
Phys Therapy
Board Certifications: None
Cedar Park
J
Sautell, Kate, LPT
Gender: Female
NPI: 1386882090
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Cedar Park
" Hurst, Wayne A, DPM
#
J
Schorken, Heather, LPT
Gender: Female
NPI: 1710374129
1103 Cypress Creek Rd
Ste 103
(512) 918-0044
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Smithers, Adam M, LPT
Gender: Male
# NPI: 1588030209
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Practice Information: No Patients Under 8
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
" Kaviani, Babak, DPM
J
Gender: Male
NPI: 1962698241
11901 W Parmer Ln
Ste 300
(512) 652-0050
Clinic Affiliation: Austin Primary Care
Physicians
Board Certifications: Podiatry
Language(s): Farsi, Hindi, Persian, Spanish
" Lisch, Harvey M, DPM
Cedar Park
Sonnenberg, Sheldon P, LPT
Gender: Male
NPI: 1245418870
2000 Windy Terrace
Bldg 10
(512) 850-5288
Clinic Affiliation: 1 Up Sports
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Cedar Park
Stan, Sydney T, LPT
Gender: Female
NPI: 1477841260
700 E Whitestone Blvd
Ste 105
(512) 260-9600
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1194758482
601 E Whitestone Blvd
Ste 226
(512) 259-3338
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Hill Country Surgery Ctr, North
Austin Medical Center, Seton Medical
Center, Seton Medical Ctr Williamson, Seton
Northwest Hospital, St Davids Georgetown
Hospital
Clinic Affiliation: Foot Specialists of Cedar
Park
Board Certifications: Podiatry
Language(s): Spanish
Cedar Park
Cedar Park
Meredith, Daniel, LPT
Gender: Male
NPI: 1477764447
700 E Whitestone Blvd
Ste 105
(512) 260-9600
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Gender: Male
NPI: 1811950249
1103 Cypress Creek Rd
Ste 101
(512) 336-2300
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Hill Country Surgery Ctr, North
Austin Medical Center, Oakwood Surgery
Center, Round Rock Medical Center, Seton
Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Precision Podiatry PA
Board Certifications: Podiatry
Cedar Park
Cedar Park
Cedar Park
" Smedley, Jonathan G, DPM
Cedar Park
Gender: Male
NPI: 1679535553
1103 Cypress Creek Rd
Ste 101
(512) 336-2300
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Precision Podiatry PA
Board Certifications: Podiatry
J
SLEEP MEDICINE
" Mummaneni, Reddiah B, MD
Cedar Park
Gender: Male
NPI: 1568516987
1401 Medical Pkwy
Bldg B Ste 313
(512) 528-7202
Hospital Affiliations: Cedar Park Regional
Medical Ctr
Clinic Affiliation: Timberland Medical Group
Board Certifications: Neurology, Sleep
Medicine
Cedar Park
Perez, Amanda C, PT
Gender: Female
NPI: 1073759932
2519 S Lakeline Blvd
Ste 100
(512) 331-6200
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Herrera, Mark J, LPT
Gender: Male
NPI: 1982066874
1335 E Whiteston Blvd
Ste O 100
(512) 539-0032
Clinic Affiliation: Results Physiotherapy
Board Certifications: None
Kelley, Douglas F, LPT
Gender: Male
# NPI: 1427303189
2519 S Lakeline Blvd
Ste 100
J (512) 940-2392
Clinic Affiliation: Tillman Physical Therapy
Andsports Training Ctr
Board Certifications: None
Language(s): American Sign, Spanish
PODIATRY
Cedar Park
Cedar Park
Cedar Park
Cedar Park
CEDAR PARK
J
Gender: Male
NPI: 1477588622
601 E Whitestone Blvd
Ste 226
(512) 259-3338
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Foot Specialists of Cedar
Park
Board Certifications: Podiatry
McSpadden, Christopher K, DPM
Gender: Male
NPI: 1447552609
1130 Cottonwood Creek
Trail Bldb B Ste 2
J (512) 593-2949
Hospital Affiliations: Hill Country Surgery
Ctr
Clinic Affiliation: North Austin Foot & Ankle
Institu
Board Certifications: None
Cedar Park
J
SPEECH PATHOLOGY
McDowell, Jennifer L, SLP
Gender: Female
NPI: 1528371184
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
Pollard, Monica E, SLP
Gender: Female
NPI: 1811189749
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Language(s): Spanish
Cedar Park
Rutherford, Lindsey R, SLP
Gender: Female
# NPI: 1629445747
715 Discovery Blvd
Ste 311
(512) 260-6990
Clinic Affiliation: Achieve Pediatric Therapy
and Reh
Board Certifications: None
Cedar Park
THERAPEUTIC OPTOMETRY
Beck, Mary M, OD
Gender: Female
NPI: 1770622045
1464 E Whitestone Blvd
Ste 601 Bldg 6
(512) 219-1700
Clinic Affiliation: Austin Eye Gym
Board Certifications: None
Language(s): Spanish
Cedar Park
Bougher, Virginia, OD
Gender: Female
NPI: 1235167677
715 Discovery Blvd
Ste 111
J (512) 260-2100
Clinic Affiliation: Cedar Park Optometry
Board Certifications: None
Cedar Park
#
Chu, Nick, OD
Gender: Male
# NPI: 1518255538
2071 Cypress Creek Rd
J (512) 250-1700
Clinic Affiliation: Signature Eye Care PA
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Chinese
Cedar Park
Dollar, Eric C, OD
Gender: Male
NPI: 1235578568
2071 Cypress Creek Rd
J (512) 250-1700
Clinic Affiliation: Signature Eye Care PA
Board Certifications: None
Cedar Park
#
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
99
Specialists
CEDAR PARK
Nelson, Alexandra M, OD
Gender: Female
NPI: 1356783641
11200 Lakeline Mall Dr
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Cedar Park
CEDAR PARK (cont.)
THERAPEUTIC OPTOMETRY (cont.)
Eugenio, Christopher E, OD
Gender: Male
NPI: 1477700060
1101 C Bar Ranch Trl
Ste 2
J (512) 260-8686
Board Certifications: None
Language(s): Spanish, Tagalog
Cedar Park
#
Hoang, Loni L, OD
Gender: Female
# NPI: 1760532568
201 Walton Way
Ste 102
J (512) 259-7104
Clinic Affiliation: A Plus Eyecare Inc
Board Certifications: None
Language(s): Spanish, Vietnamese
Cedar Park
Kemp, Andrew P, OD
Gender: Male
# NPI: 1568878544
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): Spanish
Cedar Park
Kerns, Shannon C, OD
Gender: Female
NPI: 1295748663
700 E Whitestone Blvd
Ste 203
(512) 259-3800
(512) 327-7000
Cedar Park
NPI: 1295748663
925 Starwood Dr
(512) 327-7000
Clinic Affiliation: Texan Eye, Vision Center
of Texas PA
Board Certifications: None
J
Kodukula, Dipa, OD
Gender: Female
# NPI: 1730163494
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): Gujarati, Hindi, Spanish
Cedar Park
Lou, Oliver K, OD
Gender: Male
NPI: 1528154002
2071 Cypress Creek Rd
J (512) 250-1700
Clinic Affiliation: Signature Eye Care PA
Board Certifications: None
Language(s): Mandarin, Spanish
Cedar Park
#
Lubeck, Matthew C, OD
Gender: Male
NPI: 1851733612
11200 Lakeline Mall Dr
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Poole, Brianne N, OD
Gender: Female
NPI: 1134249493
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): Spanish
Cedar Park
#
Salkhordeh, Sharareh, OD
Gender: Female
NPI: 1730213901
2801 E Whitestone Blvd
J (512) 259-1255
Board Certifications: None
Language(s): Farsi, Spanish
Cedar Park
Schukar, Matthew P, OD
Gender: Male
NPI: 1427490192
11200 Lakeline Mall Dr
J (512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Cedar Park
Shauger, Susan E, OD
Gender: Female
# NPI: 1881640944
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
Slaughter, Kimberlee M, OD
Gender: Female
NPI: 1447207949
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): American Sign, Spanish
McCarty, Dennis R, OD
Gender: Male
# NPI: 1083785950
302 S Bell Blvd
(512) 249-0808
Clinic Affiliation: Cedar Park Eye Care PA
Board Certifications: None
Language(s): Spanish
Mock, Virginia J, OD
Gender: Female
NPI: 1780998302
11200 Lakeline Mall Dr
J (512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
Wampler, Kimberly L, OD
Gender: Female
# NPI: 1922289552
202 Walton Way
Ste 116
J (512) 259-2020
Clinic Affiliation: Cedar Park Vision Center
PA
Board Certifications: None
Cedar Park
Wineinger, Jeffrey S, OD
Gender: Male
# NPI: 1760472054
202 Walton Way
Ste 116
J (512) 259-2020
Clinic Affiliation: Cedar Park Vision Center
PA
Board Certifications: None
Language(s): Spanish
Cedar Park
Yonker, Jeffrey, OD
Gender: Male
# NPI: 1962635995
401 W Whitestone Blvd
Bldg B-200
J (512) 583-0861
Clinic Affiliation: TSO Cedar Park
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Cedar Park
THORACIC CARDIOVASCULAR
SURGERY
" Varu, Vinit N, MD
Cedar Park
Gender: Male
NPI: 1952564056
1785 E Whitestone Blvd
Ste 300
(512) 387-0114
Clinic Affiliation: Texan Vein and Vascular
PLLC
Board Certifications: General Vascular
Surgery, Thoracic Cardiovascular Surgery
Language(s): Spanish
Cedar Park
#
Smith, Larry C, OD
Gender: Male
NPI: 1841231685
715 Discovery Blvd
Ste 111
J (512) 260-2100
Clinic Affiliation: Cedar Park Optometry
Board Certifications: None
Language(s): Spanish
Cedar Park
#
Soltys, Robert G, OD
Gender: Male
NPI: 1801950217
11200 Lakeline Mall Dr
(512) 306-8949
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Cedar Park
Cedar Park
Cedar Park
OCTOBER 03, 2016
bmkp_in_spec
Sorrenson, Laurie L, OD
Gender: Female
# NPI: 1932156502
3419 El Salido Pkwy
Ste 100
J (512) 918-3937
Clinic Affiliation: Lakeline Vision PC
Board Certifications: None
Language(s): American Sign, Spanish
Cedar Park
Tran, Steven, OD
Gender: Male
# NPI: 1376730218
11066 Pecan Park Blvd
Ste B201
J (512) 328-4405
Clinic Affiliation: Steven Tran OD PA
Board Certifications: None
Language(s): Mandarin, Spanish,
Vietnamese
Cedar Park
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
URGENT CARE PROVIDER
Belsher, Jon L, MD
Gender: Male
!# NPI: 1801810080
! 1335 E Whitestone Blvd
Bldg P Ste 100
J (512) 402-6840
Clinic Affiliation: Medspring
Board Certifications: None
Language(s): Spanish
Cedar Park
Franklin, William G, MD
Gender: Male
! NPI: 1609948314
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Language(s): Spanish
Cedar Park
Hanley, Patricia S, MD
Gender: Female
! NPI: 1134120579
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Victory Urgent Care LLC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Cedar Park
Keller, Katherine D, DO
Gender: Female
! NPI: 1356634760
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Cedar Park
Kim, John S, MD
Gender: Male
! NPI: 1427123900
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Language(s): Spanish
Cedar Park
Knaus, Kimberly A, DO
Gender: Female
!# NPI: 1184886335
! 1335 E Whitestone Blvd
Bldg P
J (512) 402-6840
Clinic Affiliation: Medspring
Board Certifications: None
Cedar Park
Pekar, Nathan H, MD
Gender: Male
! NPI: 1760479059
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Language(s): Spanish
Cedar Park
Pothuluri, Nomita J, MD
Gender: Female
! NPI: 1013070754
! 351 Cypress Creek Rd
Ste 100
(512) 462-3627
Hospital Affiliations: Kingwood Medical
Center
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Language(s): Spanish
Cedar Park
Prajapati, Sarita H, MD
Gender: Female
! NPI: 1346337490
! 135 Cypress Creek Rd
Ste 100
(512) 462-3627
Clinic Affiliation: Victory Urgent Care LLC
Board Certifications: None
Language(s): Gujarati, Spanish
Cedar Park
Van Benthuysen, Suzanne L, MD
Gender: Female
! NPI: 1962673301
! 905 E Whitestone Blvd
(512) 996-9899
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Urgent Care For Kids LLC
Board Certifications: None
Cedar Park
CLIFTON
ANP/CERT/CLNP
Moody, Deborah S, APN
Gender: Female
NPI: 1609011725
201 S Ave T
J (254) 675-8621
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: None
Language(s): Spanish
Clifton
#
CHIROPRACTIC
Urbanovsky, Robert L, DC
Gender: Male
NPI: 1376664847
202 N Ave G
J (254) 675-3850
Board Certifications: None
Clifton
GENERAL SURGERY
" Cotten Jr, Leon B, MD
Clifton
#
Gender: Male
NPI: 1649242264
201 S Ave T
(254) 675-8621
Hospital Affiliations: Goodall-Witcher
Hospital Auth
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: General Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
100
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Robbins, Christy L, APN
Gender: Female
NPI: 1932334687
1651 Rock Prairie Rd
Ste 101
J (979) 693-7400
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Sehorn, Nathan F, DC
Gender: Male
# NPI: 1992048375
3120 Texas Ave S
(979) 693-6500
Clinic Affiliation: Campion Chiropractic
Clinic
Board Certifications: None
Language(s): Spanish
College Station
CLIFTON (cont.)
ORTHOPEDIC SURGERY
" Bowden, James A, MD
Clifton
Gender: Male
NPI: 1285601294
201 S Ave T
(254) 675-8621
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Clifton Medical Clinic
Board Certifications: Orthopedic Surgery
Language(s): American Sign, Spanish
COLLEGE STATION
ALLERGY-IMMUNOLOGY
Smith, William J, APN
Gender: Male
NPI: 1902150626
3550 Normand Dr
(979) 703-8848
Clinic Affiliation: Moore Medical Group Inc
Board Certifications: None
College Station
#
" Paull, Barry, MD
J
Sossen, Kathryn, APN
Gender: Female
NPI: 1871984831
1730 Birmingham Dr
Ste 100
(979) 774-7587
Gender: Male
NPI: 1285625699
3306 Longmire Dr
(979) 485-0571
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Allergy Assoc
Board Certifications: Allergy-Immunology
Language(s): Spanish
" Shanmugam, Ganesh, MD
College Station
#
Gender: Male
NPI: 1215148200
1602 Rock Prairie Rd
Ste 270
(979) 703-6112
Hospital Affiliations: Cypress Fairbanks
Medical Center
Clinic Affiliation: BCS Allergy and Asthma
Board Certifications: Allergy-Immunology
Language(s): Spanish, Tamil
ANP/CERT/CLNP
Clarke, Brenda K, APN
Gender: Female
NPI: 1164858767
1651 Rock Praire Rd
Ste 102
J (979) 693-7400
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
College Station
Holcomb, Jill L, APN
Gender: Female
NPI: 1346547411
1730 Birmin Gham Dr
Ste 100
(979) 774-7587
College Station
NPI: 1346547411
2849 Barron Rd
(979) 703-1902
NPI: 1346547411
711 Church Ave
Ste 101
(979) 485-2827
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Chinese, Japanese,
Portuguese, Spanish
Kimberlin, Jana, APN
Gender: Female
NPI: 1396126116
1602 Rock Prairie Rd
Ste 300
J (979) 693-7400
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
College Station
Reckelhoff, Sara, APN
Gender: Female
NPI: 1669792321
1105 University Dr E
Ste 100
(979) 363-0369
Clinic Affiliation: Medi Weight Loss Clinic
Board Certifications: None
College Station
" Cook Norris, Robert H, MD
College Station
Gender: Male
NPI: 1164641171
1605 Rock Prairie Rd
Ste 300
(855) 595-9225
Clinic Affiliation: The Woodlands Skin
Surgery Center
Board Certifications: Dermatology
Language(s): Spanish
" Shook, Brent A, MD
College Station
Gender: Male
NPI: 1255365789
1605 Rock Prairie Rd
Ste 300
(855) 595-9225
Clinic Affiliation: The Woodlands Skin
Surgery Center
Board Certifications: Dermatology
Language(s): Spanish, Vietnamese
NPI: 1871984831
2849 Barron Rd
(979) 703-1902
NPI: 1871984831
711 Church Ave
Ste 101
(979) 485-2827
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
AUDIOLOGY
Muehlebach, Jennifer, AUDIO
Gender: Female
NPI: 1962811331
2805 Earl Rudder Frwy S
J (979) 764-3090
Clinic Affiliation: Central Texas Sinus &
Allergy PLL
Board Certifications: None
College Station
CHIROPRACTIC
Campion, Karen M, DC
Gender: Female
# NPI: 1851487151
3120 Texas Ave S
J (979) 693-6500
Clinic Affiliation: Campion Chiropractic
Clinic
Board Certifications: None
Language(s): Spanish
EMERGENCY MEDICAL SERVICES
NPI: 1407818354
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: General Surgery
J
Gochnour II, David C, MD
Gender: Male
NPI: 1609286913
1602 Rock Prairie Rd
Ste 3000
(979) 696-3171
College Station
NPI: 1609286913
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
" Williams, John W, MD
College Station
Gender: Female
NPI: 1023118502
1602 Rock Prairie Rd
Ste 3000
(979) 696-3171
NPI: 1023118502
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: General Surgery
" Mittan, Daniella M, MD
College Station
J
Gender: Female
NPI: 1598778102
1605 Rock Prairie Rd
Ste 301
(979) 764-0107
Hospital Affiliations: College Station
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): Romanian
" Shanmugam, Aiyanadar, MD
College Station
J
#
Gender: Male
NPI: 1386659811
1602 Rock Prairie Rd
Ste 210
(979) 696-5663
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Aiyanadar Shanmugam
MD
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): Spanish, Tamil
HAND SURGERY
Brown, Angeletta L, MD
Gender: Female
NPI: 1023192929
1602 Rock Prairie Rd
Ste 3300
J (979) 693-8100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Angeletta L Brown MD
Board Certifications: None
Language(s): Spanish
College Station
HEMATOLOGY
Venkatraj, Usha M, MD
Gender: Female
NPI: 1760409668
1602 Rock Prairie Rd
Ste 130B
(615) 465-7900
College Station
NPI: 1760409668
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine,
Oncology
Language(s): Indian, Spanish
GASTROENTEROLOGY
" Ragupathi, Kuppusamy, MD
College Station
College Station
J
#
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
ENDOCRINOLOGY, DIABETES &
METABOLISM
College Station
Raschke, Craig L, DC
Gender: Male
# NPI: 1790103448
750 William Fitch Pkwy
Ste 240
J (979) 696-1996
Clinic Affiliation: College Station
Chiropractic PC
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1407818354
1602 Rock Prairie Rd
Ste 3000
(979) 696-3171
Montross, Eileen T, MD
Gender: Female
! NPI: 1083664833
! 4411 S Hwy 6
J (979) 776-3779
Clinic Affiliation: Bryan Emergency
Physicians PA
Board Certifications: None
College Station
Newbern, Karly K, DC
Gender: Female
NPI: 1083888259
505 University Dr E
Ste 803
J (979) 703-8090
Clinic Affiliation: Aggieland Chiropractic
and Wellne
Board Certifications: None
" Bohne, Henry E, MD
College Station
College Station
College Station
Halterman, Marcy, DC
Gender: Female
# NPI: 1851495212
750 William Fitch Pkwy
Ste 240
J (979) 696-1996
Clinic Affiliation: College Station
Chiropractic PC
Board Certifications: None
Language(s): Tagalog
GENERAL SURGERY
DERMATOLOGY
College Station
College Station
#
College Station
COLLEGE STATION
Gender: Male
NPI: 1639267727
1602 Rock Prairie Rd
Ste 200
(979) 693-6641
Hospital Affiliations: College Station
Medical Center
Board Certifications: Gastroenterology
Language(s): Spanish, Tamil
INTERNAL MEDICINE
Alexander, Philip R, MD
Gender: Male
NPI: 1255393104
1602 Rock Prairie Rd
Ste 4880
J (979) 764-1116
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
College Station
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
101
Specialists
COLLEGE STATION
" Spaw, Jeff N, MD
Gayle, Lelve J, MD
Gender: Male
NPI: 1285632737
1651 Rock Prairie Rd
Ste 101
(979) 693-7400
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services
Board Certifications: None
College Station
COLLEGE STATION (cont.)
INTERNAL MEDICINE (cont.)
" Venkatraj, Usha M, MD
College Station
Gender: Female
NPI: 1760409668
1602 Rock Prairie Rd
Ste 130B
(615) 465-7900
NPI: 1760409668
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine,
Oncology
Language(s): Indian, Spanish
Zachria, Anthony J, DO
Gender: Male
NPI: 1366542300
1602 Rock Prairie Rd
Ste 2000
J (979) 694-1300
J
Meduna, David, MD
Gender: Male
NPI: 1871666461
1602 Rock Prairie Rd
Ste 3100
(979) 764-6868
NPI: 1871666461
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Family Health Services,
Regional Employee Assistance Program
Board Certifications: None
Language(s): Czech
ONCOLOGY
" Venkatraj, Usha M, MD
College Station
Gender: Female
NPI: 1760409668
1602 Rock Prairie Rd
Ste 130B
(615) 465-7900
" Carlton, Sharrel M, MD
College Station
NPI: 1760409668
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine,
Oncology
Language(s): Indian, Spanish
Gender: Female
NPI: 1831157403
1602 Rock Prairie Rd
Ste 3500
(979) 693-1064
ORTHOPEDIC SURGERY
" Gundanna, Mukund I, MD
College Station
Gender: Male
NPI: 1730156811
3526 Longmire Dr
Ste 101
(979) 693-1815
Hospital Affiliations: Seton Smithville Reg
Hospital
Clinic Affiliation: Brazos Spine PC
Board Certifications: Orthopedic Surgery
College Station
Friedman, Jennifer D, MD
Gender: Female
NPI: 1790893600
1605 Rock Prairie Rd
Ste 220
(979) 693-4461
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Arabic, Spanish
J
J
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1639387061
3256 Longmire Dr
Ste 200
(979) 696-3344
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Klemm, Elizabeth C, LPT
Gender: Female
NPI: 1770837361
1721 Birmingham Dr
Ste 200
(979) 704-6482
College Station
Gender: Male
NPI: 1073668091
3526 Longmire Dr
Ste 200
(979) 696-3344
Hospital Affiliations: College Station
Medical Center, Longview Regional Medical
Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Orthopedic Surgery
Language(s): Spanish
NPI: 1770837361
4190 State Hwy 6 S
(979) 690-1999
Clinic Affiliation: Axis Therapy Services,
Wellpoint Physical Therapy Services PC
Board Certifications: None
Lemons, Loralyn, LPT
Gender: Female
NPI: 1619124161
1721 Birmingham Dr
Ste 200
(979) 704-6482
College Station
PAIN MANAGEMENT
Dudycha, Benjamin W, MD
Gender: Male
NPI: 1750572681
1602 Rock Prairie Rd
Ste 460
J (979) 764-7246
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: BCS Pain Clinic
Board Certifications: None
College Station
PEDIATRIC ALLERGY & IMMUNOLOGY
Paull, Barry, MD
Gender: Male
NPI: 1285625699
3306 Longmire Dr
J (979) 485-0571
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Allergy Assoc
Board Certifications: Allergy-Immunology
Language(s): Spanish
College Station
#
PEDIATRIC GASTROENTEROLOGY
Easley, David J, MD
Gender: Male
NPI: 1639139488
1604 Rock Prairie Rd
J (512) 628-1810
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, San Angelo Community Medical
Center
Clinic Affiliation: Specially For Children
Board Certifications: None
Language(s): Czech, French, Spanish
College Station
PHYSICAL MEDICINE &
REHABILITATION
" Opersteny, Steve, MD
College Station
J
" Henderson, Christopher E, MD
College Station
Johnson, Scott A, LPT
Gender: Male
# NPI: 1831126028
12845 FM 2154 Rd
Ste 100
J (979) 696-4800
Clinic Affiliation: Peak Performance In
Motion
Board Certifications: None
Language(s): Spanish
College Station
" Whitmer, Wade W, MD
College Station
Gender: Male
NPI: 1639387061
1604 Rock Prairie Rd
(979) 764-5100
Gender: Male
NPI: 1740239979
3256 Longmire Dr
Ste 200
(979) 696-3344
Hospital Affiliations: Bellville St Joseph
Health Center, College Station Medical
Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Orthopedic Surgery
Language(s): American Sign, Spanish
College Station
College Station
College Station
Dawson, Daniel D, MD
Gender: Male
NPI: 1790890259
1105 University Dr E
Ste 100
(979) 363-0369
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Medi Weight Loss Clinic
Board Certifications: None
J
Gender: Male
NPI: 1669589958
1605 Rock Prairie Rd
Ste 220
(979) 693-4461
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 13
yrs old
Board Certifications:
Obstetrics-Gynecology
Language(s): Arabic, Spanish
OBSTETRICS-GYNECOLOGY
NPI: 1831157403
1604 Rock Prairie Rd
(979) 467-5100
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
#
" Ghattas, Noshi B, MD
NPI: 1366542300
1604 Rock Praire Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Pulmonary Diseases
Language(s): Spanish
Brown, Dawn T, MD
Gender: Female
NPI: 1205801826
1651 Rock Prairie Rd
Ste 102
(979) 693-7400
Hospital Affiliations: Christus Spohn
Hospital Shoreline
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
College Station
College Station
College Station
J
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1821155334
1602 Rock Prairie Rd
Ste 4600
(979) 693-8263
Hospital Affiliations: College Station
Medical Center
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
PHYSICAL THERAPY
Hermann, Karl M, LPT
Gender: Male
# NPI: 1053452532
4190 State Hwy 6 S
J (979) 690-1999
Clinic Affiliation: Wellpoint Physical
Therapy Services PC
Board Certifications: None
Language(s): Spanish
College Station
NPI: 1619124161
4190 State Hwy 6 S
(979) 690-1999
Clinic Affiliation: Axis Therapy Services,
Wellpoint Physical Therapy Services PC
Board Certifications: None
Language(s): American Sign, Spanish
#
Perkins, Michael J, LPT
Gender: Male
NPI: 1285971127
4091 State Hwy 6 S
Ste B
(979) 690-2478
Clinic Affiliation: Inspire Physical Therapy
Board Certifications: None
College Station
Smith, Stephen, LPT
Gender: Male
NPI: 1700242484
4091 B State Hwy 6 S
(979) 690-2478
Clinic Affiliation: Inspire Physical Therapy
Board Certifications: None
College Station
Thornton, Kelli, LPT
Gender: Female
# NPI: 1861438152
12845 FM 2154 Rd
Ste 100
J (979) 696-4800
Clinic Affiliation: Peak Performance In
Motion
Board Certifications: None
Language(s): Spanish
College Station
Ward, Michael T, LPT
Gender: Male
NPI: 1386704187
1302 Deacon Dr
(979) 739-3940
Clinic Affiliation: Ward Therapies PC
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
College Station
PLASTIC SURGERY
Brown, Angeletta L, MD
Gender: Female
NPI: 1023192929
1602 Rock Prairie Rd
Ste 3300
J (979) 693-8100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Angeletta L Brown MD
Board Certifications: None
Language(s): Spanish
College Station
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
102
OCTOBER 03, 2016
COLLEGE STATION (cont.)
