| Peoples Community Clinic Inc | |
|
2909 N I H 35 Austin TX 78722-2304 | |
| (512) 478-4939 | |
| (512) 320-0702 |
| Full Name | Peoples Community Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2909 N I H 35, Austin, Texas |
| Authorized Official Name and Position | Regina Rogoff (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5124784939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Community Clinic Inc 2909 N I H 35 Austin TX 78722-2304 Ph: (512) 478-4939 | Peoples Community Clinic Inc 2909 N I H 35 Austin TX 78722-2304 Ph: (512) 478-4939 |
| NPI Number | 1598896391 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1951337237 |
|---|---|
| Medicare Enrollment ID | O20050711000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598896391 | NPI | - | NPPES |
| 134775901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Steven C Crow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720010903 PECOS PAC ID: 0143111443 Enrollment ID: I20040324000999 |
| Provider Name | Nilanjana Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598703084 PECOS PAC ID: 4981694338 Enrollment ID: I20040517000801 |
| Provider Name | Sanjaya P Sooriarachchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457442113 PECOS PAC ID: 4587634589 Enrollment ID: I20040728000279 |
| Provider Name | Natacha Rheem Pankratz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710936307 PECOS PAC ID: 3678599933 Enrollment ID: I20051017000778 |
| Provider Name | Roberto Luis Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548252836 PECOS PAC ID: 4789633595 Enrollment ID: I20060928000525 |
| Provider Name | Nancy E Binford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508891169 PECOS PAC ID: 3678661642 Enrollment ID: I20071109000088 |
| Provider Name | Marcellus M Pearce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285851048 PECOS PAC ID: 7810067584 Enrollment ID: I20080606000450 |
| Provider Name | Stephen J Pont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942384052 PECOS PAC ID: 4981648789 Enrollment ID: I20080908000076 |
| Provider Name | James R Vannorman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043316508 PECOS PAC ID: 6204724990 Enrollment ID: I20081024000482 |
| Provider Name | Margaret Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336284587 PECOS PAC ID: 0749346476 Enrollment ID: I20090305000039 |
| Provider Name | Claudia C Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386847135 PECOS PAC ID: 2769539683 Enrollment ID: I20090413000119 |
| Provider Name | John W Day |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366406480 PECOS PAC ID: 7012066384 Enrollment ID: I20090515000081 |
| Provider Name | Aliya E Hussaini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407876568 PECOS PAC ID: 6305816547 Enrollment ID: I20090721000699 |
| Provider Name | Sheryl A Fishman- Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154452258 PECOS PAC ID: 2466505615 Enrollment ID: I20090805000357 |
| Provider Name | Ann Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437152048 PECOS PAC ID: 9335276633 Enrollment ID: I20100419000290 |
| Provider Name | Celia Neavel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811006000 PECOS PAC ID: 6305973603 Enrollment ID: I20100419000316 |
| Provider Name | Sarah Buttrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922018852 PECOS PAC ID: 3779607858 Enrollment ID: I20100825001187 |
| Provider Name | Syema Muzaffar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033120936 PECOS PAC ID: 3971627076 Enrollment ID: I20100826000196 |
| Provider Name | Alain Szyller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033313622 PECOS PAC ID: 2668598400 Enrollment ID: I20100929000648 |
| Provider Name | Venkat R Thadareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558388579 PECOS PAC ID: 5890989289 Enrollment ID: I20101029000714 |
| Provider Name | Robert Sorin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154307833 PECOS PAC ID: 9436343738 Enrollment ID: I20101101000497 |
| Provider Name | Louis P Appel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073622528 PECOS PAC ID: 1951595081 Enrollment ID: I20101102000812 |
| Provider Name | Anita A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225210958 PECOS PAC ID: 1951440619 Enrollment ID: I20110603000390 |
| Provider Name | Christine A Divin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285756734 PECOS PAC ID: 0547448151 Enrollment ID: I20110630000482 |
| Provider Name | Christine C Villarreal-levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588944920 PECOS PAC ID: 0648443259 Enrollment ID: I20111026000812 |
| Provider Name | Carlos Diaz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497019822 PECOS PAC ID: 5193971760 Enrollment ID: I20120814000516 |
| Provider Name | Meera Beharry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447403340 PECOS PAC ID: 5890970511 Enrollment ID: I20120917000629 |
| Provider Name | Cathia Mendez Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043485212 PECOS PAC ID: 7012060965 Enrollment ID: I20130828000296 |
| Provider Name | Miguel A Delatorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720027881 PECOS PAC ID: 9032148234 Enrollment ID: I20140508001888 |
| Provider Name | Ellen Elizabeth Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942437074 PECOS PAC ID: 2860715489 Enrollment ID: I20150106000904 |
| Provider Name | Melinda Elizabeth Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356632988 PECOS PAC ID: 9537472063 Enrollment ID: I20150713002510 |
| Provider Name | Judy Lu Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467713669 PECOS PAC ID: 9830403567 Enrollment ID: I20150807014924 |
| Provider Name | Lori Warzecki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629274857 PECOS PAC ID: 5496947699 Enrollment ID: I20151003000010 |
| Provider Name | Elizabeth Winterroth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124387741 PECOS PAC ID: 7012225360 Enrollment ID: I20151006001568 |
| Provider Name | Judith Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235486002 PECOS PAC ID: 4981853819 Enrollment ID: I20151024000005 |
| Provider Name | Pritesh Gandhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003115452 PECOS PAC ID: 8426364415 Enrollment ID: I20151223000243 |
| Provider Name | Angela C Desantis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821376989 PECOS PAC ID: 5395047526 Enrollment ID: I20160105002751 |
| Provider Name | Sandra Frasser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821262320 PECOS PAC ID: 7517123151 Enrollment ID: I20160209002609 |
| Provider Name | Waleed Abdelhafez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801230073 PECOS PAC ID: 2769789932 Enrollment ID: I20160404000132 |
| Provider Name | Mariela P Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194019125 PECOS PAC ID: 7719147669 Enrollment ID: I20160429001425 |
| Provider Name | Solana Wooldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841693538 PECOS PAC ID: 1153542410 Enrollment ID: I20160606000665 |
| Provider Name | Louanne R Verrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538326749 PECOS PAC ID: 6709169162 Enrollment ID: I20170208002106 |
| Provider Name | Jennifer Hensley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770571879 PECOS PAC ID: 3870582034 Enrollment ID: I20180416000322 |
| Provider Name | Sharad Kumar Kohli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013969088 PECOS PAC ID: 0244224855 Enrollment ID: I20180530002786 |
| Provider Name | Kelley Lauren Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477074359 PECOS PAC ID: 0042565913 Enrollment ID: I