bmk_pin_spec
Specialists
RADIATION ONCOLOGY
" Bains, Yadvindera S, MD
College Station
PODIATRY
Abbey, Brian T, DPM
Gender: Male
NPI: 1407960917
3312 Longmire Dr
J (979) 776-6060
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1184604902
1602 Rock Prairie Rd
Ste 130A
(979) 695-3333
Hospital Affiliations: College Station
Medical Center, Doctors Hospital Of Laredo,
Laredo Medical Center
Clinic Affiliation: Cancer Physicians
Associated
Board Certifications: Radiation Oncology
Language(s): Punjabi, Spanish
College Station
" Aguilar, Robert G, DPM
College Station
Gender: Male
NPI: 1043279631
1721 Birmingham Dr
Ste 200
(979) 694-5222
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: Podiatry
Language(s): Spanish
J
Correa, Christopher D, DPM
Gender: Male
NPI: 1013263946
3312 Longmire Dr
(979) 776-6060
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
College Station
Kearney, Tyler P, DPM
Gender: Male
NPI: 1376788752
3312 Longmire Dr
J (979) 776-6060
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): Spanish
College Station
Orihuela Jr, Eduardo, DPM
Gender: Male
# NPI: 1982682720
3312 Longmire Dr
J (979) 776-6060
Hospital Affiliations: College Station
Medical Center, Falls Community Hospital
And Clinic
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): German, Spanish
College Station
PULMONARY DISEASES
J
J
Allison, Joseph S, OD
Gender: Male
NPI: 1497867352
505 University Dr E
Ste 101
(979) 696-7343
Clinic Affiliation: Aggieland Eyecare
Board Certifications: None
Brice, Sherri J, OD
Gender: Female
# NPI: 1730100207
1109 Rock Prairie Rd
Ste 300
J (979) 764-0669
Clinic Affiliation: Crystal Vision Center
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Language(s): Spanish
Elizondo, Susan, OD
Gender: Female
NPI: 1073814216
1500 Harvey Rd Ste 7000
Bldg Post Oak Mall
J (979) 693-7528
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
Language(s): Samoan, Spanish
College Station
J
NPI: 1366542300
1604 Rock Praire Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Pulmonary Diseases
Language(s): Spanish
Simpson, Sue, OD
Gender: Female
NPI: 1649244633
1500 Harvey Rd
Ste 7000
(512) 306-8625
(979) 693-7528
Clinic Affiliation: Brazos Valley Eyecare
PLLC, Soltys Enterprises PC
Practice Information: No Patients Under 2
yrs old
Board Certifications: None
Language(s): English
College Station
House, Jon R, OD
Gender: Male
NPI: 1053549899
2414A Texas Ave S
(979) 764-0010
Soltys, Robert G, OD
Gender: Male
NPI: 1801950217
1500 Harvey Rd
Ste 7000
(979) 693-7528
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
College Station
NPI: 1053549899
850 William D Fitch
Ste 700
(979) 731-8446
Clinic Affiliation: Texas State Optical
College Stati, Texas State Optical of College
Board Certifications: None
Language(s): Spanish
" Zachria, Anthony J, DO
J
Shini, Simaan A, OD
Gender: Male
# NPI: 1093828436
3525 Longmire Dr
Ste K
J (979) 694-2000
Clinic Affiliation: Shini OD PA
Practice Information: No Patients Under 2
yrs old
Board Certifications: None
Language(s): Spanish, Swedish
College Station
College Station
Whelan, Kevan M, OD
Gender: Male
# NPI: 1841606688
1500 Harvey Rd
Ste 5000
(979) 693-7528
College Station
#
Jackson Hughes, Judy D, OD
Gender: Female
# NPI: 1245481464
1500 Harvey Rd
(979) 693-7532
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
College Station
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
NPI: 1841606688
1500 Harvey Rd
Ste 7000
(979) 693-7528
Clinic Affiliation: Brazos Valley Eyecare
PLLC, Soltys Enterprises PC
Board Certifications: None
Gender: Male
NPI: 1699975342
1721 Birmingham Dr
Ste 202
(979) 764-5700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Thoracic Surgery
Language(s): Spanish
UROLOGY
" Wong, Henry C, MD
College Station
Gender: Male
NPI: 1306836325
1602 Rock Prairie Rd
Ste 400
(979) 696-5505
NPI: 1306836325
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center, Weatherford Regional Med
Ctr
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 12
yrs old
Board Certifications: Urology
College Station
Gist, Thuong L, OD
Gender: Female
# NPI: 1528211737
1517 S Texas Ave
(979) 695-3937
Clinic Affiliation: Brilliant Eye Care LLC
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Language(s): Spanish, Vietnamese
Houtkin, Samuel, OD
Gender: Male
NPI: 1881661478
2414A Texas Ave S
(979) 764-0010
Clinic Affiliation: Texas State Optical of
College
Board Certifications: None
Language(s): Spanish
" Gullett, Christopher J, MD
College Station
Risner, Ashley H, OD
Gender: Female
NPI: 1457406662
3975 State Hwy 6 S
Ste 900
(979) 985-5305
Clinic Affiliation: Precision Eye Care PLLC
Board Certifications: None
Language(s): Spanish
College Station
College Station
THORACIC SURGERY
College Station
College Station
Gender: Male
NPI: 1285647727
1602 Rock Prairie Rd
Ste 2000
(979) 694-1300
Gender: Male
NPI: 1366542300
1602 Rock Prairie Rd
Ste 2000
(979) 694-1300
Nelson, Alexandra M, OD
Gender: Female
NPI: 1356783641
1500 Harvey Rd
Ste 7000
(979) 693-7528
Clinic Affiliation: Brazos Valley Eyecare
PLLC
Board Certifications: None
College Station
" Harrykissoon, Rajesh I, MD
NPI: 1285647727
1604 Rock Prairie Rd
(979) 764-5100
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Pulmonary Diseases
Language(s): American Sign, Spanish
Kekahuna, Virginia H, OD
Gender: Female
NPI: 1073946638
1500 Harvey Rd Ste 7000
(979) 693-7528
Clinic Affiliation: Soltys Enterprises PC
Board Certifications: None
College Station
College Station
THERAPEUTIC OPTOMETRY
College Station
J
Januskey, Lisa M, OD
Gender: Female
# NPI: 1437238409
3975 State Hwy 6 Ste 900
J (979) 985-5305
Clinic Affiliation: Precision Eye Care PLLC
Board Certifications: None
College Station
COPPERAS COVE
COPPERAS COVE
ANP/CERT/CLNP
Allen, Amanda L, APN
Gender: Female
NPI: 1174810089
2401 Walker Place Blvd
Ste 300
J (254) 547-5516
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Copperas Cove
#
Calkins, Richard, APN
Gender: Male
# NPI: 1790042406
2401 Walker Place Blvd
J (254) 547-7777
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Copperas Cove
" Ganceres, David M, APN
Copperas Cove
Gender: Male
NPI: 1245685460
3010 E Hwy 190
Ste 254
(254) 518-4711
Clinic Affiliation: Precision Medical Group
Board Certifications: Anp/Cert/Clnp
Jones, Jamie L, APN
Gender: Female
# NPI: 1114353117
2401 Walker Place Blvd
J (254) 547-7777
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Copperas Cove
Sieber, Karen L, APN
Gender: Female
# NPI: 1790876795
3010 E Hwy 190
Ste 254
(254) 518-4711
Clinic Affiliation: Precision Medical Group
Board Certifications: None
Language(s): Spanish
Copperas Cove
" Webb, Donald D, APN
Copperas Cove
Gender: Male
NPI: 1194730499
1007 W Business 190
Ste A
(254) 542-2440
Clinic Affiliation: Cove Physical Rehab LLC
Board Certifications: Anp/Cert/Clnp
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
103
Specialists
COPPERAS COVE
Marsh III, William S, DO
Gender: Male
# NPI: 1730162827
3010 E Hwy 190
Ste 254
J (254) 518-4711
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Copperas Cove
COPPERAS COVE (cont.)
CHIROPRACTIC
Webb, Donald D, APN
Gender: Male
NPI: 1194730499
1007 W Business 190
Ste A
(254) 542-2440
Clinic Affiliation: Cove Physical Rehab LLC
Board Certifications: None
Copperas Cove
#
GENERAL SURGERY
" Thomas, Griffith M, MD
Copperas Cove
J
Gender: Male
NPI: 1811070790
2401 Walker Place Blvd
(830) 637-7302
Hospital Affiliations: Seton Highland Lakes
Board Certifications: General Surgery
OCCUPATIONAL THERAPY
Hazel, Enrique R, OT
Gender: Male
NPI: 1730282807
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Copperas Cove
Hooten, Kenneth M, OT
Gender: Male
NPI: 1831407154
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
2401 Walker Place Blvd
Ste 100
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
" Branch, John W, MD
Copperas Cove
Gender: Male
NPI: 1417142977
3010 E Hwy 190
Ste 200 Bldg B
(254) 616-2020
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Southern Eye Assoc PA
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
Singh, Tejinder, LPT
Gender: Female
NPI: 1699063545
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
" Marsh III, William S, DO
#
J
PHYSICAL THERAPY
Berry, Lance, LPT
Gender: Male
NPI: 1144575424
181 W Bussiness 190
Ste 6
J (866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Copperas Cove
Bonin, Kyle A, LPT
Gender: Male
# NPI: 1912303397
181 W Business 190
Ste 6
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Smith, Anne M, LPT
Gender: Female
NPI: 1942459714
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Copperas Cove
Gender: Male
NPI: 1730162827
3010 E Hwy 190
Ste 254
(254) 518-4711
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Van Velzen, Reginald, LPT
Gender: Male
NPI: 1225308745
181 W Business 190
Ste 6
J (866) 953-9425
Copperas Cove
J
Copperas Cove
Chaney, Alicia D, LPT
Gender: Female
NPI: 1114158839
181 W Business 190
Ste 6
(866) 935-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Hindi, Spanish
Copperas Cove
" Hansen III, Robert H, MD
Fort, Stephen D, LPT
Gender: Female
NPI: 1689011454
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Copperas Cove
PAIN MANAGEMENT
#
Meany, James M, OD
Gender: Male
NPI: 1750446282
98 Cove Terrace Shopping
Ctr
(254) 542-2020
Clinic Affiliation: Temple Optometrist PC
Board Certifications: None
Language(s): German, Spanish
Copperas Cove
Wilson, Kelli J, LPT
Gender: Female
NPI: 1104092782
181 W Business 190
Ste 6
J (866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Sanders, Charles R, OD
Gender: Male
NPI: 1073576211
3010 E Hwy 190
Bldg B Ste 200
J (254) 616-2020
Clinic Affiliation: Southern Eye Assoc PA
Board Certifications: None
Language(s): Spanish
Copperas Cove
Scott, Harry E, OD
Gender: Male
NPI: 1639254287
98 Cove Terace Shopping Center
J (254) 778-9100
Clinic Affiliation: Temple Optometrist PC
Board Certifications: None
Language(s): Spanish
Copperas Cove
CORSICANA
ANP/CERT/CLNP
" Bigelow, Vivian E, APN
Corsicana
Gender: Female
NPI: 1629131560
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
#
J
Copperas Cove
" Cardwell, Elizabeth G, APN
Corsicana
Gender: Female
NPI: 1821152190
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
#
J
PODIATRY
" Corder, Traci E, APN
Corsicana
Hunter Jr, Roderick C, DPM
Gender: Male
# NPI: 1811128051
3010 E Hwy 190
Ste 254
(512) 519-3338
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Precision Medical Group
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Copperas Cove
" Murray, Hope A, DPM
Copperas Cove
Copperas Cove
Gender: Female
NPI: 1104812262
1007 W Business 190
Ste B
(254) 542-8637
Clinic Affiliation: Murray and Assoc
Podiatry PA
Board Certifications: Podiatry
Language(s): Spanish
Handa, Atul, LPT
Gender: Male
NPI: 1760724413
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Copperas Cove
Kelso, Emily R, LPT
Gender: Female
# NPI: 1871726216
181 W Business 190
Ste 6
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Copperas Cove
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1225308745
181 W Hwy 190
Ste 5
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Aman, Janine C, OD
Gender: Female
NPI: 1275610289
98 Cove Terrace
Shopping Ctr
(254) 542-2020
Clinic Affiliation: Temple Optometrist PC
Board Certifications: None
Copperas Cove
Copperas Cove
Copperas Cove
Copperas Cove
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
2401 Walker Place Blvd
Ste 100
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Mitchell, Jeanice A, LPT
Gender: Female
NPI: 1518941277
181 W Business 190
Ste 6
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
THERAPEUTIC OPTOMETRY
Copperas Cove
PHYSICAL MEDICINE &
REHABILITATION
ORTHOPEDIC SURGERY
Gender: Male
NPI: 1902142870
3010 E Hwy 190
Ste 254
(254) 518-4711
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Orthopedic Surgery
Martinez, Sergio H, LPT
Gender: Male
# NPI: 1992179758
181 W Business 190
Ste 6
J (254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Copperas Cove
Copperas Cove
Copperas Cove
OPHTHALMOLOGY
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1063693190
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
#
J
Coyner, Caroline J, APN
Gender: Female
NPI: 1225289655
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: None
Language(s): Spanish
Corsicana
#
Glass, Toula, APN
Gender: Female
NPI: 1447271853
400 Hospital Dr
Ste 116
(903) 641-3820
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Corsicana
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
104
OCTOBER 03, 2016
CORSICANA (cont.)
bmk_pin_spec
Specialists
CARDIOVASCULAR DISEASE
GYNECOLOGIC ONCOLOGY
" Crouch, Eron D, MD
Corsicana
ANP/CERT/CLNP (cont.)
Howden, Ethany, APN
Gender: Female
NPI: 1962810523
400 Hospital Dr
Ste 101
J (903) 641-3800
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Language(s): Spanish
Corsicana
" Kennedy, Jill M, APN
Corsicana
#
J
Gender: Female
NPI: 1033255765
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
" Massey, Karen M, APN
Corsicana
#
J
Gender: Female
NPI: 1518020452
301 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
J
#
J
Bryder, Vernon M, DC
Gender: Male
# NPI: 1255357141
105 W Seventh Ave
Ste 100
J (903) 872-9122
Board Certifications: None
DERMATOLOGY
" Biltz, John M, MD
Corsicana
Gender: Male
NPI: 1225001860
401 Hospital Dr
Ste 100
(903) 875-0413
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Medical Arts Dermatology
PA
Board Certifications: Dermatology
" Davis, Lance E, MD
Corsicana
Gender: Male
NPI: 1306074943
122 S 12th St
Ste 106
(214) 363-3376
Clinic Affiliation: Davis Dermatology PA
Board Certifications: Dermatology
" Neiman, Stephanie M, APN
Corsicana
#
J
Gender: Female
NPI: 1114237039
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
" Syed, Shahzad M, MD
Corsicana
" Opdahl, Deborah K, APN
#
J
Gender: Female
NPI: 1336295120
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
J
" Ray, Lisa A, APN
Corsicana
#
J
Gender: Female
NPI: 1447313382
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
" Graham, Eric D, MD
Corsicana
Gender: Male
NPI: 1639397383
400 Hospital Dr
Ste 100
(903) 641-3800
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: General Surgery
" Vogelson, Leanne M, APN
#
J
Gender: Female
NPI: 1508193038
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Gender: Male
NPI: 1144257056
400 Hospital Dr
Ste 207
(903) 641-4880
Hospital Affiliations: Dallas Medical Center
Llc, Navarro Regional Hospital, Tx Hlth
Presbyterian Hosp Plano
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 18
yrs old
Board Certifications: Gastroenterology
Language(s): Spanish
GENERAL SURGERY
Corsicana
HEMATOLOGY
Amare, Mammo, MD
Gender: Male
NPI: 1225076862
301 Hospital Dr
J (800) 441-1367
Hospital Affiliations: Methodist Dallas
Medical Center, Navarro Regional Hospital,
Select Specialty Hospital South Dallas
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Corsicana
Solanki, Dilipsinh L, MD
Gender: Male
NPI: 1124060116
301 Hospital Dr
J (800) 441-1367
Hospital Affiliations: Methodist Dallas
Medical Center, Navarro Regional Hospital,
Select Specialty Hospital South Dallas
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
HEMATOLOGY-ONCOLOGY
Chittoor, Sreenivas R, MD
Gender: Male
NPI: 1407894439
301 Hospital Dr
J (800) 441-1367
Hospital Affiliations: Baylor Scott & White White Rock, Baylor Scott & White Lake
Pointe, Hunt Regional Medical Center, Paris
Regional Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): Spanish
Corsicana
NUTRITION & DIETETICS
" Bzdok, Tara, RD
Cors ic ana
Gender: Female
NPI: 1235420514
400 Hospital Dr
Ste 106
(512) 608-4054
(512) 650-5003
(512) 960-4550
Clinic Affiliation: Preventative Nutrition
Specialist, Rx Nutrition Professionals
Board Certifications: Nutrition & Dietetics
OBSTETRICS-GYNECOLOGY
Cook Jr, Charles W, MD
Gender: Male
NPI: 1861465601
400 Hospital Dr
Ste 210
J (903) 641-4835
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Language(s): Spanish
Cors ic ana
" Green, Richard N, MD
Cors ic ana
Gender: Male
NPI: 1760456123
400 Hospital Dr
Ste 210
(903) 641-4835
Hospital Affiliations: East Texas Medical
Center Fairfield, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
J
Guinn, Rebecca L, MD
Gender: Female
NPI: 1053515627
400 Hospital Dr
Ste 210
J (903) 641-4835
Hospital Affiliations: Navarro Regional
Hospital, Tx Hlth Harris Methodist Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Cors ic ana
" Sims Gebel, Tiffany, MD
Cors ic ana
Gender: Female
NPI: 1942460712
400 Hospital Dr
Ste 210
(903) 641-4869
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications:
Obstetrics-Gynecology
" Loverde, James T, MD
Corsicana
" Kingman, Robert G, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1649244328
400 Hospital Dr
Ste 106
(903) 872-2923
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: Nephrology
INTERNAL MEDICINE
Corsicana
J
" Shafik, Shawkat N, MD
Cors ic ana
Corsicana
GASTROENTEROLOGY
Corsicana
Stringer, Claude A, MD
Gender: Male
NPI: 1356383343
301 Hospital Dr
J (903) 872-4611
Hospital Affiliations: Baylor Scott & White
Centennial, Medical Center Hospital, Medical
Center Of Plano, Medical City Dallas
Hospital, Methodist Dallas Medical Center,
Methodist Richardson Medical Ctr, Tx Hlth
Ctr Diagnostics & Surgery, Tx Hlth
Presbyterian Hosp Plano
Clinic Affiliation: Texas Oncology PA
Practice Information: Female Patients only
Board Certifications: None
Language(s): Spanish
NEPHROLOGY
Corsicana
Corsicana
" Mooney, Joan M, APN
Gender: Female
NPI: 1558425066
310 E Seventh Ave Ste B
(903) 872-5625
Clinic Affiliation: Planned Parenthood of
Greater TX
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign, Spanish
Gender: Male
NPI: 1275636532
400 Hospital Dr
Ste 101
(903) 641-3800
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Practice Information: No Patients Under 18
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
CHIROPRACTIC
Corsicana
Matthews, Carolyn M, MD
Gender: Female
NPI: 1649213158
301 Hospital Dr
J (432) 685-1559
Hospital Affiliations: Baylor Scott & White
Centennial, Las Colinas Medical Center,
Medical Center Hospital, Medical Center Of
Lewisville, Medical Center Of Plano, Medical
City Dallas Hospital, Methodist Richardson
Medical Ctr, Parkland Health And Hospital
Sys, Tx Hlth Ctr Diagnostics & Surgery, Tx
Hlth Presbyterian Hosp Plano
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Language(s): Spanish
Corsicana
CORSICANA
Gender: Male
NPI: 1548234727
301 Hospital Dr
Ste 170
(903) 872-3005
Hospital Affiliations: East Texas Medical
Center Fairfield, Ennis Regional Medical
Center, Navarro Regional Hospital, Parkland
Health And Hospital Sys
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1598805616
3124 W Hwy 22
(903) 641-4299
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Internal Medicine
Spears, Michelle L, MD
Gender: Female
NPI: 1649232968
400 Hospital Dr
Ste 210
(903) 641-4835
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: None
Cors ic ana
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
105
Specialists
CORSICANA
Coates, Mark T, LPT
Gender: Male
NPI: 1033500947
1026 W Second Ave
J (903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Language(s): Spanish
Corsicana
CORSICANA (cont.)
OCCUPATIONAL THERAPY
Stroder, Betsy, OT
Gender: Female
NPI: 1316246036
3728 S Hwy 287
J (903) 874-6315
Clinic Affiliation: BCM Innovative Therapies
Inc
Board Certifications: None
Language(s): American Sign, Spanish
Corsicana
#
Cress, Amanda M, LPT
Gender: Female
NPI: 1114259439
1026 W Second Ave
(903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Corsicana
ONCOLOGY
" Amare, Mammo, MD
Corsicana
J
Gender: Male
NPI: 1225076862
301 Hospital Dr
(800) 441-1367
Hospital Affiliations: Methodist Dallas
Medical Center, Navarro Regional Hospital,
Select Specialty Hospital South Dallas
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
" Solanki, Dilipsinh L, MD
Corsicana
J
Gender: Male
NPI: 1124060116
301 Hospital Dr
(800) 441-1367
Hospital Affiliations: Methodist Dallas
Medical Center, Navarro Regional Hospital,
Select Specialty Hospital South Dallas
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Lott, David L, LPT
Gender: Male
NPI: 1972692952
1026 W Second Ave
J (903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
Corsicana
Walling, Kristin S, LPT
Gender: Female
NPI: 1750639019
1026 W Second Ave
J (903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
Corsicana
Watson, Seth A, LPT
Gender: Male
NPI: 1891183471
1026 W Second Ave
(903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
" Binford, Oswald S, MD
Corsicana
J
Gender: Male
NPI: 1518933308
301 Hospital Dr
(903) 872-3005
Hospital Affiliations: Navarro Regional
Hospital, Univ Of Tx Med Branch Galveston
Clinic Affiliation: Medical Surg Assocs
Corsicana
Board Certifications: Pulmonary Diseases
Clagett, Laura A, LPT
Gender: Female
NPI: 1518266634
1026 W Second Ave
J (903) 814-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
" Garcia, Ruben L, MD
Cors ic ana
Gender: Male
NPI: 1639188501
306 Hospital Dr Ste B
(903) 875-0430
Hospital Affiliations: East Texas Medical
Center Athens, East Texas Medical Center
Fairfield, Palestine Regional Medical Center,
Tx Hlth Presbyterian Hosp Kaufman
Clinic Affiliation: Urology Center of East
Texas PA
Board Certifications: Urology
Language(s): Spanish
J
J
Gender: Male
NPI: 1679699714
3112 W Hwy 22
(903) 874-9008
Hospital Affiliations: Ennis Regional
Medical Center
Clinic Affiliation: Star Urology of Texas PA
Board Certifications: Urology
Language(s): Spanish
ACUPUNCTURE
Yeh, Hsien E, LAC
Gender: Female
NPI: 1750576302
104 Grand Prairie Cir
Ste A
(512) 829-5209
Clinic Affiliation: Ming Yin Acupuncture
Clinic LLC
Board Certifications: None
Language(s): Chinese
Dripping Springs
ANP/CERT/CLNP
Siebert, Linda D, APN
Gender: Female
# NPI: 1578948071
13830 Sawyeer Ranch Rd
Ste 102
(512) 301-6400
Clinic Affiliation: Lewis Family Medicine
Practice Information: No Patients Under 4
yrs old
Board Certifications: None
Language(s): Spanish, Tagalog
Dripping Springs
SPEECH PATHOLOGY
Lutz, Carol M, SLP
Gender: Female
NPI: 1245398049
3728 S Hwy 287
J (903) 874-6315
Clinic Affiliation: BCM Innovative Therapies
Inc
Board Certifications: None
Language(s): American Sign, Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
OCCUPATIONAL THERAPY
Murphy, Katherine M, OT
Gender: Female
NPI: 1588734198
1425 W Hwy 290
J (512) 858-2507
Clinic Affiliation: Family Connections
Center
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Dripping Springs
#
OPHTHALMOLOGY
" Dudek, Lara T, MD
Dripping Springs
Gender: Female
NPI: 1740461136
13830 Sawyer Ranch Rd
Ste 202
(512) 213-2220
Hospital Affiliations: Northwest Surgery
Center Llp, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Dripping Springs
Ophthalmology Ass
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish,
Vietnamese
" Hayhurst, Russell A, MD
Dripping Springs
DRIPPING SPRINGS
Gender: Male
NPI: 1720036874
306 Hospital Dr
(903) 602-7057
Hospital Affiliations: Baptist St Anthonys
Health System
Clinic Affiliation: Corsicana Cancer Center
LLC
Board Certifications: Radiation Oncology
Language(s): Spanish
#
Lane, Dennis D, DC
Gender: Male
NPI: 1316194194
141 E Mercer St Ste E
J (512) 949-3636
Clinic Affiliation: Lane Chiropractic and
Rehabilitat
Board Certifications: None
Dripping Springs
" Nwafor, Francis O, MD
" Zusman, Jaime, MD
Corsicana
CHIROPRACTIC
Cors ic ana
Corsicana
" Malone, Michael R, DO
Corsicana
UROLOGY
RADIATION ONCOLOGY
Corsicana
PHYSICAL THERAPY
Redder, Ronald, OD
Gender: Male
# NPI: 1902886443
400 N 15th St
J (903) 872-2561
Clinic Affiliation: Corsicana Eye Care PA
Board Certifications: None
Language(s): Spanish
Cors ic ana
" Updegrove, John D, MD
ORTHOPEDIC SURGERY
J
Brown III, Marvin W, OD
Gender: Male
NPI: 1134291891
3801 W State Hwy 31
J (972) 937-6655
Clinic Affiliation: Marvin W Brown III OD PA
Board Certifications: None
Vandewalle, Annessa G, APN
Gender: Female
NPI: 1376800235
331 Sportsplex Dr
Ste C
J (512) 894-3737
Clinic Affiliation: Dripping Springs
Pediatrics
Board Certifications: None
Dripping Springs
Cors ic ana
Corsicana
" Jennings, Thomas J, MD
Gender: Male
NPI: 1073587101
400 Hospital Dr
Ste 201
(903) 641-4870
Hospital Affiliations: Navarro Regional
Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Absy, Jumah, OD
Gender: Male
NPI: 1831107275
105 W Seventh Ave Ste 800
J (903) 874-0005
Clinic Affiliation: Palestine Eye Clinic
Board Certifications: None
Language(s): Spanish
Cors ic ana
PULMONARY DISEASES
Corsicana
Gender: Male
NPI: 1962466797
400 Hospital Dr
Ste 115
(903) 641-3850
Hospital Affiliations: Univ Of Tx Med
Branch Galveston
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Ophthalmology
Language(s): Spanish
THERAPEUTIC OPTOMETRY
Corsicana
OPHTHALMOLOGY
Gender: Male
NPI: 1760455315
400 Hospital Dr Ste 115
(903) 654-1171
(903) 872-2689
Hospital Affiliations: East Texas Medical
Center Fairfield, Ennis Regional Medical
Center, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Ophthalmology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Stellitano, Emily H, APN
Gender: Female
NPI: 1245679893
13830 Sawyer Ranch Rd
Ste 102
J (512) 301-6400
Clinic Affiliation: Lewis Family Medicine
Board Certifications: None
Dripping Springs
J
Gender: Male
NPI: 1609861897
1433 W Hwy 290
(512) 452-8467
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Glaucoma Institute of
Austin PA
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" McIntire, Lisa U, MD
Dripping Springs
Gender: Female
NPI: 1376729673
13830 Sawyer Ranch Rd
Ste 202
(512) 213-2220
Hospital Affiliations: Hill Country Surgery
Ctr, Medical Park Tower Surg Ctr Llc, St
Davids S Austin Medical Center
Clinic Affiliation: Dripping Springs
Ophthalmology Ass
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
PHYSICAL THERAPY
Bentley, Darcy E, LPT
Gender: Female
# NPI: 1225367501
800 W Hwy 290
Bldg B Ste 300
J (512) 858-5191
Clinic Affiliation: Kethley Physical Therapy
Board Certifications: None
Language(s): Spanish
Dripping Springs
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
106
OCTOBER 03, 2016
bmk_pin_spec
Specialists
" Korniyenko, Aleksandr, MD
Fairfield
DRIPPING SPRINGS (cont.)
PHYSICAL THERAPY (cont.)
French, Lorri D, LPT
Gender: Female
NPI: 1326276908
1425 W Hwy 290
J (512) 858-2507
Clinic Affiliation: Family Connections
Center
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Dripping Springs
Kethley, Erin L, LPT
Gender: Female
# NPI: 1881923167
800 W Hwy 290
Bldg B Ste 300
J (512) 858-5191
Clinic Affiliation: Kethley Physical Therapy
Board Certifications: None
Language(s): Spanish
ELGIN
ANP/CERT/CLNP
Allen, Thresia J, APN
Gender: Female
NPI: 1245422203
209 E Second St
J (512) 285-3315
Clinic Affiliation: Elgin Medical Center PA
Board Certifications: None
Language(s): American Sign, Spanish
Elgin
Elgin
Dripping Springs
Elgin
Kethley, Jeremy L, LPT
Gender: Male
# NPI: 1104870518
13830 Sawyer Ranch Rd
Ste 300
J (512) 894-2194
Dripping Springs
#
J
NPI: 1104870518
800 W Hwy 290
Bldg B Ste 300
(512) 858-5191
Clinic Affiliation: Kethley Physical Therapy
Board Certifications: None
Language(s): Spanish
Olson, Michelle R, LPT
Gender: Female
# NPI: 1710200217
800 W Hwy 290
Bldg B Ste 300
J (512) 858-5191
Clinic Affiliation: Kethley Physical Therapy
Board Certifications: None
Language(s): Spanish
Dripping Springs
Torres, Estella D, LPT
Gender: Female
NPI: 1578529251
13830 Sawyer Ranch Rd
Ste 300
J (512) 894-2194
Clinic Affiliation: Kethley Physical Therapy
Board Certifications: None
Language(s): Spanish
Massey, Anne M, SLP
Gender: Female
NPI: 1144437609
1425 W Hwy 290
J (512) 858-2507
Clinic Affiliation: Family Connections
Center
Practice Information: No Patients Over 22
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Dripping Springs
Lundgren, Lacey D, APN
Gender: Female
NPI: 1689088205
428 S Main St
(512) 321-3311
Clinic Affiliation: Lerma III Sammy MD
Board Certifications: None
Language(s): Spanish
Clark, Candy M, LPT
Gender: Female
NPI: 1104836170
600 N Main St
J (512) 285-4406
Clinic Affiliation: Giddings Physical
Therapy Clinic Inc
Board Certifications: None
Language(s): German, Spanish
Elgin
THERAPEUTIC OPTOMETRY
Elgin
Jacob, Tony P, OD
Gender: Male
NPI: 1326202995
1205 W Hwy 290
(512) 285-2015
Clinic Affiliation: Elgin Vision PLLC
Board Certifications: None
Language(s): Spanish
Martin, Lynne K, OD
Gender: Female
# NPI: 1396834115
1320 Hwy 290 E
J (512) 388-2600
Clinic Affiliation: B D Martin OD & L
Kennington OD
Board Certifications: None
Language(s): Spanish
Elgin
FAIRFIELD
CARDIOVASCULAR DISEASE
" Boylan, Christopher S, MD
Fairfield
THERAPEUTIC OPTOMETRY
Berg, Sarah E, OD
Gender: Female
# NPI: 1326012386
433 Sportsplex Dr
Ste 100
J (512) 858-0020
Clinic Affiliation: Vision Source Dripping
Springs
Board Certifications: None
Language(s): Spanish
Dripping Springs
Pachika, Ajay, MD
Gender: Male
NPI: 1477566248
125 Newman St
(903) 389-1600
Clinic Affiliation: First Physicians
Board Certifications: None
Fairfield
Gender: Male
NPI: 1285629501
125 Newman St
(903) 389-1600
Hospital Affiliations: East Texas Medical
Center, East Texas Medical Center
Jacksonville, Tx Hlth Presbyterian Hosp
Dallas
Clinic Affiliation: First Physicians
Board Certifications: Cardiovascular
Disease
Language(s): Russian, Spanish
" Zafar, Saima, MD
Gender: Female
NPI: 1437131273
125 Newman St
(903) 389-1600
Hospital Affiliations: East Texas Medical
Center, East Texas Medical Center Athens
Clinic Affiliation: First Physicians
Board Certifications: Cardiovascular
Disease
PODIATRY
Allen, David M, DPM
Gender: Male
NPI: 1013957232
734 W Commerce
(903) 389-1680
Hospital Affiliations: East Texas Medical
Center Athens, East Texas Medical Center
Fairfield
Board Certifications: None
Language(s): Spanish
Fairfield
!
!
J
THERAPEUTIC OPTOMETRY
Absy, Jumah, OD
Gender: Male
NPI: 1831107275
764 E Commerce St
J (903) 874-0005
Fairfield
#
NPI: 1831107275
764 W Commerce St
(254) 562-2667
(903) 723-5550
Clinic Affiliation: Healthy Eyes Vision
Center PA, Palestine Eye Clinic
Board Certifications: None
Language(s): Spanish
HEMATOLOGY-ONCOLOGY
J
Dalal, Shail, MD
Gender: Male
NPI: 1144241597
106 N Keechi St
J (903) 727-2200
Hospital Affiliations: Palestine Regional
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
ANP/CERT/CLNP
Fairfield
MEDICAL ONCOLOGY
Dalal, Shail, MD
Gender: Male
NPI: 1144241597
106 N Keechi St
J (903) 727-2200
Hospital Affiliations: Palestine Regional
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Fairfield
ONCOLOGY
" Dalal, Shail, MD
Fairfield
J
Gender: Male
NPI: 1144241597
106 N Keechi St
(903) 727-2200
Hospital Affiliations: Palestine Regional
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
PHYSICAL THERAPY
Clagett, Laura A, LPT
Gender: Female
NPI: 1518266634
375A W US Hwy 84
J (903) 389-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
FLATONIA
Vire, Judy B, APN
Gender: Female
NPI: 1881782357
511 Faires St
J (361) 865-3302
Clinic Affiliation: St Marks Medical Center
Board Certifications: None
Language(s): Spanish
Flatonia
FRANKLIN
ANP/CERT/CLNP
" Boyett, Lara C, APN
Franklin
Gender: Female
NPI: 1902894595
808 W Hwy 79
(979) 828-1450
Clinic Affiliation: Family Health Services
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Varley, Elizabeth S, APN
Franklin
Gender: Female
NPI: 1154606168
808 W Hwy 79
(979) 828-4540
Clinic Affiliation: Family Health Services
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Fairfield
Devanna, Raymond R, LPT
Gender: Male
NPI: 1770855587
375 A W US Hwy 84
J (903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
Fairfield
Lott, David L, LPT
Gender: Male
NPI: 1972692952
375A W US Hwy 84
J (903) 389-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
Fairfield
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Walling, Kristin S, LPT
Gender: Female
NPI: 1750639019
375A W US Hwy 84
J (903) 874-7433
Clinic Affiliation: Lott Physical Therapy and
Fitne
Board Certifications: None
Language(s): Spanish
Fairfield
Fairfield
Montellano, Shatzie A, APN
Gender: Female
NPI: 1568416063
902 W Second St
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: Current University/
College students only, No Patients Under 12
yrs old
Board Certifications: None
Language(s): French, Spanish
PHYSICAL THERAPY
Dripping Springs
SPEECH PATHOLOGY
Gender: Male
NPI: 1881995983
125 Newman St
(903) 389-1600
Hospital Affiliations: East Texas Medical
Center
Clinic Affiliation: First Physicians
Practice Information: No Patients Under 18
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
FREDERICKSBURG
FREDERICKSBURG
ANP/CERT/CLNP
" Pittman, Dianne D, APN
Frederick sburg
Gender: Female
NPI: 1174553465
204 W Schubert St
(830) 990-0255
Clinic Affiliation: Texas Oncology PA
Practice Information: Adult
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
107
Specialists
FREDERICKSBURG
FREDERICKSBURG (cont.)
NEPHROLOGY
Vigil, Justin J, MD
Gender: Male
NPI: 1346223211
1011 Hwy 16 S
Ste 5
J (866) 384-5470
Hospital Affiliations: Baptist Health
System, Northeast Baptist Hospital,
Northeast Methodist Hospital, San Marcos
Surgery Center
Clinic Affiliation: Hill Country Pain Assoc
PA
Board Certifications: None
Language(s): Spanish
Frederic ksburg
" Glanton, Christopher W, MD
Fredericks burg
CARDIOVASCULAR DISEASE
Gender: Male
NPI: 1609840222
205 W Windcrest St
Ste 140
(860) 997-0296
Hospital Affiliations: Baptist Health
System, Methodist Hospital, North Central
Baptist Hospital, Peterson Regional Medical
Center
Clinic Affiliation: San Antonio Kidney
Disease Center Phys Grp PLLC
Board Certifications: Nephrology
Language(s): Spanish
" Melucci, Michael B, MD
Fredericksburg
Gender: Male
NPI: 1326048588
205 W Windcrest
Ste 250
(830) 997-0296
Hospital Affiliations: Methodist Hospital,
Methodist Texsan Hospital, Peterson
Regional Medical Center
Clinic Affiliation: Methodist Physician
Practices PLL
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
CLINICAL CARDIAC
ELECTROPHYSIOLOGY
J
HEMATOLOGY
Ball, Gregory M, LPT
Gender: Male
# NPI: 1467420786
1425 E Main St
Ste 600
J (830) 391-8009
Clinic Affiliation: Fredericksburg Physical
Therapy
Board Certifications: None
Language(s): American Sign, Spanish
Frederic ksburg
" Deleon, Mark C, MD
Fredericks burg
Gender: Male
NPI: 1174557649
204 W Schubert
(830) 990-0255
Hospital Affiliations: Peterson Regional
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
" Roman Gonzalez, Javier, MD
Hahn, Alice G, LPT
Gender: Female
# NPI: 1114022605
1425 E Main St
Ste 600
(830) 391-8009
Clinic Affiliation: Fredericksburg Physical
Therapy
Board Certifications: None
Frederic ksburg
OPHTHALMOLOGY
Brodrick, Charles D, MD
Gender: Male
NPI: 1336131499
1603 E Main St
Unit A
J (210) 271-7648
Hospital Affiliations: Baptist Health System
Clinic Affiliation: W Darrell Willerson Jr MD
Board Certifications: None
Language(s): Spanish
Fredericks burg
McKinnon, Kristin, LPT
Gender: Female
NPI: 1508093295
1425 E Main St
Ste 600
(830) 391-8009
Clinic Affiliation: Fredericksburg Physical
Therapy
Board Certifications: None
Frederic ksburg
" Willerson Jr, William D, MD
Fredericks burg
Deleon, Mark C, MD
Gender: Male
NPI: 1174557649
204 W Schubert
(830) 990-0255
Hospital Affiliations: Peterson Regional
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Spanish
Fredericksburg
Gender: Male
NPI: 1386636454
1603 E Main St
Unit A
(210) 271-7648
Hospital Affiliations: Baptist Health
System, Methodist Ambulatory Surg Hosp
Nw, Methodist Hospital, Methodist Specialty
And Transplant Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: W Darrell Willerson Jr MD
Practice Information: No Patients Under 10
yrs old
Board Certifications: Internal Medicine,
Ophthalmology
Language(s): Spanish
J
INTERNAL MEDICINE
" Urbinas Frias, Claudia X, MD
Fredericksburg
Gender: Female
NPI: 1215227392
1020 State Hwy
Ste 165
(830) 997-4353
Board Certifications: Internal Medicine
ORTHOPEDIC SURGERY
J
Gender: Male
NPI: 1386636454
1603 E Main St
Unit A
(210) 271-7648
Hospital Affiliations: Baptist Health
System, Methodist Ambulatory Surg Hosp
Nw, Methodist Hospital, Methodist Specialty
And Transplant Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: W Darrell Willerson Jr MD
Practice Information: No Patients Under 10
yrs old
Board Certifications: Internal Medicine,
Ophthalmology
Language(s): Spanish
" Cheleuitte, Elias R, DPM
Frederic ksburg
Gender: Male
NPI: 1447418322
1020 S State Hwy 16
(830) 890-5827
Hospital Affiliations: Peterson Regional
Medical Center
Clinic Affiliation: Veurink Orthopedics
Board Certifications: Orthopedic Surgery
Language(s): Spanish
J
Sant Anna, Susie N, DPM
Gender: Female
NPI: 1477527562
307 S Washington St
(830) 693-8144
Hospital Affiliations: Round Rock Medical
Center, Same Day Surgicare, Seton
Northwest Hospital, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Hill Country Advanced
Foot and Ankle
Board Certifications: None
Language(s): Portuguese
Frederic ksburg
PAIN MANAGEMENT
Murphy, Charles W, MD
Gender: Male
NPI: 1639178908
1011 Hwy 16 S Ste 5
(210) 582-6600
Hospital Affiliations: Baptist Health
System, Methodist Specialty And Transplant
Hospital, Metropolitan Methodist Hospital,
Northeast Methodist Hospital
Clinic Affiliation: Hill Country Pain Assoc
PA
Board Certifications: None
Fredericks burg
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1972594455
307 S Washington St
(830) 997-7779
Hospital Affiliations: Metropolitan
Methodist Hospital
Clinic Affiliation: The Podiatry Group of
South Texas PA
Board Certifications: Podiatry
Language(s): Spanish
Moblad, Roger G, DPM
Gender: Male
NPI: 1467553875
115 S Adams
J (830) 257-7677
Hospital Affiliations: Peterson Regional
Medical Center
Board Certifications: None
Language(s): Spanish
" Veurink, Ryan, MD
" Willerson Jr, William D, MD
PODIATRY
Frederic ksburg
Fredericks burg
Fredericksburg
RADIATION ONCOLOGY
" Jones, David C, MD
F redericksburg
Gender: Male
NPI: 1659353795
753 S Washington St
Bldg D
(830) 990-4800
Hospital Affiliations: Christus Santa Rosa
New Braunfels, Peterson Regional Medical
Center, Seton Medical Center Hays, Seton
Smithville Reg Hospital, St Marks Medical
Center
Clinic Affiliation: Hill Co Ctr For Cancer
Care Ltd
Board Certifications: Radiation Oncology
PHYSICAL THERAPY
ONCOLOGY
Fredericksburg
Gender: Male
NPI: 1427058643
205 W Windcrest
Ste 250
(830) 997-0296
Hospital Affiliations: Methodist Hospital,
Methodist Specialty And Transplant Hospital,
Methodist Texsan Hospital, St Lukes Baptist
Hospital
Clinic Affiliation: Methodist Physician
Practices PLL
Practice Information: No Patients Under 18
yrs old
Board Certifications: Clinical Cardiac
Electrophysiology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Nedelka, Michele, MD
Gender: Female
NPI: 1003079138
753 S Washington St
(830) 990-4800
Clinic Affiliation: Hill Co Ctr For Cancer
Care Ltd
Board Certifications: None
F redericksburg
THERAPEUTIC OPTOMETRY
Anderegg, Heather N, OD
Gender: Female
NPI: 1093944845
1021 S Hwy 16
J (830) 992-3286
Clinic Affiliation: TSO Fredericksburg
Board Certifications: None
F redericksburg
Pena, Benito, OD
Gender: Male
# NPI: 1497945919
1021 S Hwy 16
J (830) 992-3286
Clinic Affiliation: TSO Fredericksburg
Board Certifications: None
Language(s): Spanish
F redericksburg
URGENT CARE PROVIDER
Dedmon, Mark K, PA
Gender: Male
! NPI: 1942317938
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
F redericksburg
Fryburger, Kathleen M, PA
Gender: Female
! NPI: 1053396077
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
F redericksburg
Gardner, Elizabeth M, PA
Gender: Female
! NPI: 1366770166
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
F redericksburg
Gonzales, Fidencio, PA
Gender: Male
! NPI: 1821163239
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
F redericksburg
Gregory Laine, Gale T, DO
Gender: Female
!# NPI: 1417995200
! 1426 E Main St
Ste 300
(830) 249-9995
Hospital Affiliations: Metropolitan
Methodist Hospital
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
F redericksburg
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
108
OCTOBER 03, 2016
FREDERICKSBURG (cont.)
bmk_pin_spec
Specialists
OPHTHALMOLOGY
Castro, Julie A, APN
Gender: Female
# NPI: 1215272554
600 High Tech Dr
J (512) 930-4776
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Georgetown
" Bealka Jr, Neil M, MD
Gatesv ille
URGENT CARE PROVIDER (cont.)
Levada, Richard J, PA
Gender: Male
! NPI: 1881844785
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Gender: Male
NPI: 1336182310
2406 S Business Hwy 36
(254) 582-0282
Fredericks burg
McCrum, Gregory D, PA
Gender: Male
! NPI: 1528047644
! 1426 E Main St
Ste 300
J (830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
J
NPI: 1336182310
2406 S State Hwy 36
(254) 865-4267
Hospital Affiliations: Comanche County
Medical Ctr, Hamilton General Hospital, Hill
Regional Hospital, Hsps Providence
Memorial Campus, Providence Health
Center, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Bealka Neil M MD
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
J
Fredericks burg
Moore, Fred M, PA
Gender: Male
! NPI: 1467542282
! 1426 E Main St
Ste 300
(830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
Eggeling, Emilye K, APN
Gender: Female
NPI: 1295138998
600 High Tech Dr
(512) 930-4776
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Board Certifications: None
Georgetown
#
" Fagner, Karin S, APN
Georgetown
Gender: Female
NPI: 1356423842
700 SE Inner Loop
(512) 819-9400
Clinic Affiliation: Rock Springs Physician
Group LLC
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
THERAPEUTIC OPTOMETRY
Fredericks burg
Philipp, Stephanie M, PA
Gender: Female
! NPI: 1881662757
! 1426 E Main St
Ste 300
J (830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
Fredericks burg
Postell, Autumn F, PA
Gender: Female
! NPI: 1881905321
! 1426 E Main St
Ste 300
J (830) 997-9995
Clinic Affiliation: Main Street Urgent Care
Board Certifications: None
Language(s): Spanish
Bello, Melissa A, OD
Gender: Female
NPI: 1235222720
113 N Lutterloh
J (254) 865-7979
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): Spanish
Gatesv ille
ALLERGY-IMMUNOLOGY
" Amar, Niran J, MD
Cooke, John K, OD
Gender: Male
NPI: 1972510329
2406 S Business Hwy 36
(254) 865-4267
Clinic Affiliation: Bealka Neil M MD
Board Certifications: None
Loven, Travis M, OD
Gender: Male
NPI: 1609074913
2406 S State Hwy 36
(254) 865-4267
Clinic Affiliation: Bealka Neil M MD
Board Certifications: None
Gatesv ille
J
Gender: Male
NPI: 1003812595
1507 W Main St
(254) 751-1144
Hospital Affiliations: Hill Regional Hospital,
Providence Health Center
Clinic Affiliation: Allergy and Asthma
Center
Board Certifications: Allergy-Immunology
Language(s): Hindi, Spanish
CHIROPRACTIC
Davidson, Nedward T, DC
Gender: Male
# NPI: 1336213115
509 Leon St
J (254) 865-6817
Board Certifications: None
" Grisham, Shandy L, APN
Georgetown
Gender: Female
NPI: 1073566964
200 Scenic Dr
Ste G002
(512) 930-0606
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
GEORGETOWN
ALLERGY-IMMUNOLOGY
" Henry, Anthony R, MD
#
J
Gender: Male
NPI: 1245232487
1508 Leander Rd
(512) 388-1861
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Georgetown Hospital
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
" Miller, Brian T, DO
Georgetown
#
Gatesville
J
Gender: Male
NPI: 1790882108
1508 Leander Rd
(512) 931-2288
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
Matula, Rachel N, APN
Gender: Female
# NPI: 1780941807
600 High Tech Dr
(512) 930-4776
Clinic Affiliation: Chisholm Trail Pediatrics
Inc PA
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
McClendon, Melinda M, APN
Gender: Female
NPI: 1003212184
3201 S Austin Ave
Ste 265
J (512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign
Georgetown
Montellano, Shatzie A, APN
Gender: Female
NPI: 1568416063
2423 Williams Dr
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: Current University/
College students only, No Patients Under 12
yrs old
Board Certifications: None
Language(s): French, Spanish
Georgetown
ANP/CERT/CLNP
" Borgstrand, Stephanie M, APN
Georgetown
Gender: Female
NPI: 1659529931
3201 S Austin
Ste 265
(512) 416-7246
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
NPI: 1659529931
3201 S Austin Ave
Ste 265
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Board Certifications: Anp/Cert/Clnp
Language(s): American Sign
Smith, Haley D, APN
Gender: Female
NPI: 1598049728
2423 Williams Dr
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
Georgetown
Spiller, Jennifer C, APN
Gender: Female
! NPI: 1922350818
! 1001 E University Ave
Ste 200
(512) 863-1252
Clinic Affiliation: Southwestern University
Health SE
Practice Information: Current University/
College students only, No Patients Under 17
yrs old
Board Certifications: None
Language(s): Spanish
Georgetown
AUDIOLOGY
Pennell, Marla B, AUDIO
Gender: Female
NPI: 1174559017
100 River Hills Dr
Ste 105
J (512) 763-8855
Clinic Affiliation: Hill Country Audiology
PLLC
Practice Information: No Patients Under 3
yrs old
Board Certifications: None
Georgetown
CHIROPRACTIC
Ash Jr, James B, DC
Gender: Male
NPI: 1114967247
3622 Williams Dr
Bldg 5
J (512) 868-6400
Georgetown
NPI: 1114967247
3622 Williams Dr
Blgd 5
(512) 868-6400
Clinic Affiliation: Ash Chiropractic and
Wellness, Ash Chiropractic and Wellness PC
Board Certifications: None
Language(s): Spanish
J
Georgetown
Georgetown
Gatesville
#
Gender: Female
NPI: 1346697711
3201 S Austin Ave
Ste 265
(512) 416-7246
Clinic Affiliation: Greater Houston
Anesthesiology
Practice Information: No Patients Under 17
yrs old
Board Certifications: Anp/Cert/Clnp
Gatesv ille
Fredericks burg
GATESVILLE
" Gainer, Kristin D, APN
Georgetown
GEORGETOWN
Pintor, Catherine C, APN
Gender: Female
# NPI: 1891799599
2423 Williams Dr
J (512) 686-0155
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): Spanish
Loper, David W, DC
Gender: Male
# NPI: 1033150560
4219 Williams Dr
J (512) 863-2786
Clinic Affiliation: David W Loper DC
Board Certifications: None
Language(s): Spanish
Georgetown
Shepard, Ralph S, DC
Gender: Male
NPI: 1205993656
950 W University Ave
Ste 103
J (512) 864-2744
Clinic Affiliation: Discover Chiropractic and
Wellnes
Board Certifications: None
Georgetown
Wood, Shauna A, DC
Gender: Female
NPI: 1528484946
101 Cooperative Way
Ste 235
(512) 868-6900
Clinic Affiliation: Blessed Family
Chiropractic
Board Certifications: None
Georgetown
#
DERMATOLOGY
" Adelman, Eric A, DO
Georgetown
Georgetown
J
Gender: Male
NPI: 1194766444
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
109
Specialists
GEORGETOWN
NEUROLOGICAL SURGERY
" Morris, Elizabeth S, MD
Georgetown
GEORGETOWN (cont.)
Gender: Female
NPI: 1134156102
700 San Gabriel Village
Blvd Ste 105
(512) 819-9910
Clinic Affiliation: Georgetown Dermatology
& Cancer
Board Certifications: Dermatology
Language(s): Spanish
DERMATOLOGY (cont.)
" Bhandarkar, Sulochana, MD
Georgetown
J
Gender: Female
NPI: 1215114368
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Cabrera, Elizabeth, MD
Georgetown
!
!
J
Gender: Female
NPI: 1245242262
4513 Williams Dr
(512) 930-3909
Hospital Affiliations: North Austin Medical
Center, St Davids Georgetown Hospital
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Collins, Kristina M, MD
J
Gender: Female
NPI: 1831215763
4513 Williams Dr
(512) 930-3909
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish, Urdu
" Gomez Meade, Carlos, DO
Georgetown
!
!
J
Gender: Male
NPI: 1023235579
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Smetanick, Matthew T, DO
Georgetown
Gender: Female
NPI: 1992091326
101 W Cooperative Way
Ste 110
(512) 615-1450
Clinic Affiliation: Dermatology Assoc of
Tyler
Board Certifications: Dermatology
!
!
J
" Madray, Monica M, MD
J
Gender: Male
NPI: 1699953257
100 River Hills Dr
Ste 100
(512) 943-9836
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: Family Practice
Gender: Male
NPI: 1790941995
100 River Hills Dr
Ste 100
(877) 544-5698
Clinic Affiliation: Low-T Physicians
Professional Mbr
Practice Information: No Patients Under 21
yrs old
Board Certifications: Family Practice
Gender: Male
NPI: 1710197678
100 River Hills Dr
Ste 100
(512) 943-9836
Clinic Affiliation: Low-T Physicians
Professional Mbr
Practice Information: No Patients Under 18
yrs old
Board Certifications: Internal Medicine
Gender: Female
NPI: 1821288465
602 High Tech Dr
(512) 863-8600
Hospital Affiliations: St Davids Georgetown
Hospital
Clinic Affiliation: Unified Women’s
Healthcare of Tex
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Aaker, Justin D, MD
Georgetown
Gender: Male
NPI: 1144422908
3613 Williams Dr Ste 703
(512) 686-1224
Clinic Affiliation: Reveal Eye Care and
Surgery PLLC
Board Certifications: Ophthalmology
" Schrier, Jana J, MD
" Dang II, Tam Q, MD
Georgetown
J
Georgetown
J
Georgetown
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
OPHTHALMOLOGY
" Montiville, Kelly M, MD
" Tran, Phuong H, MD
Gender: Male
NPI: 1821059395
700 San Gabriel Village
Blvd Ste 105
(512) 819-9910
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Georgetown Dermatology
& Cancer
Board Certifications: Dermatology
Gender: Male
NPI: 1730164591
2000 Scenic Dr
Ste G002
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): German, Hebrew, Italian,
Spanish
Georgetown
Georgetown
" Miller, Kevin L, MD
" Shimkus, Brian J, MD
Georgetown
Gender: Female
NPI: 1194008375
1900 Scenic Dr
Ste 3326
(877) 800-5722
Hospital Affiliations: Park Plaza Hospital,
St Davids Georgetown Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications:
Obstetrics-Gynecology
Language(s): American Sign, Spanish
Gender: Male
NPI: 1376507475
1900 Scenic Dr
Ste 3326
(512) 863-6850
Hospital Affiliations: St Davids Georgetown
Hospital
Clinic Affiliation: Lone Star Circle of Care
Board Certifications:
Obstetrics-Gynecology
INTERNAL MEDICINE
Westbrook Jr, Raymond R, DO
Gender: Male
NPI: 1437103520
100 River Hills Dr
Ste 100
(512) 943-9836
(877) 544-5698
Hospital Affiliations: Healthsouth
Rehabilitation Hospital Of Arlington, Medical
Center Of Arlington, Tx Hlth Arlington
Memorial Hosp, Usmd Hospital At Arlington
Lp
Clinic Affiliation: Low-T Physicians
Professional Mbr
Board Certifications: None
ONCOLOGY
" Mahaffey, Andrew G, MD
" Huber, Lawrence E, DO
J
Coe, Jenna L, OT
Gender: Female
# NPI: 1568780989
4402 Williams Dr
Ste 115
(512) 256-7627
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Georgetown
Georgetown
Georgetown
J
" Kelly, Crystal, MD
" Esmaili, Arash I, DO
Georgetown
Gender: Female
NPI: 1851559884
700 San Gabriel Village
Blvd Ste 105
(512) 819-9910
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Georgetown Dermatology
& Cancer
Board Certifications: Dermatology
Gender: Male
NPI: 1245445832
1900 Scenic Dr
Ste 3326
(877) 800-5722
Hospital Affiliations: Dimmit Regional
Hospital
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Under 14
yrs old
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Georgetown
" Jones Jr, Christopher R, MD
Gender: Male
NPI: 1013122753
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Greek, Spanish
Georgetown
FAMILY PRACTICE
Georgetown
!
!
" Butler, Michael A, MD
Georgetown
Gender: Male
NPI: 1306023114
4513 Williams Dr
(512) 868-3376
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Gender: Female
NPI: 1801072855
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
" Johnson, Weilan, MD
OCCUPATIONAL THERAPY
Georgetown
Gender: Female
NPI: 1225203433
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
" Jan, Mollie M, DO
Georgetown
OBSTETRICS-GYNECOLOGY
" Singletary, Holly L, MD
Georgetown
J
Gender: Male
NPI: 1114065646
1900 Scenic Dr
Ste 2222
(512) 298-3901
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Peregrin Ventures
Board Certifications: Neurological Surgery
Language(s): Spanish
Georgetown
J
Gender: Male
NPI: 1851372577
602 High Tech Dr
(512) 863-8600
Hospital Affiliations: St Davids Georgetown
Hospital
Clinic Affiliation: Unified Women’s
Healthcare of Tex
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Spinks, Theodore J, MD
" Sayed, Amara Z, DO
!
!
J
" Sherman, Vincent A, MD
Georgetown
Georgetown
Georgetown
Georgetown
Gender: Female
NPI: 1881895118
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1114981214
1900 Scenic Dr
Ste 2214
(512) 943-8023
Hospital Affiliations: Seton Medical Ctr
Williamson, St Davids Georgetown Hospital
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Dietlein, Jon F, MD
Georgetown
J
" Sherman, John V, MD
Georgetown
Gender: Male
NPI: 1871574590
602 High Tech Dr
(512) 863-8600
Hospital Affiliations: Cedar Park Regional
Medical Ctr, St Davids Georgetown Hospital,
University Med Ctr Brackenridge
Clinic Affiliation: Unified Women’s
Healthcare of Tex
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Gender: Male
NPI: 1184821803
4500 Williams Dr
Ste 228
(512) 868-3937
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Clarity Eye Center PLLC
Board Certifications: Ophthalmology
Language(s): Spanish, Vietnamese
Gender: Male
NPI: 1811901887
311 River Bend Dr
(512) 931-2255
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, St Davids Georgetown Hospital,
St Davids Medical Center
Clinic Affiliation: Jon F Dietlein MD
Board Certifications: Ophthalmology
Language(s): Spanish
" Jatla, Kalpana K, MD
Georgetown
J
Gender: Female
NPI: 1811920028
4500 Williams Dr
Ste 228
(512) 868-3937
Hospital Affiliations: Seton Medical Ctr
Williamson
Clinic Affiliation: Clarity Eye Center PLLC
Board Certifications: Ophthalmology
Language(s): Spanish, Telugu
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
110
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
1520 Leander Rd
Ste 102 Bldg D
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Jones, Tiffany, LPT
Gender: Female
NPI: 1306241823
204 S IH 35
Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Georgetown
GEORGETOWN (cont.)
OPHTHALMOLOGY (cont.)
" Labbe, Thad A, MD
Georgetown
Gender: Male
NPI: 1346284866
311 River Bend Dr
(512) 931-2255
Hospital Affiliations: Round Rock Medical
Center, St Davids Medical Center
Clinic Affiliation: Jon F Dietlein MD
Board Certifications: Ophthalmology
Language(s): Spanish
" Monheit, Blythe E, MD
Georgetown
Gender: Female
NPI: 1336196542
950 W University Ave
Ste 108
(512) 863-7567
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
" Wagner, Theresa E, MD
Georgetown
Gender: Female
NPI: 1912984857
950 W University Ave
Ste 108
(512) 863-7567
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
J
PAIN MANAGEMENT
Aijaz, Asim S, MD
Gender: Male
NPI: 1164641494
3201 S Austin Ave
Ste 365
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc
Board Certifications: None
Language(s): Hindi, Spanish, Urdu
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
1520 Leander Rd
Ste 102 Bldg D
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
McTague, Edward M, LPT
Gender: Male
NPI: 1609986546
204 S IH 35
Ste 203
(512) 863-7761
(512) 900-3302
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Mitol, Jennifer A, LPT
Gender: Female
NPI: 1891029534
204 S IH 35 Ste 203
(512) 836-7761
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
NPI: 1366775397
204 S Interstate 35
Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): Spanish
Clarke, Michael H, LPT
Gender: Male
NPI: 1669838736
204 S IH 35 Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Georgetown
Gender: Male
NPI: 1477501005
4513 Williams Dr
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Plastic Surgery
" Franco, Johnny, MD
Georgetown
Gender: Male
NPI: 1053503672
4513 Williams Dr
(512) 930-3909
Hospital Affiliations: Bailey Square Surgery
Center, North Austin Medical Center, North
Austin Surgery Center, Oakwood Surgery
Center, Round Rock Medical Center, San
Marcos Surgery Center, Seton Medical
Center, Seton Medical Ctr Williamson, St
Davids Medical Center, St Davids S Austin
Medical Center
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Plastic Surgery
Language(s): Spanish
Poindexter, Teresa, LPT
Gender: Female
NPI: 1437107760
2913 Williams Dr
Ste 210
J (512) 887-4544
Clinic Affiliation: Georgetown Physical
Therapy LLC
Practice Information: No Patients Under 4
yrs old
Board Certifications: None
Language(s): Spanish
Vander Zanden, Tyler L, LPT
Gender: Male
NPI: 1992049175
204 S IH 35
Ste 203
(888) 590-4002
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
" Habash, Nabil, MD
Georgetown
J
Georgetown
Weiser, Tiffany M, LPT
Gender: Female
# NPI: 1811205321
4402 Williams Dr
Ste 115
(512) 773-9597
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Hornbecker, Jennifer M, LPT
Gender: Female
NPI: 1730405036
4402 Williams Dr
Ste 115
(512) 773-9597
Clinic Affiliation: All Care Therapies of
Georgetown
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Wells, Aaron J, LPT
Gender: Male
NPI: 1013115260
204 S Interstate 35
Ste 203
J (512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Georgetown
Gender: Male
NPI: 1720020878
3201 S Austin Ave
Ste 305
(512) 763-4545
Hospital Affiliations: Baylor Scott White All
Saints Med, Plaza Medical Center Fort
Worth, St Davids Georgetown Hospital, Tx
Hlth Arlington Memorial Hosp, Tx Hlth Harris
Methodist Hosp Fw, Tx Hlth Harris Methodist
Hosp Heb, Tx Hlth Harris Methodist Hosp Sw
Clinic Affiliation: Plastic Surgery Assoc PA
Board Certifications: Plastic Surgery
Language(s): Spanish
PODIATRY
" Hurst, Wayne A, DPM
Georgetown
Georgetown
Georgetown
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Conner, Christopher W, MD
Georgetown
Georgetown
Caro Mata, Aaron, LPT
Gender: Male
NPI: 1366775397
204 S IH 35
Ste 203
(512) 863-7761
" Ezekiel, Bennett J, MD
Gender: Male
NPI: 1578763496
3201 S Austin Ave
Ste 305
(512) 763-4545
Hospital Affiliations: Baylor Scott White All
Saints Med, Plaza Medical Center Fort
Worth, St Davids Georgetown Hospital
Clinic Affiliation: Plastic Surgery Assoc PA
Board Certifications: Plastic Surgery
Language(s): Spanish
Northington, Isabel, LPT
Gender: Female
NPI: 1730388323
4402 Williams Dr
Ste 115
(512) 256-7627
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Georgetown
Georgetown
" Boehmler IV, James H, MD
Georgetown
Georgetown
Breazeale, Travis W, LPT
Gender: Male
NPI: 1154751717
204 S IH 35 Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Georgetown
J
PLASTIC SURGERY
Georgetown
Ames, Eleanor, LPT
Gender: Female
NPI: 1063898625
204 S IH 35
Ste 203
(512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Georgetown
#
Williamson, Carrie E, LPT
Gender: Female
# NPI: 1114169620
4402 Williams Dr
Ste 115
(512) 773-9597
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Georgetown
Georgetown
PHYSICAL THERAPY
Georgetown
Gender: Male
NPI: 1477734721
3201 S Austin Ave Ste 265
(512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Southwest, St Davids Georgetown
Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Language(s): Sign Language
Lauretta, Anthony W, LPT
Gender: Male
NPI: 1568758068
204 S Interstate 35
Ste 203
J (512) 863-7761
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Georgetown
Georgetown
Georgetown
Anderson, Christine M, MD
Gender: Female
NPI: 1265575260
3201 S Austin Ave
Ste 265
J (512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Georgetown Hospital, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc
Board Certifications: None
Language(s): American Sign
Georgetown
GEORGETOWN
J
Gender: Male
NPI: 1194758482
1103 Rivery Blvd
Ste 255
(512) 930-0707
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Hill Country Surgery Ctr, North
Austin Medical Center, Seton Medical
Center, Seton Medical Ctr Williamson, Seton
Northwest Hospital, St Davids Georgetown
Hospital
Clinic Affiliation: Foot Specialists of Cedar
Park
Board Certifications: Podiatry
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
111
Specialists
GEORGETOWN
Shewmaker, Kimberly A, SP
Gender: Female
NPI: 1376683847
1520 Leander Rd
Ste 103
J (512) 930-5439
Clinic Affiliation: Kimberly Shewmaker PC
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Georgetown
GEORGETOWN (cont.)
PODIATRY (cont.)
" Lisch, Harvey M, DPM
Georgetown
Gender: Male
NPI: 1477588622
1103 Rivery Blvd Ste 255
(512) 259-3338
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Foot Specialists of Cedar
Park
Board Certifications: Podiatry
J
RADIATION ONCOLOGY
Brown, George R, MD
Gender: Male
NPI: 1104897271
2000 Scenic Dr Ste G002
J (512) 505-5500
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: None
Language(s): Spanish
Georgetown
" Brown, Stephen L, MD
Georgetown
Gender: Male
NPI: 1346210051
2000 Scenic Dr
Ste G002
(512) 763-3850
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J
" Ghafoori, Ahmad P, MD
Georgetown
Gender: Male
NPI: 1134392152
2000 Scenic Dr
Ste G002
(512) 505-5500
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Warhoe, Kirsten A, MD
Georgetown
Gender: Female
NPI: 1407826605
2000 Scenic Dr Ste G002
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
St Davids Georgetown Hospital, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J
SPEECH PATHOLOGY
Creswell, Julie A, SLP
Gender: Male
NPI: 1578775524
4402 Williams Dr
Ste 115
(512) 256-7627
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Language(s): American Sign
Georgetown
OCTOBER 03, 2016
bmkp_in_spec
ALLERGY-IMMUNOLOGY
" Paull, Keith J, MD
Giddings
Gender: Male
NPI: 1992798532
843 E Industry St
Ste 1
(979) 776-0700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Paull Allergy and
Asthma Clin
Board Certifications: Allergy-Immunology
Language(s): Spanish
J
THERAPEUTIC OPTOMETRY
Catalasan, Jennifer H, OD
Gender: Female
NPI: 1467716613
950 W University Ave
Ste 108
J (512) 863-7567
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): Spanish
Georgetown
CARDIOVASCULAR DISEASE
" Nguyen, Tuan D, MD
Giddings
Gender: Male
NPI: 1952341034
219 E Railroad Row
Ste A
(979) 542-9000
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
Evans, Pamela A, OD
Gender: Female
NPI: 1316951056
311 River Bend Dr
J (512) 931-2255
Clinic Affiliation: Jon F Dietlein MD
Board Certifications: None
Language(s): Spanish
Georgetown
McCain, Donna L, OD
Gender: Female
# NPI: 1316101041
1401 Williams Dr Ste 101
J (512) 863-2078
Clinic Affiliation: Stephen D Schaefer OD
PA
Board Certifications: None
Language(s): Spanish
Georgetown
NUCLEAR CARDIOLOGY
Nguyen, Tuan D, MD
Gender: Male
NPI: 1952341034
219 E Railroad Row
Ste A
(979) 542-9000
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish, Vietnamese
Giddings
Morano Salone, Grace, OD
Gender: Female
NPI: 1356570907
1102 S Austin Ave
Ste 102
J (512) 240-5862
Clinic Affiliation: Grace M Salone OD PLLC
Board Certifications: None
Language(s): French, Italian, Spanish
Georgetown
#
Nguyen, Lan T, OD
Gender: Female
NPI: 1811146343
950 W University Ave
Ste 108
J (512) 863-7567
Clinic Affiliation: Texan Eye
Board Certifications: None
Language(s): American Sign, Spanish,
Vietnamese
OPHTHALMOLOGY
Georgetown
" Beim, Steven A, MD
Giddings
J
J
Patel, Shilpa B, OD
Gender: Female
NPI: 1396767760
2423 Williams Dr
Ste 113
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Georgetown
Hobbs, Michelle L, SLP
Gender: Female
NPI: 1447483912
4402 Williams Dr
Ste 115
(512) 256-8627
Clinic Affiliation: All Care Therapies of
Georgetown
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Georgetown
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Jones, Mark A, LPT
Gender: Male
NPI: 1235173733
283 E Railroad Ave
(979) 542-7300
Clinic Affiliation: Jones and Cowen Inc
Board Certifications: None
Language(s): Spanish
Giddings
Sanders, Stephanie L, LPT
Gender: Female
NPI: 1316199664
283 E Railroad Ave
J (979) 542-7300
Clinic Affiliation: Jones and Cowen Inc
Board Certifications: None
Language(s): Spanish
* Leaving Network: 2016-11-01
Giddings
GROESBECK
ANP/CERT/CLNP
Bond, Susan R, APN
Gender: Female
NPI: 1790772606
104 S Dr Jb Riggs Dr
J (254) 729-3356
Board Certifications: None
Groesbec k
Harris, Veronica, APN
Gender: Female
NPI: 1366696254
801 McClintic Dr
J (254) 729-3411
Clinic Affiliation: South Limestone Hospital
District
Board Certifications: None
Language(s): Spanish
Groesbec k
GENERAL SURGERY
" Ombaba, Jackson M, MD
Groesbec k
Gender: Male
NPI: 1285731521
701 McClintic Dr
(254) 729-3281
Hospital Affiliations: Baptist Health System
Clinic Affiliation: South Limestone
Hospital-HBP
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1629075437
219A E Railroad
(979) 251-9988
NPI: 1629075437
514 S Main St
(979) 251-9990
Hospital Affiliations: Bellville St Joseph
Health Center, Oakwood Surgery Center
Clinic Affiliation: Beim Steven A MD
Board Certifications: Ophthalmology
Language(s): Spanish
PHYSICAL THERAPY
Trojacek, Jason W, LPT
Gender: Male
NPI: 1003016510
1023 N Ellis
(254) 729-0323
Board Certifications: None
Language(s): Spanish
Groesbec k
PEDIATRIC ALLERGY & IMMUNOLOGY
Paull, Keith J, MD
Gender: Male
NPI: 1992798532
843 E Industry St
Ste 1
J (979) 776-0700
Hospital Affiliations: College Station
Medical Center
Clinic Affiliation: The Paull Allergy and
Asthma Clin
Board Certifications: Allergy-Immunology
Language(s): Spanish
Giddings
Sturm, Mark D, OD
Gender: Male
# NPI: 1861706202
1013 W University
Ave Ste 135
(512) 869-8821
Clinic Affiliation: Georgetown Vision Center
PLLC
Board Certifications: None
Language(s): Spanish
Georgetown
Cowen, Jeffrey W, LPT
Gender: Male
NPI: 1043251465
283 E Railroad Ave
J (979) 542-7300
Clinic Affiliation: Jones and Cowen Inc
Board Certifications: None
Language(s): Spanish
Giddings
GIDDINGS
HAMILTON
ANP/CERT/CLNP
Esquibel, Arlene E, APN
Gender: Female
NPI: 1386764421
400 N Brown Bldg II
(254) 386-1600
Clinic Affiliation: Hamilton General Hospital
Board Certifications: None
Hamilton
PHYSICAL THERAPY
Clark, Candy M, LPT
Gender: Female
NPI: 1104836170
781 E Brenham St
J (979) 542-0223
Clinic Affiliation: Giddings Physical
Therapy Clinic Inc
Board Certifications: None
Language(s): German, Spanish
Giddings
CHIROPRACTIC
Ensor, Sara E, DC
Gender: Female
NPI: 1083725113
555 N Rice St
J (254) 386-0060
Board Certifications: None
Hamilton
#
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
112
OCTOBER 03, 2016
HAMILTON (cont.)
bmk_pin_spec
Specialists
AUDIOLOGY
DERMATOLOGY
Brown, Denice P, AUDIO
Gender: Female
NPI: 1982783288
800 W Central Texas Expwy
Ste 205
(254) 618-1080
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
" Bragg, Larry M, MD
Hamilton
Gender: Male
NPI: 1649278466
400 N Brown
Bldg 1
(254) 386-1600
NPI: 1649278466
400 N Brown Bldg II
(254) 386-1700
Hospital Affiliations: Comanche County
Medical Ctr, Eastland Memorial Hospital,
Hamilton General Hospital, Lake Granbury
Medical Center, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Hamilton General Hospital
Board Certifications: General Surgery
Language(s): Spanish
HARKER HEIGHTS
ALLERGY-IMMUNOLOGY
Long, William F, MD
Gender: Male
NPI: 1730175852
2025 Memory Ln
Ste 400A
J (254) 432-5945
Clinic Affiliation: Harker Heights Allergy
Board Certifications: None
ANP/CERT/CLNP
" Bucher, Danisha A, APN
Gender: Female
NPI: 1235537291
2025 Memory Ln
Ste 400A
(254) 432-5945
Clinic Affiliation: Harker Heights Allergy
Board Certifications: Anp/Cert/Clnp
Davenport, Kati L, APN
Gender: Female
NPI: 1972519809
800 W Central Texas Expwy
Ste 205
(254) 618-1080
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Harker Heights
" Russell, Leslie L, APN
Harker Heights
Gender: Female
NPI: 1700890993
800 W Central Texas Expwy
Ste 290
(254) 618-1151
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Sieber, Karen L, APN
Gender: Female
NPI: 1790876795
880 Prospector Trl
Ste 200
(254) 690-1475
Clinic Affiliation: Precision Medical Group
Board Certifications: None
Language(s): Spanish
Terwilliger, Mark E, APN
Gender: Male
NPI: 1386607992
200 Nola Ruth Blvd
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
" Bhandarkar, Sulochana, MD
CERTIFIED NURSE MIDWIFE
J
" Huang, Conway C, MD
Harker Heights
Gender: Male
NPI: 1356510515
800 W Central Expwy
Ste 290
(254) 618-1070
Hospital Affiliations: Seton Medical Ctr
Harker Heights, University Med Ctr
Brackenridge
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Gastroenterology
Language(s): Spanish
" Dietze, Kimberly, CNM
Gender: Female
NPI: 1477927770
800 W Central Texas Expwy
Ste 200
(254) 519-2229
Clinic Affiliation: Mlmd PA
Board Certifications: Certified Nurse
Midwife
CHIROPRACTIC
Bryant, Jessica D, DC
Gender: Female
NPI: 1073791968
560 E Central Texas Expwy
Ste 102
(254) 698-1600
Clinic Affiliation: Corrective Chiropractic PA
Board Certifications: None
Harker Heights
Degenhardt, Jason A, DC
Gender: Male
NPI: 1801810361
560 E Central Texas
Expwy Ste 102
J (254) 698-1600
Clinic Affiliation: Corrective Chiropractic PA
Board Certifications: None
Language(s): German, Spanish
Isdale, Shane E, DC
Gender: Male
NPI: 1215951777
560 E Central Texas Expwy
Ste 102
J (254) 698-1600
Clinic Affiliation: Corrective Chiropractic PA
Board Certifications: None
" Sankaralingam, Senthil, MD
Gender: Male
NPI: 1457546186
800 W Central Texas Exwy
Ste 370
(254) 618-4320
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Practice Information: Preschool
Board Certifications: General Surgery
Gender: Male
NPI: 1811001209
800 W Central Texas Expwy
Ste 250
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: Maternal & Fetal
Medicine
Language(s): Hindi, Punjabi, Spanish
J
Harker Heights
J
Gender: Female
NPI: 1720143696
800 W Central Texas
Expwy Ste 290
(254) 618-1051
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: General Surgery
Language(s): Spanish
NEPHROLOGY
" Bahar, Habib U, MD
Hark er Heights
Gender: Male
NPI: 1750336442
625 W Central Texas Expwy
(254) 690-0618
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Central Texas Nephrology
Associatess PA
Board Certifications: Nephrology
Language(s): Spanish
J
INTERNAL MEDICINE
Long, William F, MD
Gender: Male
NPI: 1730175852
2025 Memory Ln
Ste 400A
J (254) 432-5945
Clinic Affiliation: Harker Heights Allergy
Board Certifications: None
Harker Heights
NPI: 1720310857
546 E FM 2410 Rd
Ste B
(254) 681-1544
Clinic Affiliation: Back In Motion Family
Chiropracti
Board Certifications: None
MATERNAL & FETAL MEDICINE
" Adusumalli, Jasvant, MD
Harker Heights
Vaughn, Michael R, DC
Gender: Male
NPI: 1619281524
560 E Central Texas
Expwy Ste 102
(254) 698-1600
Harker Heights
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Singh, Jasbir, MD
Hark er Heights
" Stuart, Gillian J, MD
Harker Heights
J
McDonnold, Mollie A, MD
Gender: Female
NPI: 1881855641
800 W Central Texas
Expwy Ste 250
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center, Univ Of Tx Med Branch Galveston
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: None
Language(s): Spanish
Hark er Heights
Harker Heights
Harker Heights
Nixon, Elizabeth L, DC
Gender: Female
# NPI: 1720310857
546 E FM 2410
Ste B
(254) 681-1544
Haeri, Sina, MD
Gender: Male
NPI: 1730357039
800 W Central Texas Expwy
Ste 250
J (512) 821-2540
Hospital Affiliations: Chi St Lukes Hlth
Baylor Coll Med, North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Language(s): Spanish
Hark er Heights
GENERAL SURGERY
Harker Heights
Harker Heights
Gender: Female
NPI: 1215114368
800 W Central Texas
Expwy Ste 200
(254) 213-0766
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
GASTROENTEROLOGY
Harker Heights
Harker Heights
Gender: Male
NPI: 1194766444
800 W Central Texas
Hwy Ste 200
(512) 930-3909
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
Language(s): Spanish
Harker Heights
Gupta, Rajiv, MD
Gender: Male
NPI: 1548351042
850 W Central Texas Expwy
(254) 690-0900
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
" Barresi, Amy H, APN
Harker Heights
J
Harker Heights
Harker Heights
Gender: Female
NPI: 1528138690
2025 Memory Ln
Ste 400A
(254) 432-5945
Clinic Affiliation: Harker Heights Allergy
Board Certifications: Anp/Cert/Clnp
Harker Heights
CARDIOVASCULAR DISEASE
Harker Heights
Destefano, Kimberly A, MD
Gender: Female
NPI: 1568487825
800 W Central Texas Expwy
Ste 250
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Board Certifications: None
Language(s): Spanish
Hark er Heights
" Adelman, Eric A, DO
Harker Heights
GENERAL SURGERY
HARKER HEIGHTS
!
!
NPI: 1619281524
560 E Central Texas Expwy
Ste 102
(254) 698-1600
Clinic Affiliation: Corrective Chiropractic PA
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1720138829
800 W Central Texas Expwy
Ste 250
(512) 821-2540
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: North Austin Maternal
Fetal Medic
Practice Information: No Patients Under 12
yrs old
Board Certifications: Maternal & Fetal
Medicine
Language(s): Spanish
NEUROLOGY
Alwahoush, Elizabeth, MD
Gender: Female
NPI: 1508128299
800 W Central Texas Expwy
Ste 275
(254) 618-4330
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Language(s): Spanish
Hark er Heights
OBSTETRICS-GYNECOLOGY
Castellanos, Luis G, MD
Gender: Male
NPI: 1265492268
800 W Central Texas Expwy
Ste 255
J (254) 213-0814
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Hark er Heights
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
113
Specialists
HARKER HEIGHTS
OTOLARYNGOLOGY
McSpadden, Jenna K, OT
Gender: Female
NPI: 1821330994
201 E Central Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
HARKER HEIGHTS (cont.)
OBSTETRICS-GYNECOLOGY (cont.)
Lobaugh, Mark L, MD
Gender: Male
NPI: 1710984091
800 W Central Expwy
Ste 200
(254) 519-2229
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Mlmd PA
Board Certifications: None
Language(s): Spanish
Harker Heights
Shirley, Cynthia A, MD
Gender: Female
NPI: 1366400210
800 W Central Texas Expwy
Ste 255
(254) 618-1060
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Altman, Matthew C, MD
Gender: Male
NPI: 1528491305
800 W Central Texas Expwy
Ste 300
(254) 618-1020
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Carpenter, Sarah E, OT
Gender: Female
NPI: 1851686984
101B W Central TX Expwy
Ste D
(254) 630-1186
Clinic Affiliation: Cen Tex Rehabilitation
LLC
Board Certifications: None
Clayton, Keitha D, OT
Gender: Female
NPI: 1932228244
201 Central Texas Expwy
Ste 645
J (888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Hazel, Enrique R, OT
Gender: Male
NPI: 1730282807
560 E Central Texas
Expwy Ste 108
(254) 699-3933
Gender: Male
NPI: 1417142977
300 E FM 2410 Ste 109
(254) 616-2020
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Seton Medical Center, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center
Clinic Affiliation: Southern Eye Assoc PA
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
Burgest, Sean G, MD
Gender: Male
NPI: 1982704755
840 Prospector Trl
J (254) 213-4322
Hospital Affiliations: North Austin Medical
Center, Seton Medical Ctr Harker Heights, St
Davids Georgetown Hospital
Clinic Affiliation: The Burgest Clinic PA
Board Certifications: None
Language(s): French, Spanish
Hark er Heights
" McIntire, Lisa U, MD
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
800 W Central Texas
Expwy Ste 250
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Hark er Heights
Gender: Female
NPI: 1376729673
300 E FM 2410
Ste 109
(254) 616-2020
Hospital Affiliations: Hill Country Surgery
Ctr, Medical Park Tower Surg Ctr Llc, St
Davids S Austin Medical Center
Clinic Affiliation: Southern Eye Assoc PA
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
" Psolka, Maximilian, MD
Harker Heights
Gender: Male
NPI: 1255441952
300 E FM 2410
Ste 109
(254) 690-2020
Clinic Affiliation: Southern Eye Assoc PA
Board Certifications: Ophthalmology
Language(s): Spanish
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
800 W Central Texas Expwy
Ste 250
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
" Duggan Jr, John P, MD
Harker Heights
Gender: Male
NPI: 1134396906
800 W Central Expwy
Ste 175
(254) 618-1095
Hospital Affiliations: Round Rock Medical
Center, St Davids Medical Center
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Orthopedic Surgery
Language(s): Spanish
PHYSICAL THERAPY
Berry, Lance, LPT
Gender: Male
NPI: 1144575424
560 E Central Texas
Expwy Ste 108
J (254) 699-3933
Hark er Heights
#
" Hansen III, Robert H, MD
Gender: Male
NPI: 1902142870
880 Prospector Trl
Ste 200
(254) 690-1475
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Orthopedic Surgery
J
Lovria, Erik R, MD
Gender: Male
NPI: 1154526143
800 W Central Texas Expwy
Ste 205
(254) 618-1095
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: None
Cassidy, Nolan D, LPT
Gender: Male
NPI: 1902286388
201 E Central Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Harker Heights
#
Chaney, Alicia D, LPT
Gender: Female
# NPI: 1114158839
560 E Central Texas Expwy
Ste 108
(254) 699-3933
Harker Heights
NPI: 1114158839
701 Indian Trail
Unit B
(866) 953-9428
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Hindi, Spanish
Dunn, Jamie M, LPT
Gender: Female
NPI: 1780949081
201 E Central Expwy
Ste 645
J (254) 415-4850
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Harker Heights
Fort, Stephen D, LPT
Gender: Female
NPI: 1689011454
560 E Central Texas
Expwy Ste 108
(254) 699-3933
Harker Heights
Bonin, Kyle A, LPT
Gender: Male
NPI: 1912303397
560 E Central Texas
Expwy Ste 108
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
NPI: 1689011454
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Fuentes, Michael J, LPT
Gender: Male
NPI: 1508230137
201 E Central Expressway
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
!
!
Goodman, Crystal N, LPT
Gender: Female
NPI: 1598072480
201 E Central Expwy
Ste 645
J (254) 415-4850
Clinic Affiliation: Concentra Medical
Centers
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Harker Heights
NPI: 1831407154
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Buckley, Brandy N, LPT
Gender: Female
NPI: 1326397258
101-B W Central Texas
Expwy Ste D
J (254) 630-1186
Clinic Affiliation: Cen Tex Rehabilitation
LLC
Board Certifications: None
Harker Heights
Hark er Heights
Harker Heights
Hooten, Kenneth M, OT
Gender: Male
NPI: 1831407154
560 E Central Texas
Expwy Ste 108
(254) 699-3933
J
NPI: 1144575424
701 Indin Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Harker Heights
Harker Heights
NPI: 1962622282
2235 Thousand Oaks
Ste 117
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Hark er Heights
ORTHOPEDIC SURGERY
J
Bordelon, Patricia L, LPT
Gender: Female
NPI: 1962622282
201 E Central Expwy
Ste 645
J (888) 997-2669
Harker Heights
PAIN MANAGEMENT
Harker Heights
Harker Heights
NPI: 1730282807
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
J
" Branch, John W, MD
Harker Heights
Harker Heights
Gender: Male
NPI: 1760509624
800 W Central Texas Expwy
Ste 205
(254) 618-1080
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Otolaryngology
Harker Heights
Harker Heights
OCCUPATIONAL THERAPY
" Minor, Jacob S, MD
Hark er Heights
OPHTHALMOLOGY
Harker Heights
OCCUPATIONAL & ENVIRONMENTAL
MEDICINE
OCTOBER 03, 2016
bmkp_in_spec
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
114
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Miller, Don C, LPT
Gender: Male
NPI: 1356470157
201 E Central Texas Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Practice Information: No Patients Over 20
yrs old
Board Certifications: None
Language(s): American Sign, English,
Spanish
Harker Heights
HARKER HEIGHTS (cont.)
PHYSICAL THERAPY (cont.)
Handa, Atul, LPT
Gender: Male
NPI: 1760724413
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Harker Heights
Hasham, Laila H, LPT
Gender: Female
NPI: 1255748786
201 E Central Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
Jenkins, Jovanni, LPT
Gender: Male
NPI: 1265868574
201 E Central Texas Expwy
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Keeney, Jennifer R, LPT
Gender: Female
NPI: 1235487299
101B W Central Texas Expwy
Ste D
J (254) 630-1186
Clinic Affiliation: Cen Tex Rehabilitation
LLC
Board Certifications: None
Keeney, Kelly W, LPT
Gender: Male
NPI: 1841548856
101B W Central TX Expwy
Ste D
(254) 630-1186
Clinic Affiliation: Cen Tex Rehabilitation
LLC
Board Certifications: None
Harker Heights
Kelso, Emily R, LPT
Gender: Female
# NPI: 1871726216
560 E Central Texas
Expwy Ste 108
(254) 699-3933
Harker Heights
NPI: 1871726216
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Lockett, Nancy E, LPT
# NPI: 1184046682
201 E Central Expwy
Ste 645
J (888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
Mactal, Josefino M, LPT
Gender: Male
NPI: 1982738076
201 E Central Texas Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
Martinez, Sergio H, LPT
Gender: Male
NPI: 1992179758
560 E Central Texas
Expwy Ste 108
J (254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Urban, Travis, LPT
Gender: Male
NPI: 1043642390
201 E Central Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Harker Heights
Mitchell, Jeanice A, LPT
Gender: Female
# NPI: 1518941277
560 E Central Texas Expwy
Ste 108
(254) 699-3933
Harker Heights
Van Velzen, Reginald, LPT
Gender: Male
NPI: 1225308745
560 E Central Texas Expwy
Ste 108
J (254) 699-3933
Harker Heights
NPI: 1518941277
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Harker Heights
Harker Heights
Stavinoha, Nicole C, LPT
Gender: Female
# NPI: 1215162672
201 E Central Expwy
Ste 645
J (888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Harker Heights
Northington, Isabel, LPT
Gender: Female
# NPI: 1730388323
129 Wind Ridge Dr
(918) 919-8873
Clinic Affiliation: Bellah Therapies LLC
Board Certifications: None
Harker Heights
J
Walls, Levi, LPT
Gender: Male
# NPI: 1174999841
560 E Central Texas Expwy
Ste 108
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): American Sign, Spanish
Harker Heights
Pehr, Adam J, LPT
Gender: Male
# NPI: 1174642912
201 E Central Expwy
Ste 645
J (888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Harker Heights
Wilson, Kelli J, LPT
Gender: Female
NPI: 1104092782
560 E Central Texas
Expwy Ste 108
J (254) 699-3933
Harker Heights
Ramirez, Sarah P, LPT
Gender: Female
NPI: 1316130826
201 E Central Texas Expwy
Ste 645
J (254) 415-4850
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Language(s): English, Spanish
Harker Heights
#
J
Sides, Callie C, LPT
Gender: Female
NPI: 1578850533
201 E Central Texas Expwy
Ste 645
J (254) 415-4850
Clinic Affiliation: Concentra Medical
Centers
Practice Information: No Patients Under 12
yrs old
Board Certifications: None
Language(s): English, Spanish
Harker Heights
Singh, Tejinder, LPT
Gender: Female
# NPI: 1699063545
560 E Central Texas Expwy
Ste 108
(254) 699-3933
" Ledger, Harold A, DPM
Harker Heights
J
Graham, Patricia R, SLP
Gender: Female
# NPI: 1710099866
560 E Central Texas Expwy
Ste 108
J (254) 699-3933
Harker Heights
J
Smith, Anne M, LPT
Gender: Female
NPI: 1942459714
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Harker Heights
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1679556922
800 W Central TX Expwy
Ste 155
(254) 519-3668
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Ledger Foot & Ankle PA
Board Certifications: Podiatry
SPEECH PATHOLOGY
NPI: 1699063545
701 Indian Trail
Unit B
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Harker Heights
NPI: 1104092782
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
PODIATRY
Harker Heights
#
NPI: 1225308745
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
NPI: 1710099866
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
HARKER HEIGHTS
Mitchell, Kimberly M, SLP
Gender: Female
# NPI: 1265789937
560 E Central Texas Expwy
Ste 108
J (254) 699-3933
Hark er Heights
NPI: 1265789937
701 Indian Trail
Unit B
(866) 953-9425
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
J
Swafford, Jessica J, SLP
Gender: Female
# NPI: 1144344268
201 E Central Expwy
Ste 645
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certifications: None
Hark er Heights
Venhuizen, Karen J, SLP
Gender: Female
# NPI: 1306962337
560 E Central Texas
Expwy Ste 108
(254) 699-8100
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Hark er Heights
THERAPEUTIC OPTOMETRY
Carter, Valenta, OD
Gender: Female
NPI: 1275847345
300 E FM 2410
Ste 109
(254) 616-2020
Clinic Affiliation: Southern Eye Assoc PA
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): Spanish
Hark er Heights
#
Marten Ellis, Geronimo, OD
Gender: Male
# NPI: 1467538322
600 W Central Texas Expwy
J (254) 200-1010
Board Certifications: None
Language(s): German, Spanish
Hark er Heights
Sanders, Charles R, OD
Gender: Male
NPI: 1073576211
300 E FM 2410
Ste 109
J (254) 616-2020
Clinic Affiliation: Southern Eye Assoc PA
Board Certifications: None
Language(s): Spanish
Hark er Heights
Weaver, Mark A, OD
Gender: Male
NPI: 1033246343
2020 Heights Dr
J (254) 554-2020
Board Certifications: None
Hark er Heights
UROLOGY
" Morris Jr, Bernard D, MD
Hark er Heights
Gender: Male
NPI: 1598703720
800 W Central Texas Expwy
Ste 370
(254) 618-4320
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Lhp Texas MD Services
Inc
Board Certifications: Urology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
115
Specialists
HEARNE
HEARNE
CHIROPRACTIC
HUTTO
Johnson, Michael S, DC
Gender: Male
# NPI: 1215913967
211 E Franklin St Ste C
J (254) 580-0701
Board Certifications: None
Hillsboro
ANP/CERT/CLNP
Butuk, Regina M, APN
Gender: Female
NPI: 1114341260
709 Barton St
(979) 279-3451
Clinic Affiliation: Family Health Services
Board Certifications: None
Hearne
Clarke, Brenda K, APN
Gender: Female
NPI: 1164858767
709 Barton St
J (979) 279-3451
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
Hearne
OBSTETRICS-GYNECOLOGY
Field, Timothy E, MD
Gender: Male
NPI: 1457452195
709 Barton St
(979) 279-3451
Hospital Affiliations: East Texas Medical
Center Jacksonville
Clinic Affiliation: Family Health Services
Board Certifications: None
Language(s): Spanish
THERAPEUTIC OPTOMETRY
" Thompson, Craig R, MD
Gender: Male
NPI: 1457356594
1323 E Franklin St
Ste 101
(254) 580-9989
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Timberland Medical Group
Practice Information: No Patients Under 12
yrs old
Board Certifications: General Surgery
J
Johle, Sarah C, OD
Gender: Female
# NPI: 1326201450
401 Exhange Blvd
Bldg 1
(512) 846-1004
Clinic Affiliation: Hutto Family Eye Care
Board Certifications: None
Language(s): Spanish
Hutto
J
Gender: Male
NPI: 1336182310
1400 Franklin St
(254) 582-0282
Hospital Affiliations: Comanche County
Medical Ctr, Hamilton General Hospital, Hill
Regional Hospital, Hsps Providence
Memorial Campus, Providence Health
Center, Tx Hlth Harris Methodist Hosp
Clinic Affiliation: Bealka Neil M MD
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish
Kekahuna, Virginia H, OD
Gender: Female
NPI: 1073946638
401 Exchange Blvd
Bldg 1
(512) 846-1004
Clinic Affiliation: Hutto Family Eye Care
Board Certifications: None
J
" Cornell, Peter E, DPM
Gender: Male
NPI: 1235120866
1311 E Franklin St
(254) 582-7433
Hospital Affiliations: Baylor Scott White All
Saints Med, Hill Regional Hospital, Tx Hlth
Huguley Fort Worth South
Clinic Affiliation: Cornell Peter E DPM
Board Certifications: Podiatry
" Miller, Brian T, DO
Killeen
#
J
HUBBARD
CHIROPRACTIC
Freeman, Julie C, DC
Gender: Female
NPI: 1730119231
105 NE Second St
J (254) 576-2311
Board Certifications: None
Hubbard
Gender: Male
NPI: 1790882108
4204 E Stan Schlueter
Loop
(254) 690-2800
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
Gender: Female
NPI: 1447668637
2300 S Clear Creek Rd
Ste 101
(855) 963-4325
Clinic Affiliation: H Sprague Taveau IV DO
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Jay, Amelia S, APN
Killeen
Gender: Female
NPI: 1821327974
3800 S WS Young Dr
Ste 201
(254) 245-9175
Clinic Affiliation: Integrated Pain Assoc PA
Board Certifications: Anp/Cert/Clnp
Laird, Karen, APN
Gender: Female
NPI: 1609008655
2300 S Clear Creek Rd
Ste 105
J (877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Board Certifications: None
Language(s): American Sign, Spanish
Killeen
Killeen
" Henry, Anthony R, MD
Hillsboro
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
J
Killeen
PODIATRY
J
" Gibbs Stiles, Joella R, APN
Killeen
KILLEEN
Gender: Male
NPI: 1245232487
4204 E Stan
Schlueter Loop
(254) 690-2800
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton Medical
Ctr Williamson, Seton Northwest Hospital, St
Davids Georgetown Hospital
Clinic Affiliation: Allergy and Asthma of
Central Texas
Board Certifications: Allergy-Immunology
Language(s): Spanish
Cole, Shanekia, APN
Gender: Female
NPI: 1558419226
502 W Jasper Dr
(254) 526-6300
Clinic Affiliation: Killeen Medical Clinic PA
Board Certifications: None
Dedrick Jr, Jesse L, APN
Gender: Male
NPI: 1609281591
3800 S W S Young Dr
Ste 201
J (254) 245-9175
Clinic Affiliation: Integrated Pain Assoc PA
Board Certifications: None
ALLERGY-IMMUNOLOGY
#
Cobb, Martha, APN
Gender: Female
NPI: 1679673461
2301 S Clear Creek Rd
Ste 216
(254) 519-8885
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Killeen
Hutto
" Bealka Jr, Neil M, MD
Gender: Male
NPI: 1003812595
101 Circle Dr
(254) 751-1144
NPI: 1003812595
1323 E Franklin St
Ste 103
(800) 988-6211
Hospital Affiliations: Hill Regional Hospital,
Providence Health Center
Clinic Affiliation: Allergy and Asthma
Center
Board Certifications: Allergy-Immunology
Language(s): Hindi, Spanish
Hensley, Sean, OD
Gender: Male
# NPI: 1669706495
123 Ed Schmidt Blvd 200
J (512) 846-2074
Board Certifications: None
#
Hutto
Hillsboro
Hillsboro
J
Hutto
OPHTHALMOLOGY
ALLERGY-IMMUNOLOGY
" Amar, Niran J, MD
Gender: Male
NPI: 1164679627
1323 E Franklin St
Ste 101
(254) 580-9989
Hospital Affiliations: Hill Regional Hospital
Clinic Affiliation: Timberland Medical Group
Board Certifications: General Surgery
Language(s): Spanish
Hillsboro
" Bragg, Larry M, MD
HILLSBORO
PHYSICAL THERAPY
" Alexander Jr, Richard A, MD
Hillsboro
Hico
Gender: Male
NPI: 1649278466
104 Walnut St
(254) 796-4224
Hospital Affiliations: Comanche County
Medical Ctr, Eastland Memorial Hospital,
Hamilton General Hospital, Lake Granbury
Medical Center, Tx Hlth Harris Methodist
Hosp
Clinic Affiliation: Hamilton General Hospital
Board Certifications: General Surgery
Language(s): Spanish
Gender: Male
NPI: 1639163298
1323 E Franklin St
Ste 103
(254) 537-1265
Clinic Affiliation: Epiphany Dermatology PA
Board Certifications: Dermatology
Language(s): Romanian, Spanish
GENERAL SURGERY
ANP/CERT/CLNP
GENERAL SURGERY
Foster Boldt, Rachel T, OT
Gender: Female
NPI: 1316918907
101 Park St
J (512) 846-2266
Clinic Affiliation: Hutto Therapy Center
Board Certifications: None
Hutto
Thompson, Michael A, LPT
Gender: Male
NPI: 1184695769
101 Park St
J (512) 846-2266
Clinic Affiliation: Hutto Therapy Center
Board Certifications: None
J
Killeen
OCCUPATIONAL THERAPY
" Dunn, Cary L, MD
HICO
Esquibel, Arlene E, APN
Gender: Female
NPI: 1386764421
104 S Walnut St
(254) 784-4224
Clinic Affiliation: Hamilton General Hospital
Board Certifications: None
Knight, Todd D, DC
Gender: Male
NPI: 1922049972
409 W Front St Ste 208
(512) 759-2225
Clinic Affiliation: Legend Chiropractic PC
Board Certifications: None
#
Hillsboro
Hewitt
Hico
Hutto
DERMATOLOGY
HEWITT
Martin, William R, DC
Gender: Male
NPI: 1225149248
108 Jim Dr
J (254) 315-1109
Board Certifications: None
Killeen
Pritchett, Gary L, DC
Gender: Male
NPI: 1023122504
1313 E Franklin St
J (254) 582-8475
Clinic Affiliation: Hill County Medical
Center
Board Certifications: None
Language(s): Spanish
J
ANP/CERT/CLNP
CHIROPRACTIC
Hillsboro
Hearne
CHIROPRACTIC
OCTOBER 03, 2016
bmkp_in_spec
Killeen
Killeen
Morgan, Larisa L, APN
Gender: Female
NPI: 1831397587
2300 S Clear Creek
Ste 105
(877) 800-5722
Clinic Affiliation: Lone Star Circle of Care
Practice Information: No Patients Over 18
yrs old
Board Certifications: None
Language(s): American Sign
Quick, Ashlee, APN
Gender: Female
NPI: 1245668318
3800 S W S Young Dr
Ste 201
(254) 245-9175
Clinic Affiliation: Integrated Pain Assoc PA
Board Certifications: None
Sieber, Karen L, APN
Gender: Female
NPI: 1790876795
2300 S Clear Creek Rd
Ste 103
(254) 519-1900
NPI: 1790876795
2301 S Clear Creek Rd
Ste 204
(254) 519-1313
Clinic Affiliation: Precision Medical Group
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
116
OCTOBER 03, 2016
bmk_pin_spec
Specialists
Isdale, Scott E, DC
Gender: Male
NPI: 1073535068
1201 Winkler Ave
J (254) 699-4004
Clinic Affiliation: Isdale Chiropractic Clinic
Board Certifications: None
Taveau IV, Horatio S, DO
Gender: Male
NPI: 1366632580
2300 S Clear Creek Rd
Ste 101
J (254) 634-4325
Hospital Affiliations: Abilene Regional
Medical Center, Baptist St Anthonys Health
System, Christus Spohn Hospital Beeville,
Christus Spohn Hospital Kleberg
Clinic Affiliation: H Sprague Taveau IV DO
Board Certifications: None
Language(s): Spanish
Killeen
KILLEEN (cont.)
ANP/CERT/CLNP (cont.)
" Strawser, Krista L, APN
Killeen
Gender: Female
NPI: 1154674406
3800 S WS Young Dr
Ste 201
(254) 245-9175
Clinic Affiliation: Integrated Pain Assoc PA
Board Certifications: Anp/Cert/Clnp
J
" Webb, Donald D, APN
Killeen
Gender: Male
NPI: 1194730499
2300 S Clear Creek Rd
Ste 103
(254) 519-1900
NPI: 1194730499
2301 S Clear Creek Rd
Ste 204
(254) 519-1313
Clinic Affiliation: Precision Medical Group
Board Certifications: Anp/Cert/Clnp
AUDIOLOGY
Comstock, Cathryn L, AUDIO
Gender: Female
NPI: 1902930274
2806 S W S Young Dr Ste C
J (254) 680-3444
Clinic Affiliation: American Hearing Center
Board Certifications: None
Language(s): Abkhazian, American Sign,
Sign Language
Killeen
CARDIOVASCULAR DISEASE
Isdale, Shawn E, DC
Gender: Male
NPI: 1033133582
1201 Winkler Ave
J (254) 699-4004
Clinic Affiliation: Isdale Chiropractic Clinic
Board Certifications: None
Killeen
Mordecai, Micah B, DC
Gender: Male
NPI: 1124188602
4200 E Stan Schlueter
Loop Ste E
J (254) 680-4357
Board Certifications: None
Language(s): Spanish
" Rebecca, George S, MD
CHIROPRACTIC
Bryant, Jessica D, DC
Gender: Female
NPI: 1073791968
1201 Winkler Ave
J (254) 699-4004
Clinic Affiliation: Isdale Chiropractic Clinic
Board Certifications: None
Carlson, Dennis C, DC
Gender: Male
NPI: 1700073467
1010 W Jasper Dr
Ste 2
J (254) 526-6151
Clinic Affiliation: Affordable Chiropractic
Clinic
Board Certifications: None
Language(s): Spanish
" Einspanier Jr, Glennon R, DO
Killeen
Gender: Male
NPI: 1144219015
2300 S Clear Creek Rd
Ste 101
(855) 963-4325
Hospital Affiliations: Abilene Regional
Medical Center, Palestine Regional Medical
Center, Seton Medical Ctr Harker Heights
Clinic Affiliation: H Sprague Taveau IV DO
Board Certifications: General Surgery
Language(s): Spanish
Vaughn, Michael R, DC
Gender: Male
NPI: 1619281524
2206 E Central TX Expwy
(254) 213-5111
NPI: 1619281524
3106 W WS Young Dr
Bldg D Ste 402
(254) 213-5111
Clinic Affiliation: Union Treatment Centers,
Utc Health and Rehab Killeen
Board Certifications: None
Language(s): Spanish
Killeen
" Dunn, Cary L, MD
Gender: Male
NPI: 1639163298
2405 S Clear Creek Rd
Ste 104
(254) 432-8330
Clinic Affiliation: Epiphany Dermatology PA
Board Certifications: Dermatology
Language(s): Romanian, Spanish
Killeen
Vancura, Ryan W, MD
Gender: Male
NPI: 1386840940
2201 S Clear Creek Rd
(254) 519-8998
Clinic Affiliation: Diagnostic Radiology
Special
Board Certifications: None
Language(s): Spanish
Gohl, Monty L, MD
Gender: Male
NPI: 1376541219
2300 S Clear Creek Rd
Ste 203
(254) 634-3698
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Language(s): Spanish
" Jeanette II, Joseph P, DO
Killeen
Gender: Male
NPI: 1881738649
2207 S Clear Creek Rd
Ste 203
(254) 519-8901
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: General Surgery
DIAGNOSTIC RADIOLOGY
Killeen
" McLaughlin, Daniel, MD
Killeen
Gender: Male
NPI: 1689693442
2207 S Clear Creek Rd
Ste 203
(254) 519-8901
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: General Surgery
FAMILY PRACTICE
" Lincoln, Katherine A, DO
Killeen
Clark, Jaymond R, DC
Gender: Male
NPI: 1023359155
2206 E Central TX Expwy
J (254) 213-5111
Clinic Affiliation: Utc Health and Rehab
Killeen
Board Certifications: None
Killeen
Killeen
GENERAL SURGERY
Killeen
Killeen
#
Gender: Male
NPI: 1285619205
2301 S Clear Creek Rd
Ste 102
(254) 519-8490
Hospital Affiliations: University Of Texas
Health Center At Tyler
Clinic Affiliation: Killeen Digestive Disease
Consult
Board Certifications: Gastroenterology
Language(s): Chinese, English
DERMATOLOGY
J
Gates, Joshua E, DC
Gender: Male
NPI: 1386720332
1010 W Jasper Dr
Ste 2
(254) 526-6151
Clinic Affiliation: Affordable Chiropractic
Clinic
Board Certifications: None
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Killeen
" Zhao, Xiaotuan, MD
Roach, Todd Y, DC
Gender: Male
# NPI: 1922141373
1509 W Stan Schlueter
Loop
J (254) 680-7774
Board Certifications: None
Language(s): Spanish
#
Gender: Female
NPI: 1861402455
2207 S Clear Creek Rd
Ste 303
(254) 634-0754
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications:
Obstetrics-Gynecology
Language(s): Hindi
Killeen
Killeen
Killeen
" Rishi, Alka S, MD
Killeen
GASTROENTEROLOGY
Killeen
Killeen
Gender: Male
NPI: 1730161860
4200 W Stan Schlueter
Loop Bldg C
(254) 526-9766
Hospital Affiliations: North Austin Medical
Center, St Davids Georgetown Hospital, St
Davids Medical Center
Clinic Affiliation: Cardiovascular
Consultants Center
Board Certifications: Cardiovascular
Disease
Killeen
KILLEEN
Gender: Female
NPI: 1669538963
2300 S Clear Creek Rd
Ste 101
(855) 963-4325
Hospital Affiliations: Baptist Health
System, Seton Medical Ctr Harker Heights
Clinic Affiliation: H Sprague Taveau IV DO
Board Certifications: Family Practice
Language(s): Spanish
OBSTETRICS-GYNECOLOGY
" Kemper, Ed P, MD
Killeen
J
Gender: Male
NPI: 1932170602
2207 S Clear Creek Rd
Ste 201
(254) 526-9939
Clinic Affiliation: Ed P Kemper MD
Board Certifications:
Obstetrics-Gynecology
Louis, William G, MD
Gender: Male
NPI: 1396852448
2301 S Clear Creek Rd 220
J (254) 634-1500
Board Certifications: None
Language(s): English, Spanish
Killeen
Romero, Arturo, MD
Gender: Male
NPI: 1275536781
2301 S Clear Creek Rd
Ste 208
(254) 519-8907
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Language(s): Spanish
OCCUPATIONAL THERAPY
Amrhein, Shea L, OT
Gender: Female
# NPI: 1104267467
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Killeen
Cantu, Cynthya J, OT
Gender: Female
NPI: 1689034696
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Clickener, Jessica, OT
Gender: Female
NPI: 1740403385
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
#
Killeen
Cobb, Yana, OT
Gender: Female
NPI: 1134589997
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
#
Coe, Jenna L, OT
Gender: Female
# NPI: 1568780989
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Duckworth, Leah, OT
Gender: Female
# NPI: 1538550652
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Killeen
Fanelli, Caitlin A, OT
Gender: Female
NPI: 1477823623
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
#
Killeen
Featherston, Brandi L, OT
Gender: Female
NPI: 1114366283
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
#
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
117
Specialists
KILLEEN
Killeen
KILLEEN (cont.)
OCCUPATIONAL THERAPY (cont.)
Killeen
Gayer, Robin A, OT
Gender: Female
NPI: 1538446042
1102 Winkler Ave
(212) 925-8069
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Henderson Schneider, Julie L, OT
Gender: Female
# NPI: 1255527941
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Kelley, Kayla R, OT
Gender: Female
# NPI: 1477815470
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
#
Patel, Binita P, OT
Gender: Female
NPI: 1154783231
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Pearson, Rebecca, OT
Gender: Female
NPI: 1245616218
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Provost-Danner, Susan M, OT
Gender: Female
# NPI: 1568659290
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Gender: Male
NPI: 1609024371
3800 S WS Young Dr
Ste 201
(254) 245-9175
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Integrated Pain Assoc PA
Board Certifications: Pain Management
Marten Ellis, Gerard L, MD
Gender: Male
NPI: 1679545487
2301 S Clear Creek Rd
Ste 116
J (254) 526-5505
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Board Certifications: None
Language(s): Spanish
Killeen
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
3816 S Clear Creek Rd
Ste E
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Killeen
ORTHOPEDIC SURGERY
" Beal, Terry J, MD
Killeen
Gender: Male
NPI: 1023090024
2117 S Clear Creek Rd
(254) 526-0188
Clinic Affiliation: Central Texas
Orthopaedic Clinic
Board Certifications: Orthopedic Surgery
Language(s): Spanish
J
Gender: Male
NPI: 1902142870
2300 S Clear Creek Rd
Ste 103
(254) 519-1900
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Orthopedic Surgery
" Lewis, Rory H, MD
Killeen
J
J
" Mandyam, Srinand A, MD
Killeen
Marsh III, William S, DO
Gender: Male
NPI: 1730162827
2300 S Clear Creek Rd
Ste 103
J (254) 519-1900
Killeen
" Rishi, Shrikant K, MD
Killeen
Gender: Male
NPI: 1598775017
2207 S Clear Creek Rd
Ste 303
(254) 634-0145
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: Otolaryngology
Language(s): Hindi
J
PAIN MANAGEMENT
Killeen
#
Killeen
Scanlon, Adrianne B, OT
Gender: Female
# NPI: 1134369804
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1659399871
3400 E Central Texas
Expwy Ste 101
(512) 244-4272
Hospital Affiliations: Providence Health
Center, Seton Medical Center, St Davids
Medical Center
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): American Sign, Spanish
Gender: Male
NPI: 1306162037
3400 E Central Texas Expwy
Ste 101
(512) 244-4272
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): German
Gender: Male
NPI: 1548213267
2300 S Clear Creek
Rd Ste 203
(254) 634-2857
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: Orthopedic Surgery
Language(s): Spanish
OTOLARYNGOLOGY
Killeen
J
NPI: 1730162827
2301 S Clear Creek Rd
Ste 204
(254) 519-1313
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
3816 S Clear Creek Rd
Ste E
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
Killeen
Dennis, Allen L, MD
Gender: Male
NPI: 1912044793
3400 E Central Texas
Expwy Ste 101
(512) 244-4272
Hospital Affiliations: North Austin Medical
Center
Clinic Affiliation: Mark T Malone MD
Board Certifications: None
Goentzel, Brian J, MD
Gender: Male
NPI: 1194959692
3800 S W S Young Dr
Ste 201
(254) 245-9175
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Integrated Pain Assoc PA
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Killeen
Michaud, Ryan F, MD
Gender: Male
NPI: 1801935895
3400 E Central Texas Expwy
Ste 101
(512) 244-4272
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Ctr
Williamson, St Davids S Austin Medical
Center, Surgicare Of South Austin,
University Med Ctr Brackenridge
Clinic Affiliation: Mark T Malone MD
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1629303490
3400 E Central Texas Expwy
Ste 101
(512) 244-4272
Clinic Affiliation: Mark T Malone MD
Board Certifications: Pain Management
Language(s): Spanish
PHYSICAL MEDICINE &
REHABILITATION
" Marsh III, William S, DO
Killeen
J
J
" Malone, Mark T, MD
" Hansen III, Robert H, MD
#
" Nawaz, Asad, MD
Killeen
Killeen
Killeen
Killeen
Renaud, Tamara L, OT
Gender: Female
NPI: 1154422699
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
OPHTHALMOLOGY
Killeen
Killeen
" Lowry, Benjamin P, MD
Shiramizu, Melissa R, OT
Gender: Female
NPI: 1801936166
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Killeen
Lindberg, Tiffany A, OT
Gender: Female
# NPI: 1649519281
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1730162827
2300 S Clear Creek Rd
Ste 103
(254) 519-1900
NPI: 1730162827
2301 S Clear Creek Rd
Ste 204
(254) 519-1313
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Precision Medical Group
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
PHYSICAL THERAPY
Alcon, Jennifer M, LPT
Gender: Female
NPI: 1841615168
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
#
Barr, Kelly, LPT
Gender: Female
# NPI: 1528115177
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Spanish
Killeen
Killeen
#
Bui, Martin D, LPT
Gender: Male
NPI: 1023474129
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Flores, Maria L, LPT
Gender: Female
# NPI: 1730236134
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Handa, Atul, LPT
Gender: Male
# NPI: 1760724413
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Killeen
Howard, Ehren G, LPT
Gender: Male
# NPI: 1871758094
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
118
OCTOBER 03, 2016
bmk_pin_spec
Killeen
KILLEEN (cont.)
PHYSICAL THERAPY (cont.)
Kendall, Pamela S, LPT
Gender: Female
NPI: 1548664691
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
#
Killeen
Killeen
Kloss, Veronica R, LPT
Gender: Female
NPI: 1801243308
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Licht, Bethany K, LPT
Gender: Female
NPI: 1659507648
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Martinez, Sergio H, LPT
Gender: Male
NPI: 1992179758
5302 Janelle Dr
J (254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Killeen
Killeen
Killeen
Northington, Isabel, LPT
Gender: Female
NPI: 1730388323
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Palpmino, Kamylle, LPT
Gender: Female
NPI: 1508233628
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign
Potts, Doris F, LPT
Gender: Female
# NPI: 1578782843
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Richter, Samantha J, LPT
Gender: Male
# NPI: 1144639345
5302 Janelle Dr
J (254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Killeen
Specialists
" Madden, Thomas W, DPM
Soni, Sejal S, LPT
Gender: Female
NPI: 1629164264
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Hindi, Spanish
Killeen
J
Stepp, Ashleigh N, LPT
Gender: Female
# NPI: 1558619791
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Killeen
Tabobo, Aileen C, LPT
Gender: Female
# NPI: 1902113848
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Van Velzen, Reginald, LPT
Gender: Male
# NPI: 1225308745
5302 Janelle Dr
J (254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Rediske, William R, DPM
Gender: Male
# NPI: 1134286024
2300 S Clear Creek Rd
Ste 203
(254) 634-2857
Clinic Affiliation: Metroplex Clinic
Physicians Inc
Board Certifications: None
Killeen
RHEUMATOLOGY
" Ahmed, Mohammed A, MD
Killeen
Gender: Male
NPI: 1538443791
3400 E Central Texas
Expwy Ste 101
(512) 244-4272
Hospital Affiliations: North Austin Medical
Center, Seton Medical Ctr Williamson
Clinic Affiliation: Mark T Malone MD
Board Certifications: Rheumatology
Killeen
Killeen
SLEEP MEDICINE
" Morales, Freddie, MD
Killeen
Wahl, Chelsea M, LPT
Gender: Female
NPI: 1699175778
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
J
Webb, Amanda, LPT
Gender: Female
# NPI: 1528461860
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Wei, Li Hsing, LPT
Gender: Male
# NPI: 1477925022
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): American Sign, Mandarin,
Spanish
Killeen
Sitton, Leslie D, LPT
Gender: Female
# NPI: 1831244979
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): German, Spanish
Killeen
Smith, Anne M, LPT
Gender: Female
# NPI: 1942459714
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Language(s): Spanish
Killeen
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1235169640
2301 S Clear Creek Rd
Ste 126
(254) 554-3003
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Pulmonary Diseases
Andinternal Medicine Clinic
Board Certifications: Sleep Medicine
Language(s): Spanish
SPEECH PATHOLOGY
Killeen
Allen, Megan L, SLP
Gender: Female
NPI: 1154692440
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Ballard, Shelley L, SLP
Gender: Female
# NPI: 1902191430
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Comstock, Cathryn L, AUDIO
Gender: Female
NPI: 1902930274
2806 S W S Young Dr Ste C
J (254) 680-3444
Clinic Affiliation: American Hearing Center
Board Certifications: None
Language(s): Abkhazian, American Sign,
Sign Language
Hunter Jr, Roderick C, DPM
Gender: Male
NPI: 1811128051
2300 S Clear Creek Rd
Ste 101
(512) 519-3338
Franken, Kimberly, SLP
Gender: Female
# NPI: 1487923041
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Golden, Kristin M, SP
Gender: Female
NPI: 1801943451
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): German, Spanish
Killeen
#
Hobbs, Michelle L, SLP
Gender: Female
# NPI: 1447483912
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Krattiger, Alison, SLP
Gender: Female
# NPI: 1164825873
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Larson, Ann-Marie E, SLP
Gender: Female
# NPI: 1174898209
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign
Killeen
" Legg, Jaimee M, SLP
Killeen
Gender: Female
NPI: 1437546942
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: Speech Pathology
Language(s): Spanish
Killeen
Killeen
PODIATRY
Killeen
Gender: Male
NPI: 1265523138
2207 S Clear Creek Rd
Ste 205
(254) 634-3668
Hospital Affiliations: Seton Medical Center
Board Certifications: Podiatry
Language(s): Spanish
KILLEEN
Easter, Laura M, SLP
Gender: Female
# NPI: 1326335449
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Malone, Lorie P, SP
Gender: Female
NPI: 1366681322
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Spanish
Killeen
#
Killeen
Killeen
NPI: 1811128051
2300 S Clear Creek Rd
Ste 103
(512) 519-3338
NPI: 1811128051
2301 S Clear Creek Rd
Ste 204
(254) 519-1313
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Precision Medical Group
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Killeen
Fowler, Rebbecca, SLP
Gender: Female
NPI: 1760731509
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Spanish
Killeen
Matos, Megan M, SLP
Gender: Female
NPI: 1770863730
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): Spanish
Pohanka-Kalama, Lori A, SLP
Gender: Female
NPI: 1134467434
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
119
Specialists
KILLEEN
" Hong, Mauricio F, MD
Lucas, Thomas A, OD
Gender: Male
# NPI: 1356369458
2102 S W S Young Dr
(254) 690-4733
Clinic Affiliation: First Eye Care Killeen
Board Certifications: None
Language(s): Spanish
Killeen
KILLEEN (cont.)
SPEECH PATHOLOGY (cont.)
Killeen
Powell, Lynne S, SLP
Gender: Female
NPI: 1891124707
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Russell, Stacy E, SLP
Gender: Female
# NPI: 1689979338
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Singleton, Pamela D, SLP
Gender: Female
# NPI: 1063762771
1102 Winkler Ave
(254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
Killeen
Killeen
Venhuizen, Karen J, SLP
Gender: Female
NPI: 1306962337
5302 Janelle Dr
(254) 699-3933
Clinic Affiliation: Ir Rehab PC
Board Certifications: None
Wild, Kendall, SLP
Gender: Female
# NPI: 1922431907
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
CARDIAC THORACIC SURGERY
Felger, Mark C, MD
Gender: Male
# NPI: 1770507030
5103 Kyle Center Dr
Ste 104
J (210) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Kyle
KINGSLAND
CHIROPRACTIC
Scott, Shawn R, DC
Gender: Male
NPI: 1942330360
443 RR 1431
J (325) 388-2969
Clinic Affiliation: Central Texas Chiropractic
and Rehabilitation
Board Certifications: None
Language(s): Spanish
Kingsland
CARDIOVASCULAR DISEASE
" Cauthen, Clay A, MD
Davis, Jim L, OD
Gender: Male
# NPI: 1811984438
3213 E Central Texas Expwy
Ste 100B
J (254) 200-0711
Board Certifications: None
Language(s): Spanish, Vietnamese
Deapen, John D, OD
Gender: Male
# NPI: 1679596837
1106 S W S Young
J (254) 690-1000
Board Certifications: None
Language(s): Korean, Thai
Shaikh, Kamran A, MD
Gender: Male
NPI: 1457562274
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Internal Medicine
Language(s): Spanish
" Watkins, Michael G, MD
Kyle
Gender: Male
NPI: 1558323733
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Medical Center,
St Davids S Austin Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
CHIROPRACTIC
Kyle
KYLE
Gender: Male
NPI: 1730396862
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
ANP/CERT/CLNP
Kyle
Berdofe, Katherine L, APN
NPI: 1568621951
1180 Seton Pkwy
Ste 340
(512) 504-0851
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
" Bowden, Emily D, APN
Kyle
Gender: Female
NPI: 1750799466
135 Bunton Creek Rd
Ste 302
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc
Board Certifications: Anp/Cert/Clnp
" Heinzman, Kristopher M, MD
Kyle
Gender: Male
NPI: 1669640892
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
" Price, Tiphany R, APN
Kyle
J
Gender: Female
NPI: 1144597402
1180 Seton Pkwy
Ste 450
(512) 504-0860
Clinic Affiliation: Seton Heart Institute
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Samuel, Anna R, APN
Kyle
Killeen
Kyle
Gender: Male
NPI: 1073710067
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiac
Electrophysiology
Language(s): Spanish
Moses, Michael J, OD
Gender: Male
# NPI: 1477629814
4104 E Stan Schlueter
Loop Ste 6
J (254) 690-8999
Board Certifications: None
Killeen
THERAPEUTIC OPTOMETRY
Kyle
Killeen
Killeen
Zeh, Heather L, SLP
Gender: Female
# NPI: 1295169266
1102 Winkler Ave
J (254) 634-8505
Clinic Affiliation: Kid Z Therapeze
Board Certifications: None
Language(s): American Sign, German,
Hindi, Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Female
NPI: 1639312671
1180 Seton Pkwy
Ste 450
(512) 504-0860
Clinic Affiliation: Seton Heart Institute
Practice Information: No Patients Under 16
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Killeen
" Mehta, Sachin, MD
Kyle
Gender: Male
NPI: 1295970820
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
CARDIAC ELECTROPHYSIOLOGY
Kyle
Irizarry, Juanita, OD
Gender: Female
# NPI: 1437487543
2806 S W S Young Dr
Ste A
J (254) 634-4800
Clinic Affiliation: Temple Optometrist PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
Killeen
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Heinzman, Kristopher M, MD
Gender: Male
NPI: 1669640892
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: College Station
Medical Center, Providence Health Center,
Seton Edgar B Davis, Seton Highland Lakes,
Seton Medical Center, Seton Medical Center
Hays, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
" Mingea III, Robert M, MD
Browning, Ryan M, DC
Gender: Male
# NPI: 1346570967
187A Kirkham Cir
J (512) 405-0400
Clinic Affiliation: Browning Family Chiro
and Wellnes
Board Certifications: None
Language(s): Portuguese, Spanish
Kyle
Devries, Eric T, DC
Gender: Male
# NPI: 1326105420
187A Kirkham Circle
J (512) 405-0400
Clinic Affiliation: Devries Family
Chiropractic
Board Certifications: None
Language(s): Spanish
Kyle
Devries, Wendy A, DC
Gender: Female
# NPI: 1508923608
187A Kirkham
J (512) 405-0400
Clinic Affiliation: Devries Family
Chiropractic
Board Certifications: None
Language(s): Spanish
* Leaving Network: 2016-11-01
Kyle
Guerrero, Richard, DC
Gender: Male
# NPI: 1164647996
1101 E FM 150
(512) 262-0184
Board Certifications: None
Language(s): Spanish
Kyle
DERMATOLOGY
" Ahmed, Ammar, MD
Kyle
Kyle
Gender: Male
NPI: 1093798944
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Edgar B Davis,
Seton Highland Lakes, Seton Medical
Center, Seton Medical Center Hays, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
J
Gender: Male
NPI: 1245421429
5103 Kyle Center
Ste 104
(512) 504-0855
NPI: 1245421429
5103 Kyle Center Dr
Ste 108
(512) 504-0873
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Dermatology
Language(s): English, Spanish, Urdu
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
120
OCTOBER 03, 2016
KYLE (cont.)
bmk_pin_spec
Specialists
GENERAL SURGERY
INFECTIOUS DISEASES
Church, Phillip J, MD
Gender: Male
# NPI: 1386651206
5103 Kyle Center Dr
Ste 104
J (512) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Kyle
DERMATOLOGY (cont.)
" Diven, Dayna G, MD
Kyle
Gender: Female
NPI: 1740214675
5103 Kyle Center Dr
(512) 504-0857
J
NPI: 1740214675
5103 Kyle Center Dr
Ste 104
(512) 504-0851
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Univ Of Tx Med Branch Galveston,
University Med Ctr Brackenridge
Clinic Affiliation: Communitycare,
University Physicians Group
Board Certifications: Dermatology
Language(s): Spanish
" Mohiuddin, Syed S, DO
Kyle
J
" Evans, Colby C, MD
Kyle
J
Gender: Male
NPI: 1588766810
20871 IH 35
Ste 200
(512) 280-3939
Hospital Affiliations: Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
Language(s): Spanish
Kyle
" Pena Robichaux, Venessa, MD
Kyle
Gender: Female
NPI: 1851611164
20871 IH 35
Ste 200
(512) 280-3939
J
NPI: 1851611164
20871 IH35 Ste 200
(512) 280-3939
Clinic Affiliation: Dermatology Assoc of
Tyler, Evans Dermatology Partners
Board Certifications: Dermatology
McCurdy, Matthew R, MD
Gender: Male
NPI: 1003068347
1180 Seton Pkwy
Ste 150
(512) 505-5500
Clinic Affiliation: Austin Cancer Centers
Board Certifications: None
ENDOCRINOLOGY, DIABETES &
METABOLISM
" Taylor, Steven A, MD
Kyle
Gender: Male
NPI: 1912052812
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Seton Medical Center
Hays, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Endocrinology,
Diabetes & Metabolism
Language(s): Spanish
Wenzel, Marc E, MD
Gender: Male
NPI: 1265709315
5103 Kyle Center Dr
Ste 104
J (512) 504-0855
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): American Sign, Spanish
Kyle
Truumees, Eeric, MD
Gender: Male
NPI: 1356322630
5103 Kyle Center Dr
Ste 103
(512) 324-3580
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Kyle
Gender: Male
NPI: 1164625760
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Heart Institute
Board Certifications: Interventional
Cardiology
" Weeratunge, Chamalee N, MD
Gender: Female
NPI: 1245274026
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Christus Santa Rosa
New Braunfels, Seton Medical Center Hays,
Seton Medical Ctr Williamson
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Infectious Diseases,
Internal Medicine
Language(s): Abkhazian, Afar, Afrikaans,
Albanian, Amharic
NEUROLOGY
" Manchanda, Neeraj, MD
Kyle
Gender: Male
NPI: 1790711976
1180 Seton Pkwy
Ste 300
(512) 551-0846
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Center Hays, Seton
Medical Ctr Williamson, Seton Northwest
Hospital
Clinic Affiliation: Kohinoor Medical Assoc
PA
Board Certifications: Neurology
Language(s): Hindi
INTERNAL MEDICINE
" Mallik, Alka, MD
Kyle
J
Gender: Female
NPI: 1215146386
5103 Kyle Center Dr
Ste 104
(512) 504-5000
Hospital Affiliations: Seton Medical Center
Hays, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
" Misra, Lotika R, MD
Kyle
Gender: Female
NPI: 1487850046
5103 Kyle Center Dr
Ste 104
(512) 324-3540
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Valley Baptist
Medical Center
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
" Shaikh, Kamran A, MD
Kyle
Gender: Male
NPI: 1457562274
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Edgar B Davis, Seton
Highland Lakes, Seton Medical Center,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Northwest Hospital,
Seton Smithville Reg Hospital, Seton
Southwest, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Internal Medicine
Language(s): Spanish
Uyeki, James V, MD
Gender: Male
NPI: 1124187927
211 Elmhurst Ste A
(512) 268-5383
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Mallik, Alka, MD
Gender: Female
NPI: 1215146386
5103 Kyle Center Dr
Ste 104
J (512) 504-5000
Hospital Affiliations: Seton Medical Center
Hays, University Med Ctr Brackenridge
Clinic Affiliation: University Physicians
Group
Board Certifications: Internal Medicine
Gender: Male
NPI: 1164682381
5103 Kyle Center Dr
Ste 103
(512) 324-3540
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Heart Institute
Board Certifications: Neurology
" Weeratunge, Chamalee N, MD
Gender: Female
NPI: 1245274026
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Christus Santa Rosa
New Braunfels, Seton Medical Center Hays,
Seton Medical Ctr Williamson
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Infectious Diseases,
Internal Medicine
Language(s): Abkhazian, Afar, Afrikaans,
Albanian, Amharic
Kyle
Smith, Jason L, MD
Gender: Male
NPI: 1114137064
211 Elmhurst Dr
Ste A
J (512) 268-5383
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
" Morton, Johanna L, MD
Kyle
Kyle
HEMATOLOGY-ONCOLOGY
" Mukundan, Lakshmi, MD
Kyle
J
" Wenzel, Marc E, MD
Kyle
J
Kyle
Gender: Male
NPI: 1265709315
5103 Kyle Center Dr
Ste 104
(512) 504-0855
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Internal Medicine
Language(s): American Sign, Spanish
INTERVENTIONAL CARDIOLOGY
" Krishna, Vamsi S, MD
Kyle
Wright, Jennifer A, MD
Gender: Female
NPI: 1568624831
211 Elmhurst Ste A
J (512) 258-5383
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Kyle
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Monteleone, Peter P, MD
Kyle
Kyle
HEMATOLOGY
DIAGNOSTIC RADIOLOGY
Kyle
Gender: Male
NPI: 1568664670
1180 Seton Pkwy
Ste 270
(512) 268-0800
Hospital Affiliations: Baptist Health
System, Seton Medical Center
Clinic Affiliation: Texas Laparoendoscopic
Surgery Pl
Board Certifications: General Surgery
Language(s): Spanish
KYLE
Gender: Male
NPI: 1891930863
1180 Seton Pkwy
Ste 450
(512) 504-0860
Hospital Affiliations: Healthsouth
Rehabilitation Hospit
Clinic Affiliation: Seton Heart Institute
Board Certifications: Interventional
Cardiology
Gender: Female
NPI: 1619137015
1180 Seton Pkwy
Ste 300
(512) 551-0846
Clinic Affiliation: Kohinoor Medical Assoc
PA
Practice Information: No Patients Under 15
yrs old
Board Certifications: Neurology
Language(s): Spanish, Tamil
OBSTETRICS-GYNECOLOGY
Kyle
Bosco, Jason J, MD
Gender: Male
NPI: 1285610865
1180 Seton Pkwy
Ste 340
(512) 504-0851
NPI: 1285610865
2810 Dacy Ln
(512) 268-8900
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communicare Health
Centers, Seton Family of Doctors
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
121
Specialists
KYLE
KYLE (cont.)
ONCOLOGY
" Onan, Marsha H, MD
Kyle
Gender: Female
NPI: 1376545186
1180 Seton Pkwy
Ste 200
(512) 324-0319
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
North Austin Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Spanish
" Goodgame, Boone, MD
Kyle
OBSTETRICS-GYNECOLOGY (cont.)
Gender: Male
NPI: 1649487570
1180 Seton Pkwy
Ste 150
(512) 504-0865
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Oncology
Language(s): Spanish
" Goss, Jennifer S, MD
Kyle
Gender: Female
NPI: 1710180906
1180 Seton Pkwy
Ste 340
(512) 504-0851
NPI: 1710180906
2810 Dacy Ln
(512) 268-8900
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Southwest, St Davids Medical Center, St
Davids S Austin Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: Communicare Health
Centers, Seton Family of Doctors
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Kyle
J
Mueller, Jessica C, MD
Gender: Female
NPI: 1376868760
1180 Seton Pkwy
Ste 340
(512) 504-0851
Nguyen, John T, MD
Gender: Male
# NPI: 1154308963
2810 Dacy Ln
J (210) 233-7000
Hospital Affiliations: Methodist Hospital,
Northeast Baptist Hospital
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): American Sign, Spanish
Kyle
Zachrison, Jamie V, MD
Gender: Male
NPI: 1649431818
2810 Dacy Ln
(512) 268-8900
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, University Med
Ctr Brackenridge
Clinic Affiliation: Communicare Health
Centers
Board Certifications: None
Language(s): Spanish
OCCUPATIONAL THERAPY
Kyle
" Smith, Jason L, MD
Kyle
J
Curtis, Terri E, OT
Gender: Female
NPI: 1477765519
2810 Dacy Ln
(512) 396-0872
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): American Sign, Spanish
" Rainey, Annis M, MD
Kyle
Gender: Female
NPI: 1538111968
1180 Seton Pkwy
Ste 200
(512) 324-0319
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Spanish
" Djafari, Valla, MD
Kyle
J
Gender: Male
NPI: 1881648038
5401 FM 1626
Ste 365
(512) 651-2201
Hospital Affiliations: Seton Medical Center,
Seton Medical Ctr Williamson, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Texas Retina Institute PA
Practice Information: No Patients Under 10
yrs old
Board Certifications: Ophthalmology
Language(s): Spanish
" Vendal, Zarmeena, MD
Kyle
J
" Hayhurst, Russell A, MD
Kyle
J
Gender: Male
NPI: 1609861897
1180 Seton Pkwy
Ste 200
(512) 452-8467
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Glaucoma Institute of
Austin PA
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Hoang, Lan T, MD
J
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Evans, Seth H, MD
Kyle
Gender: Male
NPI: 1083825467
1180 Seton Pkwy
Ste 330
(512) 550-0321
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texan ENT & Allergy
Specialists P
Board Certifications: Otolaryngology
Language(s): Spanish
" Fulmer, Robert P, MD
Kyle
Gender: Male
NPI: 1447223003
1180 Seton Pkwy
Ste 330
(512) 550-1800
Hospital Affiliations: East Texas Medical
Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
" Thompson, Christopher P, MD
Kyle
Gender: Male
NPI: 1548234842
1180 Seton Pkwy
Ste 330
(512) 550-1800
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Medical Center Hays,
St Davids Medical Center
Clinic Affiliation: Texan Allergy
Board Certifications: Otolaryngology
Language(s): Spanish
" Sheely, Christina M, DO
Kyle
Gender: Female
NPI: 1154379899
1180 Seton Pkwy
Ste 220
(512) 504-0076
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Medical Center Hays, St Davids Medical
Center
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Orthopedic Surgery
Language(s): Spanish
J
Kyle
Gender: Female
NPI: 1376729673
20871 IH 35 Ste 100
(512) 472-4011
Hospital Affiliations: Hill Country Surgery
Ctr, Medical Park Tower Surg Ctr Llc, St
Davids S Austin Medical Center
Clinic Affiliation: Westlake Eye Specialists
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Gender: Male
NPI: 1013953900
1180 Seton Pkwy
Ste 220
(512) 504-0076
Hospital Affiliations: Seton Medical Center,
Seton Medical Center Hays, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Truumees, Eeric, MD
Gender: Male
NPI: 1356322630
5103 Kyle Center Dr
Ste 103
(512) 324-3580
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1336130665
1180 Seton Pkwy
Ste 220
(512) 451-1969
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Smithville
Reg Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
OTOLARYNGOLOGY
PAIN MANAGEMENT
Kyle
" Tibbetts, Ryan M, MD
" McIntire, Lisa U, MD
Jones, Molly A, OT
Gender: Female
NPI: 1356760086
2810 Dacy Ln
(512) 308-3015
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
J
Kyle
Gender: Female
NPI: 1720223449
1180 Seton Pkwy
Ste 200
(512) 324-0319
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, Seton
Medical Ctr Williamson, Seton Northwest
Hospital
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: Ophthalmology
Language(s): Vietnamese
Kyle
Friedrich, Josephine L, OT
Gender: Female
# NPI: 1386986636
2810 Dacy Ln
(512) 308-3015
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): American Sign, Spanish
Gender: Female
NPI: 1770534737
20871 IH 35
Ste 100
(512) 472-4011
Hospital Affiliations: Bailey Square Surgery
Center, Dell Childrens Med Ctr Cent Tx,
Seton Medical Center, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center
Clinic Affiliation: Westlake Eye Specialists
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): Spanish, Urdu
" Tsourmas, Nicholas F, MD
Kyle
ORTHOPEDIC SURGERY
Kyle
Kyle
Kyle
Gender: Male
NPI: 1114137064
211 Elmhurst Dr
Ste A
(512) 268-5383
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
OPHTHALMOLOGY
NPI: 1376868760
2810 Dacy Ln
(512) 268-8900
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays
Clinic Affiliation: Communicare Health
Centers, Seton Family of Doctors
Board Certifications: None
Kyle
OCTOBER 03, 2016
bmkp_in_spec
Aijaz, Asim S, MD
Gender: Male
NPI: 1164641494
135 Bunton Creek Rd
Ste 302
(512) 416-7246
Hospital Affiliations: North Austin Medical
Center, St Davids S Austin Medical Center
Clinic Affiliation: Austin Pain Assoc
Board Certifications: None
Language(s): Hindi, Spanish, Urdu
Frank, Brannon R, MD
Gender: Male
NPI: 1568465763
135 Bunton Creek Rd
Ste 302
J (512) 416-7246
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Pain Assoc
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): American Sign, Spanish
Kyle
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
122
OCTOBER 03, 2016
KYLE (cont.)
bmk_pin_spec
PEDIATRIC OPHTHALMOLOGY
Kyle
PAIN MANAGEMENT (cont.)
Mahendru, Vivek, MD
Gender: Male
NPI: 1316989023
5103 Kyle Center Dr
Ste 104
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): American Sign, Hindi,
Samoan, Spanish
Kyle
Mehta, Pankaj, MD
Gender: Male
NPI: 1073787909
5103 Kyle Center Dr
Ste 104
J (512) 485-7200
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center
Clinic Affiliation: Central Texas Pain
Institute PA
Board Certifications: None
Language(s): Hindi, Spanish
#
" Parthasarathy, Srinivason R, MD
Kyle
Kyle
Challa, Bharani P, MD
Gender: Female
NPI: 1063617868
5103 Kyle Center Dr
Ste 104
(512) 628-1810
Clinic Affiliation: Specially For Children
Board Certifications: None
Gender: Female
NPI: 1639122963
5103 Kyle Center Dr
Ste 104
(512) 324-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Walker, Kevin J, LPT
Gender: Male
NPI: 1336308857
21195 IH 35
Ste 201
J (512) 268-0000
Clinic Affiliation: Peak Physical Therapy
and Sports
Practice Information: No Patients Under 14
yrs old
Board Certifications: None
Language(s): Spanish
Kyle
#
" Henke, Jeff S, DPM
Kyle
J
RADIATION ONCOLOGY
" Boyle, Teresa, MD
Kyle
J
Gender: Male
NPI: 1871539007
135 Bunton Creek Rd
Ste 300
(512) 268-3668
Clinic Affiliation: The Podiatry Group of
South Texas PA
Board Certifications: Podiatry
Language(s): Spanish
Brown, George R, MD
Gender: Male
NPI: 1104897271
1180 Seton Pkwy
Ste 150
J (512) 505-5500
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: None
Language(s): Spanish
" Brown, Stephen L, MD
Kyle
J
" Cox, Shannon D, MD
Gender: Male
NPI: 1386614022
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Patel, Kalpesh P, MD
J
Gender: Male
NPI: 1073732830
211 Elmhurst Ste D/E
(521) 268-9467
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays, Seton Medical
Ctr Williamson, Seton Southwest
Clinic Affiliation: Texas Institute of
Interventional
Board Certifications: Pulmonary Diseases
" Ghafoori, Ahmad P, MD
Kyle
Gender: Male
NPI: 1134392152
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Shetty, Rajesh A, MD
Kyle
" Zhao, Xing S, MD
Kyle
Gender: Male
NPI: 1720375934
5980 Kyle Pkwy
(512) 626-0821
Clinic Affiliation: Post Acute Physicans of
Texas
Board Certifications: Physical Medicine &
Rehabilitation
PHYSICAL THERAPY
Laird, Nicole E, LPT
Gender: Female
NPI: 1275880486
2810 Dacy Ln
J (512) 308-3015
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Language(s): Spanish
Kyle
Gender: Male
NPI: 1255374641
4100 Everett
Ste 210
(512) 268-8126
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Edgar B Davis, Seton
Medical Center Hays, Seton Medical Ctr
Williamson, Seton Northwest Hospital, Seton
Southwest
Clinic Affiliation: Lung Docs PA
Board Certifications: Pulmonary Diseases
Language(s): Hindi, Spanish
Gender: Male
NPI: 1346210051
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Kyle
Kyle
Gender: Male
NPI: 1003922964
5103 Kyle Center Dr
Ste 103
(512) 324-3580
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Female
NPI: 1164482287
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Kyle
PULMONARY DISEASES
" Pena, Enrique B, MD
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
KYLE
PODIATRY
Kyle
" Silberberg, Alan D, MD
PEDIATRIC GASTROENTEROLOGY
Gender: Female
NPI: 1801293980
135 Bunton Creek Rd
Ste 303
(512) 268-4700
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: Physical Therapy
Gender: Female
NPI: 1891744223
5103 Kyle Center Dr
Ste 103
(515) 324-3540
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
NPI: 1861625428
135 Bunton Creek Rd
Ste 302
(512) 416-7246
Clinic Affiliation: Austin Pain Assoc,
Greater Houston Anesthesiology
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Pittsford, Samantha K, LPT
Gender: Female
NPI: 1073874517
135 Bunton Creek Rd
Ste 303
(512) 268-4700
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: None
" Stagni, Ashley K, LPT
" Bergfeld, Deborah A, MD
J
Luna, Ivan, LPT
NPI: 1275583569
135 Burton Creek Rd
Ste 303
(512) 268-4700
Clinic Affiliation: Physiotherapy Assoc In
Plano
Board Certifications: None
Kyle
Kyle
Kyle
J
Gender: Female
NPI: 1154620623
2810 Dacy Ln
(512) 268-8900
Clinic Affiliation: Communicare Health
Centers
Board Certifications: Pediatrics
PHYSICAL MEDICINE &
REHABILITATION
" Peck, Devin B, MD
Gender: Male
NPI: 1902075922
4100 Everett St
Ste 210
(512) 298-1645
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids S Austin Medical Center
Clinic Affiliation: Greater Austin Pain
Center
Practice Information: No Patients Under 18
yrs old
Board Certifications: Pain Management
Kyle
" Linnell, Marjan A, MD
Kyle
J
Fenton, Amber S, MD
Gender: Female
NPI: 1245437524
1180 Seton Pkwy Ste 200
(512) 324-6755
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx
Clinic Affiliation: Pediatric Surgical
Subspecialists
Board Certifications: None
Kyle
Kyle
Gender: Male
NPI: 1861625428
135 Bunion Creek Rd
Ste 302
(512) 416-7246
Kyle
PEDIATRICS
Kyle
Parthasarathy, Srinivason R, MD
Gender: Female
NPI: 1639122963
5103 Kyle Center Dr
Ste 104
J (512) 324-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center Hays,
Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest,
University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Specialists
" Rivera, Douglas J, MD
Kyle
J
Gender: Male
NPI: 1073583274
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Warhoe, Kirsten A, MD
Kyle
J
Gender: Female
NPI: 1407826605
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
St Davids Georgetown Hospital, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
123
Specialists
KYLE
KYLE (cont.)
THERAPEUTIC OPTOMETRY
Kyle
RADIATION ONCOLOGY (cont.)
" Wilbanks, John H, MD
Kyle
J
Gender: Male
NPI: 1194795831
1180 Seton Pkwy
Ste 150
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
RETAIL HEALTH PROVIDER
Jacob, Tony P, OD
Gender: Male
# NPI: 1326202995
5167 Kyle Center Dr
Ste 103
J (512) 268-7600
Clinic Affiliation: Kyle Vision PLLC
Board Certifications: None
Language(s): Spanish
Kyle
Banigan, Mercedes B, PA
Gender: Female
! NPI: 1952515926
! 5401 S FM 1626
J (512) 268-1940
Clinic Affiliation: Rediclinic Austin LLC
Board Certifications: None
Flury, Kristine D, APN
Gender: Female
! NPI: 1255670956
! 5401 S FM 1626
J (512) 268-1940
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Garza, Marcel A, PA
Gender: Male
! NPI: 1699979567
! 5401 S FM 1626
J (512) 268-1940
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Language(s): Spanish
Kyle
Griffin, Christine M, APN
Gender: Female
! NPI: 1851638969
! 5401 S FM 1626
J (512) 268-1940
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Shaw, Elena B, APN
Gender: Female
! NPI: 1356746937
! 5401 S FM 1626
(512) 268-1940
Clinic Affiliation: Rediclinic Austin LLC
Board Certifications: None
SPEECH PATHOLOGY
Kyle
Kyle
Kyle
Cole Consolidated Rehab, Brooke E, SLP
Gender: Female
NPI: 1912331075
2810 Dacy Ln
(512) 308-3015
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Raska, Lynn F, SP
Gender: Female
NPI: 1124199716
2810 Dacy Ln
(512) 396-0872
Clinic Affiliation: Cole Consolidated Rehab
LLC
Board Certifications: None
Sorrells, Latrichielle J, SLP
Gender: Female
NPI: 1194032961
2810 Dacy Ln
(512) 308-3015
Clinic Affiliation: Cole Consolidated Rehab
LLC
Practice Information: No Patients Over 21
yrs old, No Patients Under 1 yrs old
Board Certifications: None
#
J
Meinke, Jerad L, OD
Gender: Male
NPI: 1043475981
5754 Kyle Pkwy
(901) 831-1245
Clinic Affiliation: Meinke Family Eyecare
PLLC
Board Certifications: None
Language(s): Spanish
Meinke, Lauren H, OD
Gender: Female
# NPI: 1104072669
5754 Kyle Pkwy
(512) 268-5170
Clinic Affiliation: Meinke Family Eyecare
PLLC
Board Certifications: None
Language(s): Spanish
Kyle
Vuong, Catherine, OD
Gender: Female
NPI: 1891176731
5167 Kyle Center Dr
Ste 103
(512) 268-7600
Clinic Affiliation: Kyle Vision PLLC
Board Certifications: None
Warren, Andrew D, OD
Gender: Male
# NPI: 1023203981
5401 FM 1626
Ste 110
J (512) 268-2020
Clinic Affiliation: Warren Eye Assoc
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1770507030
5103 Kyle Center Dr
Ste 104
(210) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: Thoracic Surgery
Language(s): Spanish
Pulley Alberts, Virginia S, APN
Gender: Female
NPI: 1841493939
2 St Marks Pl Ste 140
(979) 242-3800
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
La Grange
Rosenhauer, Amanda D, APN
Gender: Female
NPI: 1265873251
1253 Von Minden
(979) 968-8493
Clinic Affiliation: McBroom Clinic PA
Board Certifications: None
Language(s): Spanish
La Grange
URGENT CARE PROVIDER
Gutierrez, Eduardo, PA
Gender: Male
! NPI: 1780631119
! 135 Bunton Creek Rd
Ste 100
(512) 268-2068
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Kyle
AUDIOLOGY
Johnston, Tara M, AUDIO
Gender: Female
NPI: 1558352088
2 Saint Marks Place
Ste 110
(979) 250-1335
Clinic Affiliation: Signature Hearing and
Balance
Board Certifications: None
Language(s): Spanish
La Grange
" Scott, Jeffrey L, PA
Kyle
Gender: Male
NPI: 1891897625
135 Bunton Creek Rd
Ste 100
(512) 268-2068
Clinic Affiliation: Fast Med Urgent Care
Practice Information: No Patients Under 2
yrs old
Board Certifications: Urgent Care Provider
Language(s): Spanish
!
!
Kyle
Kyle
Kyle
Dolbee, Nathaniel L, OD
Gender: Male
NPI: 1174801476
5401 FM 1626
Ste 110
(512) 268-2020
Clinic Affiliation: Dolbee & Assoc PLLC
Board Certifications: None
" Felger, Mark C, MD
Kyle
Kyle
Kyle
Kyle
OCTOBER 03, 2016
bmkp_in_spec
Kyle
!
!
Singhal, Ashish R, MD
Gender: Male
NPI: 1699837435
135 Bunton Creek Rd
Ste 100
(512) 268-2068
Hospital Affiliations: Christus Santa Rosa
New Braunfels, Northeast Methodist Hospital
Clinic Affiliation: Fast Med Urgent Care
Board Certifications: None
Language(s): Hindi, Spanish
CHIROPRACTIC
Burton, Cody A, DC
Gender: Male
NPI: 1215213665
851 E Travis St
(979) 732-3900
Clinic Affiliation: Burton Health and
Wellness LLC
Board Certifications: None
La Grange
DERMATOLOGY
Ladd Jr, Daniel J, DO
Gender: Male
NPI: 1477556256
2 St Marks Pl Ste 140
(979) 242-3800
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Tru Skin Dermatology
Board Certifications: None
Language(s): Spanish
La Grange
Kyle
Warren, Kasey W, OD
Gender: Female
# NPI: 1003001298
5401 FM 1626
Ste 110
J (512) 268-2020
Clinic Affiliation: Warren Eye Assoc
Board Certifications: None
Language(s): Spanish
Kyle
THORACIC SURGERY
Church, Phillip J, MD
Gender: Male
# NPI: 1386651206
5103 Kyle Center Dr
Ste 104
J (512) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Kyle
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
VASCULAR SURGERY
Church, Phillip J, MD
Gender: Male
# NPI: 1386651206
5103 Kyle Center Dr
Ste 104
J (512) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
Kyle
Jobe, Jeffrey S, MD
Gender: Male
NPI: 1124042411
5103 Kyle Center Dr
Ste 104
J (512) 651-8420
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Cardiothoracic and
Vascular Surge
Board Certifications: None
Language(s): Spanish
GENERAL SURGERY
" Chorens, Albert L, MD
La Grange
J
Kyle
" Juno III, Russell J, MD
La Grange
#
LA GRANGE
ANP/CERT/CLNP
Kinsey, Nettie A, APN
Gender: Female
NPI: 1154406486
753 E Travis St
J (979) 968-2000
Clinic Affiliation: Tejas Health Care
Board Certifications: None
Language(s): Spanish
La Grange
Gender: Male
NPI: 1669413548
2 Saint Marks Pl
Ste 130
(979) 242-5605
Hospital Affiliations: Seton Smithville Reg
Hospital, St Marks Medical Center
Clinic Affiliation: White Daniel A MD
Board Certifications: General Surgery
Language(s): Spanish
J
Gender: Male
NPI: 1275577538
1720 Von Minden Rd
(979) 968-2700
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Shannon M Juno MD
Board Certifications: General Surgery
Language(s): Spanish
" Praba, Anant C, MD
La Grange
J
Gender: Male
NPI: 1093756975
2 Saint Marks Pl
Ste 130
(979) 242-5605
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: White Daniel A MD
Board Certifications: General Surgery
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
124
OCTOBER 03, 2016
bmk_pin_spec
Specialists
CARDIOVASCULAR DISEASE
" Nayar, Arun G, MD
La Grange
LA GRANGE (cont.)
Gender: Male
NPI: 1740247030
124 N Washington
(979) 968-3953
Hospital Affiliations: Columbus Community
Hospital
Clinic Affiliation: Columbus Eye Assoc
Board Certifications: Ophthalmology
Language(s): Spanish
GENERAL SURGERY (cont.)
" White, Daniel A, MD
La Grange
J
Gender: Male
NPI: 1457395378
2 Saint Marks Pl
Ste 130
(979) 242-5605
Hospital Affiliations: Seton Smithville Reg
Hospital, St Marks Medical Center
Clinic Affiliation: White Daniel A MD
Board Certifications: General Surgery
Language(s): Spanish
OBSTETRICS-GYNECOLOGY
J
" Bahm II, Sandy B, MD
Gender: Male
NPI: 1730268582
2 St Marks Place
(979) 242-2205
Hospital Affiliations: Columbus Community
Hospital, Hunt Regional Medical Center,
Rice Medical Center, St Marks Medical
Center
Board Certifications: Orthopedic Surgery
Language(s): Spanish
J
" Juno, Shannon M, MD
OPHTHALMOLOGY
" Bourgeois, Keith A, MD
La Grange
J
PHYSICAL THERAPY
Cowen, Jeffrey W, LPT
Gender: Male
NPI: 1043251465
657 E Travis St
Ste C
J (979) 968-3377
Clinic Affiliation: Jones and Cowen Inc
Board Certifications: None
Language(s): Spanish
La Grange
Jones, Mark A, LPT
Gender: Male
NPI: 1235173733
657 E Travis St
Ste C
(979) 968-3377
Clinic Affiliation: Jones and Cowen Inc
Board Certifications: None
Language(s): Spanish
La Grange
Gender: Male
NPI: 1457312183
124 N Washington St
(979) 968-3953
Hospital Affiliations: St Joseph Medical
Center
Clinic Affiliation: Columbus Eye Assoc
Board Certifications: Ophthalmology
Language(s): Spanish
Hovis, Todd M, MD
Gender: Male
NPI: 1275590531
124 N Washington St
J (979) 968-3953
Hospital Affiliations: Columbus Community
Hospital
Clinic Affiliation: Columbus Eye Assoc
Board Certifications: None
Language(s): French, Spanish
La Grange
LAGO VISTA
ANP/CERT/CLNP
" Fagner, Karin S, APN
Lago Vista
Gender: Female
NPI: 1356423842
3500 Lohman Ford Rd
Unit 25
(512) 250-9140
Clinic Affiliation: Karin Fagner Np PLLC
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
" Learned Burton, Lori J, MD
La Grange
J
Gender: Female
NPI: 1609833995
124 N Washington St
(979) 968-3953
Hospital Affiliations: Bellville St Joseph
Health Center, Columbus Community
Hospital
Clinic Affiliation: Columbus Eye Assoc
Board Certifications: Ophthalmology
Language(s): Spanish
" Miller, John W, MD
La Grange
J
J
Gender: Male
NPI: 1578524286
108 N Washington St
(979) 968-3953
NPI: 1578524286
124 N Washington St
(979) 968-3953
Hospital Affiliations: Baptist Beaumont
Hospital, Christus Hospital St Elizabeth, St
Joseph Medical Center
Clinic Affiliation: Columbus Eye Assoc
Board Certifications: Ophthalmology
Language(s): Spanish
Davis, Kimberly A, DC
Gender: Female
NPI: 1538307764
1700 Ranch Rd 620 N
Ste 102
(512) 669-5824
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Eledge, Stephen R, DC
Gender: Male
# NPI: 1174684005
900 RR 620 S Ste C209
J (512) 263-8008
Board Certifications: None
Lakeway
Ferrell, Dustin P, DC
Gender: Male
# NPI: 1780706564
2121 Lohmans Crossing Rd
Ste 508
J (512) 605-0400
Clinic Affiliation: Lakeway Health and
Wellness Chiro
Board Certifications: None
Language(s): Spanish
Lakeway
Visser, Mariska E, DC
Gender: Female
# NPI: 1558443366
1603 Ranch Rd 620N
Ste 200
(512) 548-6576
Board Certifications: None
Language(s): Dutch
Lakeway
Hubatch, Gayl, LAC
Gender: Female
NPI: 1124039995
1310 RR 620 S Ste B201
J (512) 266-2059
Clinic Affiliation: Blue Heron Center Inc
Board Certifications: None
Lak eway
#
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gorrebeeck, Allison E, MD
Gender: Female
NPI: 1467548628
200 Medical Pkwy
Ste 120
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
Lakeway
INTERNAL MEDICINE
Downie, Benjamin J, MD
Gender: Male
NPI: 1477765550
200 Medical Pkwy
Ste 120
(512) 930-0606
Hospital Affiliations: Seton Northwest
Hospital, St Davids Georgetown Hospital
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
Lakeway
Pohl, James K, MD
Gender: Male
NPI: 1144239138
801 Hwy 620 S
Ste 101
J (512) 263-4230
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center
Clinic Affiliation: Austin Asthma Lung
Assoc PA
Board Certifications: Pulmonary Diseases,
Sleep Medicine
Language(s): Spanish
Lakeway
NEUROLOGY
" Devere, Ronald, MD
Lakeway
Gender: Male
NPI: 1770582058
1200 Lakeway Dr
Ste 8
(512) 261-7909
Hospital Affiliations: University Med Ctr
Brackenridge
Board Certifications: Neurology
Language(s): Spanish
J
DERMATOLOGY
" Thrash, Candace M, MD
Lakeway
Gender: Female
NPI: 1093764664
1008 Ranch Rd
620 S Ste 101
(512) 615-5600
Clinic Affiliation: Fresh Dermatology PA
Board Certifications: Dermatology
Language(s): Spanish
DIETICIAN
Reeves, Jennifer L, RD
Gender: Female
NPI: 1184023616
1202 Lakeway Dr
Ste 6A
J (512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Board Certifications: None
Lakeway
ACUPUNCTURE
HEMATOLOGY-ONCOLOGY
Eledge, Richeon M, DC
Gender: Female
# NPI: 1093858128
900 Ranch Rd 620 S
Ste C 209
(512) 263-8008
Clinic Affiliation: Mission Family
Chiropractic
Board Certifications: None
Lago Vista
LAKEWAY
Gender: Female
NPI: 1144438136
200 Medical Pkwy Ste 120
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: General Surgery
Language(s): Spanish
Lakeway
PHYSICAL THERAPY
Coldicott, Nancy L, LPT
Gender: Female
NPI: 1003899782
5802 Thunderbird A
Ste 200
J (512) 267-5400
Board Certifications: None
Language(s): Spanish
" Coombs Skiles, Caroline H, MD
Lakeway
Lakeway
" Clark, Russell J, MD
Gender: Male
NPI: 1740232156
Two St Marks Pl
Ste 110
(979) 242-2387
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: St Marks Medical Center
Board Certifications: Orthopedic Surgery
GENERAL SURGERY
CHIROPRACTIC
La Grange
La Grange
J
J
La Grange
" Diclemente, Michael J, MD
Gender: Female
NPI: 1104818624
1720 Von Minden Rd
(979) 968-2700
Hospital Affiliations: St Marks Medical
Center
Clinic Affiliation: Shannon M Juno MD
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
Gender: Male
NPI: 1649241803
200 Medical Pkwy
Ste 380
(512) 206-2988
Hospital Affiliations: Heart Hospital Of
Austin, North Austin Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Dr Eric Tiblier PA
Practice Information: No Patients Under 13
yrs old
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
ORTHOPEDIC SURGERY
La Grange
Gender: Male
NPI: 1639160088
Two Saint Marks Pl
Ste 104
(979) 242-2883
Hospital Affiliations: North Austin Medical
Center, St Marks Medical Center, University
Med Ctr Brackenridge
Clinic Affiliation: St Marks Medical Center
Board Certifications:
Obstetrics-Gynecology
Language(s): Spanish
" Tiblier, Eric S, MD
Lakeway
LAKEWAY
OCCUPATIONAL THERAPY
Finley, Margaret R, OT
Gender: Female
NPI: 1689968687
1202 Lakeway Dr
Ste 6A
J (512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Practice Information: No Patients Over 16
yrs old
Board Certifications: None
Lakeway
Martin, Amy C, OT
Gender: Female
NPI: 1437569571
1202 Lakeway Dr
Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Board Certifications: None
Lakeway
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
125
Specialists
LAKEWAY
LAKEWAY (cont.)
ONCOLOGY
PHYSICAL MEDICINE &
REHABILITATION
J
" Shimkus, Brian J, MD
Lakeway
Gender: Male
NPI: 1730164591
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): German, Hebrew, Italian,
Spanish
OPHTHALMOLOGY
" Rhodes, Kyle M, MD
Lakeway
Gender: Male
NPI: 1821272378
401 S FM 620 Rd
Ste 210
(512) 263-9000
Hospital Affiliations: North Austin Medical
Center, Parkland Health And Hospital Sys,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, St Davids
Medical Center
Clinic Affiliation: Lake Travis Eye and
Laser Center
Practice Information: Wheelchair
Accessibility
Board Certifications: Ophthalmology
ORTHOPEDIC SURGERY
" Calvo Jr, Russell D, MD
Lakeway
Gender: Male
NPI: 1295796431
200 Medical Pkwy
Ste 310
(512) 654-8677
Hospital Affiliations: Houston Northwest
Medical Center
Clinic Affiliation: Lrmc Orthopedics Inc
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Gender: Female
NPI: 1639229545
2903 N FM 620
(972) 576-2920
Hospital Affiliations: North Hills Hospital
Clinic Affiliation: Definitive Rehab& Pain
Management
Board Certifications: Physical Medicine &
Rehabilitation
Language(s): Spanish
Gender: Male
NPI: 1760473235
1010 Ranch Rd 620 S
Ste 107
(512) 485-0146
Hospital Affiliations: Methodist Hospital
Clinic Affiliation: Barrett Quality Medical
Interests
Board Certifications: Podiatry
Language(s): Spanish
J
Corrigan, Patrick, DPM
Gender: Male
NPI: 1598867640
900 Ranch Rd 620 S
Ste C207
J (512) 263-8655
Board Certifications: None
Lakeway
PHYSICAL THERAPY
Connors, Leilani M, LPT
Gender: Female
NPI: 1457472680
1310 Ranch Rd 620 S
Ste B10
J (512) 263-1795
Clinic Affiliation: Achieve PT PLLC
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
Lakeway
Holets, Heidi A, DPM
Gender: Female
NPI: 1821369117
1010 Ranch Rd 620 S
Ste 107
(512) 485-0146
Clinic Affiliation: Barrett Quality Medical
Interests
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Gutierrez Hall, Allison, LPT
Gender: Female
# NPI: 1154755007
1202 Lakeway Dr
Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Practice Information: No Patients Over 19
yrs old
Board Certifications: None
" Pohl, James K, MD
J
Medley Keith, Melody, LPT
Gender: Female
# NPI: 1639557622
900 RR 620 S
Ste A103
(512) 261-0620
Clinic Affiliation: Lakeway Aquatic
Wellness Center
Board Certifications: None
Language(s): Spanish
Lakeway
Gender: Male
NPI: 1073583274
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J
" Warhoe, Kirsten A, MD
Lakeway
Gender: Female
NPI: 1407826605
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
St Davids Georgetown Hospital, University
Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J
" Wilbanks, John H, MD
Lakeway
Gender: Male
NPI: 1194795831
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
J
" Boyle, Teresa, MD
Lakeway
J
Van Waalwijk, Jaclyn, LPT
Gender: Female
# NPI: 1699184861
900 RR 620 S
Ste A103
J (512) 261-0620
Clinic Affiliation: Lakeway Aquatic
Wellness Center
Board Certifications: None
Gender: Female
NPI: 1164482287
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, St Davids Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
Brown, George R, MD
Gender: Male
NPI: 1104897271
200 Medical Pkwy
J (512) 505-5500
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: None
Language(s): Spanish
SLEEP MEDICINE
" Pohl, James K, MD
Lakeway
Gender: Male
NPI: 1144239138
801 Hwy 620 S
Ste 101
(512) 263-4230
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center
Clinic Affiliation: Austin Asthma Lung
Assoc PA
Board Certifications: Pulmonary Diseases,
Sleep Medicine
Language(s): Spanish
Lakeway
PLASTIC SURGERY
Lakeway
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Gender: Male
NPI: 1144239138
801 Hwy 620 S
Ste 101
(512) 263-4230
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Medical Center
Clinic Affiliation: Austin Asthma Lung
Assoc PA
Board Certifications: Pulmonary Diseases,
Sleep Medicine
Language(s): Spanish
RADIATION ONCOLOGY
Lakeway
Vije, Christopher D, MD
Gender: Male
NPI: 1316009525
1927 Lohmans Crossing Rd
Tower 1 Ste 202
(512) 534-5039
Clinic Affiliation: Pain Partners of Texas
PLLC
Board Certifications: None
Language(s): Hindi, Spanish
" Rivera, Douglas J, MD
Lakeway
Lakeway
Lavigne, Meagan, LPT
Gender: Female
# NPI: 1386910842
900 RR 620 S
Ste A103
J (512) 261-0620
Clinic Affiliation: Lakeway Aquatic
Wellness Center
Board Certifications: None
Lakeway
Gender: Male
NPI: 1134392152
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: Seton Medical Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
PULMONARY DISEASES
Lakeway
PAIN MANAGEMENT
" Ghafoori, Ahmad P, MD
Lakeway
Lakeway
Lakeway
" Whitfield, Robert M, MD
Gender: Male
NPI: 1386614022
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, Seton
Medical Center, Seton Northwest Hospital,
St Davids Medical Center, St Davids S
Austin Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
" Barrett, Michael J, DPM
Lakeway
Gender: Female
NPI: 1467548628
200 Medical Pkwy
Ste 120
(512) 505-5500
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, St Davids Medical
Center
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
" Cox, Shannon D, MD
Lakeway
Lakeway
" Rudder, Lorraine M, MD
" Downie, Benjamin J, MD
" Gorrebeeck, Allison E, MD
PODIATRY
Lakeway
Lakeway
Gender: Male
NPI: 1477765550
200 Medical Pkwy
Ste 120
(512) 930-0606
Hospital Affiliations: Seton Northwest
Hospital, St Davids Georgetown Hospital
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Oncology
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Gender: Male
NPI: 1891747341
200 Medical Pkwy
Ste 230
(512) 533-9900
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Medical Center
Hays, Seton Medical Ctr Williamson, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Ned Snyder IV MD
Board Certifications: Plastic Surgery
Language(s): Spanish
J
" Brown, Stephen L, MD
Lakeway
J
Gender: Male
NPI: 1346210051
200 Medical Pkwy
(512) 505-5500
Hospital Affiliations: North Austin Medical
Center, Seton Medical Center, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Austin Cancer Centers
Board Certifications: Radiation Oncology
Language(s): Spanish
SPEECH PATHOLOGY
Granberry, Mindy L, SP
Gender: Female
NPI: 1639317860
1202 Lakeway Dr
Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Board Certifications: None
Language(s): American Sign
Lakeway
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
126
OCTOBER 03, 2016
bmk_pin_spec
LAKEWAY (cont.)
Specialists
PODIATRY
LAMPASAS
Hunter Jr, Roderick C, DPM
Gender: Male
NPI: 1811128051
608 N Key Ave
(512) 519-3338
Hospital Affiliations: Seton Medical Ctr
Harker Heights
Clinic Affiliation: Precision Medical Group
Practice Information: Wheelchair
Accessibility
Board Certifications: None
Lampasas
SPEECH PATHOLOGY (cont.)
Kerr, Amanda, SLP
Gender: Female
NPI: 1699021139
1202 Lakeway Dr Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Lakeway
Pierce, Jessica E, SLP
Gender: Female
NPI: 1962674168
1202 Lakeway Dr Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Lakeway
Wise, Stephanie J, SLP
Gender: Female
# NPI: 1992170724
1021 RR 620 S
Ste B
(512) 815-3410
Lakeway
NPI: 1992170724
1202 Lakeway Dr
Ste 6A
(512) 261-3584
Clinic Affiliation: Mindy L Granberry PLLC
Board Certifications: None
URGENT CARE PROVIDER
Bennett, Samuel C, MD
Gender: Male
!# NPI: 1538149125
! 2303 S FM 620 Rd
Ste 201
J (512) 327-4243
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
Lakeway
Goodell, Laura M, MD
Gender: Female
# NPI: 1164495677
2303 S FM 620 Rd
Ste 201
J (512) 327-4243
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
Lakeway
Lichtenhan, J Brad, MD
Gender: Male
# NPI: 1467414516
2303 S FM 620 Rd
Ste 201
J (512) 524-2290
Hospital Affiliations: Seton Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
ANP/CERT/CLNP
Calkins, Richard, APN
Gender: Male
NPI: 1790042406
187 Pr 4060
J (512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Lampas as
#
THERAPEUTIC OPTOMETRY
Cricchio, Michael C, APN
Gender: Male
NPI: 1073786448
1205 Central Texas Expwy
(512) 556-5362
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Lampas as
Prescott, Jason A, OD
Gender: Male
# NPI: 1831218171
502 S Key Ave Ste A
(512) 556-3937
Clinic Affiliation: Leander Eye Care PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
MacFarlane, Bonny A, MD
Gender: Female
!# NPI: 1144223744
! 2303 S FM 620 Rd
Ste 201
(512) 327-4243
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
Jones, Jamie L, APN
Gender: Female
# NPI: 1114353117
187 Pr 4060
J (512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Lampas as
LEANDER
ANP/CERT/CLNP
Eilers, Mary E, APN
Gender: Female
NPI: 1578763900
904 Crystal Falls Pkwy
Ste 1
(512) 562-0115
Clinic Affiliation: Medical House Call Assoc
Practice Information: No patients under 50
years old
Board Certifications: None
Stotts, Johnna F, APN
Gender: Female
# NPI: 1528367703
187 Pr 4060
(512) 556-3621
Clinic Affiliation: Family Medicine Rural
Health
Board Certifications: None
Language(s): Spanish
Jones, Theresa A, APN
Gender: Female
NPI: 1790937019
651 N Hwy 183
Ste 110
J (512) 528-0432
Clinic Affiliation: Timberland Medical Group
Board Certifications: None
Language(s): Spanish
Leander
CHIROPRACTIC
Benton, Craig R, DC
Gender: Male
# NPI: 1780698498
105 N Key
Benton Chiropractic
J (512) 556-8223
Board Certifications: None
Language(s): Spanish
Lampas as
Rogers, Denice D, APN
Gender: Female
NPI: 1144270471
904 Crystal Falls Pkwy
Ste 1
(512) 562-0115
Clinic Affiliation: Medical House Call Assoc
Board Certifications: None
Language(s): Spanish
Linney, Joshua T, DC
Gender: Male
# NPI: 1871688028
1507 S Key Ave
Ste A
J (512) 556-0400
Board Certifications: None
FAMILY PRACTICE
CHIROPRACTIC
Taveau IV, Horatio S, DO
Gender: Male
NPI: 1366632580
608 N Key Ave
J (512) 556-3682
Hospital Affiliations: Abilene Regional
Medical Center, Baptist St Anthonys Health
System, Christus Spohn Hospital Beeville,
Christus Spohn Hospital Kleberg
Clinic Affiliation: H Sprague Taveau IV DO
Board Certifications: None
Language(s): Spanish
Lampas as
GENERAL SURGERY
" Thomas, Griffith M, MD
Lampas as
Vik, Michael P, MD
Gender: Male
!# NPI: 1528061884
! 2303 S FM 620 Rd
Ste 201
J (512) 327-4243
Hospital Affiliations: Round Rock Medical
Center, Seton Medical Center, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Vik Medical
Board Certifications: None
Language(s): Spanish
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Collins, Christopher D, MD
Leander
Gender: Male
NPI: 1477636975
311 S Hwy 183
(512) 379-6090
Clinic Affiliation: Collins Advanced
Dermatology Inst
Board Certifications: Dermatology
NUTRITION & DIETETICS
Fearheiley, Amanda, RD
Gender: Female
NPI: 1740557644
2604 Rain Song Dr
J (512) 745-3946
Board Certifications: None
Leander
PHYSICAL THERAPY
Koop, Niki L, LPT
Gender: Female
# NPI: 1346430733
2701 S Hwy 183 Ste D
J (512) 259-5667
Clinic Affiliation: Koop Physical Therapy
PC
Practice Information: No Patients Under 6
yrs old
Board Certifications: None
Language(s): Spanish
Leander
Meredith, Daniel, LPT
Gender: Male
NPI: 1477764447
502 Crystal Falls Pkwy
Ste A
(512) 260-2700
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Leander
Leander
Lampas as
Lakeway
DERMATOLOGY
Leander
Lampas as
J
Kapsner, Michael A, DC
Gender: Male
# NPI: 1487655890
2701 S Hwy 183
Ste D
J (512) 260-4020
Clinic Affiliation: Kapsner Chiropractic
Centerspa
Board Certifications: None
Language(s): Spanish
Leander
Lampasas
Lakeway
Lakeway
LEANDER
Gender: Male
NPI: 1811070790
207 W Ave E
(512) 556-3621
Hospital Affiliations: Seton Highland Lakes
Board Certifications: General Surgery
Anderson, Jonathon M, DC
Gender: Male
# NPI: 1619920915
808 Crystal Falls Pkwy
(512) 259-9922
Clinic Affiliation: Anderson Chiropractic
Leander
Board Certifications: None
Leander
Anderson, Whitney G, DC
Gender: Female
# NPI: 1891748182
808 Crystal Falls Pkwy
(512) 259-9922
Clinic Affiliation: Anderson Chiropractic
Leander
Board Certifications: None
Ohagan, Erin M, LPT
Gender: Female
NPI: 1518259951
502 Crystal Falls Pkwy
Ste A
J (512) 260-2700
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Leander
Stan, Sydney T, LPT
Gender: Female
NPI: 1477841260
502 Crystal Falls Pkwy
Ste A
(512) 260-2700
Clinic Affiliation: Whitestone Physical
Therapy LP
Board Certifications: None
Leander
#
Leander
Blatchley, David G, DC
Gender: Male
# NPI: 1720195654
211 S Hwy 183
J (512) 259-3547
Board Certifications: None
Language(s): Spanish
Leander
Faulkner, Meghan R, DC
Gender: Female
NPI: 1811378011
10960 E Crystal Falls
Pkwy Ste 100
J (770) 827-3340
Board Certifications: None
Leander
RETAIL HEALTH PROVIDER
Griffin, Christine M, APN
Gender: Female
! NPI: 1851638969
! 651 N Hwy 183
J (512) 260-0871
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Leander
Rivas, Alonzo, PA
Gender: Male
NPI: 1689964819
651 N US Hwy 183
(512) 260-0871
Clinic Affiliation: Rediclinic LLC
Board Certifications: None
Language(s): Spanish
Leander
!
!
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
127
Specialists
LEANDER
Caro Mata, Aaron, LPT
Gender: Male
# NPI: 1366775397
13740 W State Hwy 29
J (512) 778-6700
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Liberty Hill
LEANDER (cont.)
RETAIL HEALTH PROVIDER (cont.)
Shaw, Elena B, APN
Gender: Female
! NPI: 1356746937
! 651 N US Hwy 183
(512) 260-0871
Clinic Affiliation: Rediclinic Austin LLC
Board Certifications: None
Leander
THERAPEUTIC OPTOMETRY
Mathew, Bradly G, OD
Gender: Male
NPI: 1770606899
3550 Lakeline Blvd
Ste 180
(512) 337-4283
Clinic Affiliation: Crystal Falls Vision Center
PLLC
Board Certifications: None
Language(s): Farsi, Hindi, Persian, Spanish,
Vietnamese
Leander
Myers, Lee A, OD
Gender: Male
# NPI: 1851707715
1395 S Hwy 183
Ste 130
(512) 259-8484
Clinic Affiliation: Leander Eye Care PC
Practice Information: No Patients Under 1
yrs old
Board Certifications: None
LIBERTY HILL
ANP/CERT/CLNP
Scott, Tiffani L, APN
Gender: Female
NPI: 1902090798
101 Jonathan Dr
Ste 4
J (512) 778-5111
Clinic Affiliation: Whitestone Pediatrics
Incorporate
Practice Information: No Patients Over 21
yrs old
Board Certifications: None
Language(s): Spanish
Liberty Hill
Sharan, Anita, APN
Gender: Female
# NPI: 1538239843
300 S Colorado St
Ste A
J (512) 376-9690
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): Spanish
Lock hart
AUDIOLOGY
Mitol, Jennifer A, LPT
Gender: Female
NPI: 1891029534
13740 W State Hwy 29
Ste 103
(512) 778-6700
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
CARDIOVASCULAR DISEASE
Liberty Hill
Schick, Sandra D, AUDIO
Gender: Female
NPI: 1891837464
216 Bufkin Ln
J (512) 398-4000
Clinic Affiliation: Longhorn Hearing PLLC
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1093798944
209 Church St
Ste A
(512) 791-1224
Hospital Affiliations: Seton Edgar B Davis,
Seton Highland Lakes, Seton Medical
Center, Seton Medical Center Hays, Seton
Medical Ctr Williamson, Seton Northwest
Hospital, Seton Southwest, St Davids
Medical Center, St Davids S Austin Medical
Center, University Med Ctr Brackenridge
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
THERAPEUTIC OPTOMETRY
Hannigan, James R, OD
Gender: Male
# NPI: 1891782223
14370 W State Hwy 29
Ste 8
(512) 515-5100
Clinic Affiliation: Liberty Hill Eye Assoc LLC
Board Certifications: None
Language(s): American Sign, Spanish
Liberty Hill
" Minor, Steven T, MD
Lock hart
Gender: Male
NPI: 1780686303
209 S Church St
Ste A
(512) 376-2183
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital
Clinic Affiliation: Seton Heart Institute
Board Certifications: Cardiovascular
Disease
Language(s): Spanish
LLANO
J
Gender: Male
NPI: 1811070790
102 E Young St
(830) 637-7302
Hospital Affiliations: Seton Highland Lakes
Board Certifications: General Surgery
PHYSICAL THERAPY
Llano
PHYSICAL THERAPY
Ames, Eleanor, LPT
Gender: Female
NPI: 1063898625
13740 W State Hwy 29
Ste 103
(888) 590-4002
Clinic Affiliation: Texas Physical Therapy
Specialist PC
Board Certifications: None
Liberty Hill
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
Lange, Rebecca D, LPT
Gender: Female
NPI: 1083740856
114 E Grayson St
(325) 247-3600
Clinic Affiliation: Helping Hands
Rehabilitations Ser
Board Certifications: None
* Leaving Network: 2016-11-01
" Goodgame, Boone, MD
Lockhart
Gender: Male
NPI: 1649487570
209 S Church St
Ste A
(512) 376-2016
Hospital Affiliations: Seton Medical Center
Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Oncology
Language(s): Spanish
ORTHOPEDIC SURGERY
" Chen, Dean, MD
Gender: Male
NPI: 1952313181
1009 W San Antonio St
(512) 326-2800
Hospital Affiliations: Cedar Park Regional
Medical Ctr, North Austin Medical Center,
Round Rock Medical Center, Seton Medical
Center, Seton Northwest Hospital, Seton
Southwest, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: Orthopedic Surgery
Language(s): Spanish
Marshall, Gordon P, MD
Gender: Male
NPI: 1194737320
1009 W San Antonio St
(512) 326-2800
Hospital Affiliations: St Davids S Austin
Medical Center
Clinic Affiliation: Greater Austin
Orthopaedics
Board Certifications: None
Language(s): Spanish
Lockhart
" Sheely, Christina M, DO
Lockhart
Gender: Female
NPI: 1154379899
209 S Church St Ste A
(512) 504-0076
Hospital Affiliations: Cedar Park Regional
Medical Ctr, Seton Medical Center, Seton
Medical Center Hays, St Davids Medical
Center
Clinic Affiliation: Seton Family of Doctors
Board Certifications: Orthopedic Surgery
Language(s): Spanish
CHIROPRACTIC
" Thomas, Griffith M, MD
Llano
Liberty Hill
ONCOLOGY
Lockhart
" Mingea III, Robert M, MD
Lock hart
Wells, Aaron J, LPT
Gender: Male
NPI: 1013115260
13740 W State Hwy 29
Ste 103
J (512) 778-6700
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
INTERNAL MEDICINE
Mueller, Jessica C, MD
Gender: Female
NPI: 1376868760
209 S Church St
Ste A
(512) 504-0851
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Lockhart
Lock hart
Liberty Hill
GENERAL SURGERY
Gender: Male
NPI: 1831129139
14365 W State Hwy 29
Ste 10
(512) 778-5160
Clinic Affiliation: Timberland Medical Group
Board Certifications: Internal Medicine
#
Menke, Benjamin T, LPT
Gender: Male
NPI: 1760828917
13740 W State Hwy 29
Ste 103
(512) 776-6700
(512) 778-6700
Clinic Affiliation: Texas Physical Therapy
Specialist, Texas Physical Therapy Specialist
PC
Board Certifications: None
Language(s): Spanish
Popham, Jeffry V, DC
Gender: Male
# NPI: 1083766919
929 Loop 332
(512) 778-5500
Board Certifications: None
" Wolf, Paul M, MD
Dettmann, Carol A, APN
Gender: Female
NPI: 1932115748
300 S Colorado St
Ste A
J (512) 376-9690
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: None
Language(s): Spanish
Lock hart
Liberty Hill
CHIROPRACTIC
Liberty Hill
ANP/CERT/CLNP
Lauretta, Anthony W, LPT
Gender: Male
# NPI: 1568758068
13740 W State Hwy 29
Ste 3
J (512) 778-6700
Clinic Affiliation: Texas Physical Therapy
Specialist
Board Certifications: None
Language(s): Spanish
Leander
Hagen, Jeff E, MD
Gender: Male
NPI: 1710965488
1711 Colorado St
Ste E
(512) 445-4800
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin OB/GYN
Board Certifications: None
Language(s): Spanish
Lockhart
LOCKHART
Liberty Hill
Leander
Prescott, Jason A, OD
Gender: Male
# NPI: 1831218171
1395 S Hwy 183
Ste 130
(512) 259-8484
Clinic Affiliation: Leander Eye Care PC
Practice Information: No Patients Under 5
yrs old
Board Certifications: None
Language(s): Spanish
OCTOBER 03, 2016
bmkp_in_spec
Zea, Daniel L, DC
Gender: Male
# NPI: 1578571048
704 State Park Rd
J (512) 398-5100
Board Certifications: None
Language(s): Spanish
Lock hart
OBSTETRICS-GYNECOLOGY
THERAPEUTIC OPTOMETRY
Jacob, Tony P, OD
Gender: Male
# NPI: 1326202995
1001 W San Antonio
St
J (512) 398-7600
Clinic Affiliation: Jacob Family Eye Care
PLLC
Board Certifications: None
Language(s): Spanish
Lockhart
Caverly, Ola G, MD
Gender: Female
NPI: 1386761252
1711 Colorado St
Ste E
(512) 445-4800
Hospital Affiliations: Memorial Medical
Center Livingston, San Marcos Surgery
Center, St Davids Medical Center, St Davids
S Austin Medical Center
Clinic Affiliation: Austin OB/GYN
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Lock hart
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
128
OCTOBER 03, 2016
LOCKHART (cont.)
bmk_pin_spec
Specialists
NUTRITION & DIETETICS
MANOR
Dorn-Campbell, Jacquelyn I, RD
Gender: Female
# NPI: 1245506815
522 E Pierce St
J (830) 351-0566
Board Certifications: None
MARBLE FALLS
MARBLE FALLS
Luling
THERAPEUTIC OPTOMETRY (cont.)
Peters, David O, OD
Gender: Male
# NPI: 1073511838
600 S Colorado St
J (512) 398-2020
Clinic Affiliation: St Peters PLLC
Board Certifications: None
Language(s): Spanish
Lockhart
Ramos, Robert J, OD
Gender: Male
# NPI: 1124437611
1001 W San Antonio St
J (512) 398-7600
Clinic Affiliation: Jacob Family Eye Care
PLLC
Board Certifications: None
Language(s): American Sign, Spanish
Luling
Sabol, Jeslyn R, OD
Gender: Female
# NPI: 1609216282
1001 W San Antonio St
J (512) 398-7600
Clinic Affiliation: Jacob Family Eye Care
PLLC
Board Certifications: None
Language(s): Spanish
LULING
ANP/CERT/CLNP
Luling
Luling
Juarez, Megan A, APN
Gender: Female
NPI: 1952798779
130 Hays St
Ste D
(830) 875-7074
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Tittler, Mara, APN
Gender: Female
NPI: 1356513378
130 Hays St
Ste B
(830) 875-7078
Clinic Affiliation: Seton Healthcare
Board Certifications: None
Mueller, Jessica C, MD
Gender: Female
NPI: 1376868760
130 Hays St
Ste D
(512) 504-0851
Hospital Affiliations: Seton Edgar B Davis,
Seton Medical Center Hays
Clinic Affiliation: Seton Family of Doctors
Board Certifications: None
Kimbrell, Patrick N, MD
Gender: Male
# NPI: 1659471100
200 Memorial Dr
J (830) 875-8475
Hospital Affiliations: Baptist Health
System, Warm Springs Rehab Hosp San
Anton
Clinic Affiliation: Total Wound Specialistspa
Board Certifications: None
Language(s): American Sign, German,
Spanish
" Varley, Elizabeth S, APN
Manor
Manor
Madisonville
Gender: Female
NPI: 1154606168
100 W Cross St
(936) 348-3418
Clinic Affiliation: Family Health Services
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
CHIROPRACTIC
PHYSICAL THERAPY
Madisonville
Caverly, Ola G, MD
Gender: Female
NPI: 1386761252
14008 Shadowglen Blvd
Ste 302
(512) 445-4800
Hospital Affiliations: Memorial Medical
Center Livingston, San Marcos Surgery
Center, St Davids Medical Center, St Davids
S Austin Medical Center
Clinic Affiliation: Austin OB/GYN
Practice Information: No Patients Under 16
yrs old
Board Certifications: None
Hagen, Jeff E, MD
Gender: Male
NPI: 1710965488
14008 Shadownglen Blvd
Ste 302
(512) 445-4800
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center
Clinic Affiliation: Austin OB/GYN
Board Certifications: None
Language(s): Spanish
THERAPEUTIC OPTOMETRY
Manor
Allen, Britt H, LPT
Gender: Male
NPI: 1508860131
2703 E Main St
(936) 348-9916
Clinic Affiliation: Mustang Therapies PLLC
Board Certifications: None
Language(s): Spanish
Madisonville
Gender: Female
NPI: 1073986436
1706 Hwy 1431 W
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 17
yrs old
Board Certifications: Anp/Cert/Clnp
" Prall, Kimberly A, APN
Marble Falls
Gender: Female
NPI: 1669737268
1706 Hwy 1431 W
(512) 834-4141
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: Anp/Cert/Clnp
Gasparini, Carla G, OD
Gender: Female
NPI: 1922142231
11923 US Hwy 290 E
(512) 272-8300
Clinic Affiliation: Hill Country Eye Care
Board Certifications: None
Language(s): Spanish
Ho, Noriko M, OD
NPI: 1801121488
11923 US Hwy 290 E
J (512) 272-8300
Clinic Affiliation: Hill Country Eye Care
Board Certifications: None
" Scoggins, Christy S, APN
Marble Falls
Gender: Female
NPI: 1760477632
1712 B Hwy 1431
(830) 637-7761
Clinic Affiliation: Christy Scoggins
Board Certifications: Anp/Cert/Clnp
Sizenbach, Dorothy M, APN
Gender: Female
NPI: 1043466873
2300 Hwy 281 N
(830) 693-3621
Clinic Affiliation: Family Wellness Center
PA
Board Certifications: None
Marble Falls
CHIROPRACTIC
Elwartowski, Brian A, DC
Gender: Male
# NPI: 1699782136
1909 US Hwy 281 N
J (830) 798-9300
Clinic Affiliation: Elwartowski Chiropractic
PA
Board Certifications: None
Marble Falls
Lambert, Ronald J, DC
Gender: Male
NPI: 1396967998
908 Ave F
J (830) 798-8820
Board Certifications: None
Marble Falls
DERMATOLOGY
" Jan, Mollie M, DO
Marble Falls
Manor
MANCHACA
J
Gender: Female
NPI: 1801072855
101 Hwy 281
Ste 200
(830) 798-1144
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
" Smetanick, Matthew T, DO
Marble Falls
CHIROPRACTIC
!
!
J
Cone, Joel D, DC
Gender: Male
NPI: 1871788182
13201 Onion Creek Dr
J (512) 577-7234
Board Certifications: None
Language(s): Spanish
Manc haca
#
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
" Burnham, Shaylyn R, APN
Marble Falls
OBSTETRICS-GYNECOLOGY
ANP/CERT/CLNP
" Neghme, Carlos A, MD
J
McKinney, James A, DO
Gender: Male
NPI: 1861571614
14008 Shadowglen Blvd
Ste 202
J (512) 314-3834
Board Certifications: None
MADISONVILLE
GASTROENTEROLOGY
ANP/CERT/CLNP
Manor
Luling
Tieperman, Robert T, DC
Gender: Male
NPI: 1619971348
604 S Madison
J (936) 348-9112
Board Certifications: None
Language(s): Spanish
Gender: Male
NPI: 1215921937
130 Hays St
(512) 754-8676
Hospital Affiliations: Childrens Hospital
San Antonio, Christus Santa Rosa New
Braunfels, Doctors Hospital Of Laredo,
Laredo Medical Center, Seton Edgar B
Davis, Seton Highland Lakes, Seton Medical
Center, Seton Medical Center Hays, Seton
Medical Ctr Harker Heights, Seton Smithville
Reg Hospital
Clinic Affiliation: Gastroenterology of San
Marcos
Board Certifications: Gastroenterology
Language(s): Spanish
Gender: Female
NPI: 1902875453
14008 Shadowglen Blvd
Ste 300
(512) 599-9900
Hospital Affiliations: Parkland Health And
Hospital Sys, St Davids Medical Center
Clinic Affiliation: Renee Snyder MD
Board Certifications: Dermatology
Language(s): French, Spanish
DIAGNOSTIC RADIOLOGY
UNDERSEA MEDICINE
Luling
Luling
" Aranda, Jennifer, MD
" Henke, Jeff S, DPM
J
Albertson, Gary R, DO
Gender: Male
NPI: 1225063951
503 FM 1431 Ste 201
(830) 693-9127
Hospital Affiliations: Round Rock Medical
Center, Ward Memorial Hospital
Clinic Affiliation: Victory Medical & Family
Care
Board Certifications: None
Language(s): Spanish, Tagalog
Marble Falls
Manor
Luling
Gender: Male
NPI: 1871539007
702 S Hackberry Ave
(512) 268-3668
Clinic Affiliation: The Podiatry Group of
South Texas PA
Board Certifications: Podiatry
Language(s): Spanish
ALLERGY-IMMUNOLOGY
DERMATOLOGY
PODIATRY
FAMILY PRACTICE
Kimbrell, Patrick N, MD
Gender: Male
# NPI: 1659471100
200 Memorial Dr
J (830) 875-8475
Hospital Affiliations: Baptist Health
System, Warm Springs Rehab Hosp San
Anton
Clinic Affiliation: Total Wound Specialistspa
Board Certifications: None
Language(s): American Sign, German,
Spanish
Abraham, Juine, APN
Gender: Female
# NPI: 1194095133
600 W Carrie Manor
(512) 978-9800
Clinic Affiliation: Communitycare
Board Certifications: None
Manor
OBSTETRICS-GYNECOLOGY
Lockhart
Lockhart
ANP/CERT/CLNP
Gender: Male
NPI: 1306023114
101 US Hwy 281
(512) 756-2525
Clinic Affiliation: Vitalogy Skincare
Board Certifications: Dermatology
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
129
Specialists
MARBLE FALLS
MARBLE FALLS (cont.)
ORTHOPEDIC SURGERY
PHYSICAL MEDICINE &
REHABILITATION
" Tsourmas, Nicholas F, MD
Marble F alls
GENERAL SURGERY
Gender: Male
NPI: 1336130665
2503 US Hwy 281
(512) 451-1969
Hospital Affiliations: Seton Medical Center,
Seton Northwest Hospital, Seton Smithville
Reg Hospital, St Davids Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Southwest Orthopaedic
Group
Board Certifications: Orthopedic Surgery
Language(s): Spanish
" Thomas, Griffith M, MD
Marble Falls
J
Gender: Male
NPI: 1811070790
1009 Falls Pkwy
Ste A
(830) 637-7302
Hospital Affiliations: Seton Highland Lakes
Board Certifications: General Surgery
J
NEPHROLOGY
Shaw, Jerod K, MD
Gender: Male
NPI: 1407030836
511 US Hwy 281
J (866) 384-5470
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Hill Country Pain Assoc
PA
Board Certifications: None
Gender: Male
NPI: 1174562276
700 US Hwy 281
(830) 693-2600
Hospital Affiliations: Seton Highland
Lakes, Seton Medical Ctr Williamson
Clinic Affiliation: Seton Lockhart Family
Health Cntr
Board Certifications: Nephrology
ONCOLOGY
" Aung, Thomas L, MD
Marble Falls
J
Gender: Male
NPI: 1679515530
1100 Mission Hills Dr
Ste 200
(830) 693-4075
Hospital Affiliations: Cornerstone Hospital
Austin, North Austin Medical Center, Round
Rock Medical Center, Seton Medical Center,
Seton Northwest Hospital, St Davids S
Austin Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: Oncology
Language(s): Chinese
Youman III, Joseph D, MD
Gender: Male
NPI: 1679511125
703 US Hwy 281
Ste 201
J (830) 798-0149
Hospital Affiliations: North Austin Medical
Center, Northwest Surgery Center Llp,
Round Rock Medical Center, Seton Medical
Center, St Davids Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certifications: None
Marble Falls
PAIN MANAGEMENT
Lowry, Angus M, MD
Gender: Male
NPI: 1073773727
1706 FM 1431
J (512) 834-4141
Hospital Affiliations: Seton Medical Center,
St Davids Medical Center, St Davids S
Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
Marble F alls
McCarty, Matthew F, MD
Gender: Male
NPI: 1235132432
1706 FM 1431 W
J (512) 834-4141
Hospital Affiliations: Cornerstone Hospital
Austin, East Texas Medical Center, North
Austin Medical Center, Round Rock Medical
Center, Seton Medical Center, Seton
Northwest Hospital, Seton Southwest, St
Davids Medical Center, St Davids S Austin
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Balcones Pain
Consultants
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): Spanish
PHYSICAL THERAPY
Pangborn, Russell H, LPT
Gender: Male
# NPI: 1376570770
2204 FM 1431 W
J (830) 693-9990
Clinic Affiliation: Highland Lakes Physical
Therapy A
Practice Information: No Patients Under 10
yrs old
Board Certifications: None
Language(s): Spanish
Murphy, Charles W, MD
Gender: Male
NPI: 1639178908
511 US Hwy 281
(210) 582-6600
Hospital Affiliations: Baptist Health
System, Methodist Specialty And Transplant
Hospital, Metropolitan Methodist Hospital,
Northeast Methodist Hospital
Clinic Affiliation: Hill Country Pain Assoc
PA
Board Certifications: None
OPHTHALMOLOGY
" Hayhurst, Russell A, MD
Marble Falls
J
Gender: Male
NPI: 1609861897
2006 US Hwy 281
(512) 452-8467
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, North Austin Medical Center,
Seton Medical Center, Seton Northwest
Hospital, St Davids S Austin Medical Center,
University Med Ctr Brackenridge
Clinic Affiliation: Glaucoma Institute of
Austin PA
Practice Information: Public Transportation
Access, TDD Capacity, Wheelchair
Accessibility
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
" Monheit, Blythe E, MD
PODIATRY
" Rowe, Leslie T, DPM
Marble Falls
Ozuna, Eduardo, MD
Gender: Male
NPI: 1003007469
1706 Hwy 1431 W
(512) 834-4141
Hospital Affiliations: North Austin Medical
Center, Round Rock Medical Center, St
Davids S Austin Medical Center
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
Marble F alls
J
Solomon, Earl Q, DPM
Gender: Male
NPI: 1437133915
1001 Marble Hts
J (830) 693-8144
Hospital Affiliations: Comanche County
Medical Ctr, Seton Highland Lakes
Clinic Affiliation: Hill Country Advanced
Foot and Ankle
Board Certifications: None
Language(s): Spanish
J
Poole, Mohan V, OD
Gender: Male
NPI: 1356508436
1008 Falls Pkwy
J (830) 693-3292
Clinic Affiliation: Poole Eye Assoc
Board Certifications: None
Language(s): Spanish
Marble Falls
MARLIN
Marlin
Marble F alls
Attai, Sherwin, MD
Gender: Male
NPI: 1861540726
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
" Shoultz III, Charles A, MD
Marlin
Gender: Male
NPI: 1780680496
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: Cardiovascular
Disease
Language(s): American Sign, Spanish
Skulpoonkitti, Bryan, DO
Gender: Male
NPI: 1588984439
1706 Hwy 1431 W
(512) 834-4141
Hospital Affiliations: Seton Northwest
Hospital
Clinic Affiliation: Balcones Pain
Consultants
Board Certifications: None
Marble F alls
! - This Provider May Not Be Accepting New Patients
" - Board Certified In Listed Specialty
GENERAL SURGERY
Aycock, Thomas M, MD
Gender: Male
NPI: 1720066566
322 Coleman St
J (254) 803-3561
Hospital Affiliations: Falls Community
Hospital And Clinic, Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
Marlin
INTERNAL MEDICINE
Marlin
Attai, Sherwin, MD
Gender: Male
NPI: 1861540726
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
" Falcone, Michael W, MD
Marlin
Gender: Male
NPI: 1134121452
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Goodall-Witcher
Hospital Auth, Hill Regional Hospital,
Providence Health Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: Internal Medicine
Language(s): Spanish
Marble Falls
CARDIOVASCULAR DISEASE
Shaw, Jerod K, MD
Gender: Male
NPI: 1407030836
511 US Hwy 281
J (866) 384-5470
Hospital Affiliations: Baptist Health System
Clinic Affiliation: Hill Country Pain Assoc
PA
Board Certifications: None
Czajkoski, Kelly, DC
Gender: Male
NPI: 1538163027
322 Coleman St
J (254) 803-3561
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
Marlin
THERAPEUTIC OPTOMETRY
Drinkard, David, OD
Gender: Male
NPI: 1891752838
2512 US Hwy 281 N
J (830) 798-9484
Board Certifications: None
Skeen, Shawn J, MD
Gender: Male
NPI: 1396904553
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Providence Health
Center
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
CHIROPRACTIC
Marble Falls
Marble Falls
Gender: Female
NPI: 1336196542
204 Gateway N
Ste A
(512) 327-7000
Hospital Affiliations: Dell Childrens Med
Ctr Cent Tx, Seton Medical Center, St
Davids Georgetown Hospital
Clinic Affiliation: Texan Eye
Board Certifications: Ophthalmology
Language(s): American Sign, Spanish
Gender: Female
NPI: 1528042009
1001 Marble Hts
(830) 693-8144
Hospital Affiliations: Comanche County
Medical Ctr, Seton Highland Lakes
Clinic Affiliation: Hill Country Advanced
Foot and Ankle
Board Certifications: Podiatry
Language(s): Spanish
Marble F alls
Marble F alls
Marlin
Marble Falls
Marble Falls
" Reddy, Jayasankar K, MD
Marble Falls
OCTOBER 03, 2016
bmkp_in_spec
OTOLARYNGOLOGY
" Schmidt, Robert S, MD
Marlin
Gender: Male
NPI: 1477754885
307 Live Oak St
(254) 803-3561
Hospital Affiliations: Falls Community
Hospital And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: Otolaryngology
Language(s): Spanish
PODIATRY
Orihuela Jr, Eduardo, DPM
Gender: Male
NPI: 1982682720
307 Live Oak St
J (254) 803-3561
Marlin
J
NPI: 1982682720
322 Coleman St
(254) 803-3561
Hospital Affiliations: College Station
Medical Center, Falls Community Hospital
And Clinic
Clinic Affiliation: Falls Community Clinic
Board Certifications: None
Language(s): Spanish
J - This Location is Handicap Accessible
# - This Provider Has Extended Hours
130
OCTOBER 03, 2016
MC GREGOR
bmk_pin_spec
Specialists
PODIATRY
CHIROPRACTIC
Orihuela Jr, Eduardo, DPM
Gender: Male
NPI: 1982682720
514 S Bonham St
Ste D
J (800) 000-0000
Hospital Affiliations: College Station
Medical Center, Falls Community Hospital
And Clinic
Clinic Affiliation: Brazos Valley Foot Care
PA
Board Certifications: None
Language(s): German, Spanish
Bachler, Daniel R, DC
Gender: Male
# NPI: 1588923882
305 N Heatherwilde Blvd
Ste 440
J (512) 990-2400
Mexia
SPEECH PATHOLOGY
England, Carol J, SLP
Gender: Female
NPI: 1417055252
1102 Navajo Trail
(855) 223-0452
Board Certifications: None
Language(s): Spanish
Mc Gregor
MEXIA
ALLERGY-IMMUNOLOGY
" Amar, Niran J, MD
Mexia
Gender: Male
NPI: 1003812595
514 S Bonham St
Ste D
(800) 988-6211
J
#
J
NPI: 1003812595
514 S Bonham Ste D
(800) 988-6211
Hospital Affiliations: Hill Regional Hospital,
Providence Health Center
Clinic Affiliation: Allergy and Asthma
Center
Board Certifications: Allergy-Immunology
Language(s): Hindi, Spanish
Martinez, Maria A, APN
Gender: Female
NPI: 1275848327
514 S Bonham St
(254) 562-9321
Clinic Affiliation: Parkview Regional
Hospital
Board Certifications: None
Ngantcha, Irene, MD
Gender: Female
NPI: 1184806549
514 S Bonham St
J (254) 562-0408
Clinic Affiliation: Parkview Regional
Hospital
Practice Information: No Patients Under 18
yrs old
Board Certifications: None
Language(s): French
PFLUGERVILLE
" Binford, Oswald S, MD
Mexia
J
Gender: Male
NPI: 1760455315
501 E Milam St
(254) 562-3884
Hospital Affiliations: East Texas Medical
Center Fairfield, Ennis Regional Medical
Center, Navarro Regional Hospital
Clinic Affiliation: Regional Employee
Assistance Program
Board Certifications: Ophthalmology
Language(s): Spanish
PHYSICAL THERAPY
ANP/CERT/CLNP
Almodovar, Eduardo, LPT
Gender: Male
NPI: 1407039951
4341 Rolling Water Dr
(512) 720-8151
Clinic Affiliation: Hope Home Rehab
Board Certifications: None
Language(s): Spanish
Pflugerville
Bickham, Ivone G, APN
Gender: Female
NPI: 1992061535
15822 Foothill Farms Loop
(512) 978-9840
Clinic Affiliation: Communitycare
Board Certifications: None
Pflugerville
" Martinez, Elena M, APN
Pflugerville
J
Hall, Priscilla J, LPT
Gender: Female
# NPI: 1417976010
1202 FM 685
Ste C3
J (512) 501-1888
Clinic Affiliation: Integra Physical Therapy
PLLC
Board Certifications: None
Language(s): Spanish
Pflugerville
Gender: Female
NPI: 1811904634
1100 Grand Ave Parkway
Ste 106
(512) 579-7249
Clinic Affiliation: River Place OB GYN PA
Practice Information: No Patients Under 9
yrs old
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Venecia, Cynthia A, APN
Gender: Female
NPI: 1104238963
15822 Foothill Farms Loop
(512) 978-9840
Clinic Affiliation: Communitycare
Board Certifications: None
PODIATRY
Pflugerville
" Lamour, Jeff W, DPM
Pflugerville
J
" Zamora, Josephine H, APN
Pflugerville
Gender: Female
NPI: 1194790030
1620 Grand Ave Pkwy
Ste 110
(512) 670-1212
Clinic Affiliation: Quality Care Sleep
Diagnostics
Board Certifications: Anp/Cert/Clnp
Language(s): Spanish
Mexia
OPHTHALMOLOGY
Coronado, Stacey M, DC
Gender: Female
# NPI: 1043598980
1315 Grand Ave Pkwy
Ste 104
J (512) 252-2001
Clinic Affiliation: Optimal Wellness
Chiropractic PC
Board Certifications: None
Language(s): Spanish
Pflugerville
Absy, Jumah, OD
Gender: Male
# NPI: 1831107275
1406 E Milam
(254) 562-2667
Board Certifications: None
Language(s): Spanish
Mexia
INTERNAL MEDICINE
J
Mexia
CHIROPRACTIC
Sewell, Stanley D, DC
Gender: Male
# NPI: 1043324494
722 E Commerce St
J (254) 562-2112
Clinic Affiliation: Mexia Chiropractic Clinic
Inc
Board Certifications: None
Language(s): Spanish
NPI: 1588923882
305 N Heatherwilde Blvd
Ste 5 Bldg D
(512) 990-2400
Clinic Affiliation: Bachler Chiropractic PLLC
Board Certifications: None
Language(s): American Sign
#
THERAPEUTIC OPTOMETRY
ANP/CERT/CLNP
Mexia
Pflugerville
Cuero, Sonia G, AUDIO
Gender: Female
NPI: 1083666911
15901 Central
Commerce Dr Ste 201
J (512) 989-3088
Clinic Affiliation: Audiology of Central
Texas
Practice Information: No Patients Under 15
yrs old
Board Certifications: None
Language(s): Spanish
Pflugerville
Toussaint, Roseline, DPM
Gender: Female
# NPI: 1205866548
15901 Central Commerce
Dr Ste 606
J (512) 251-1252
Hospital Affiliations: Healthsouth
Rehabilit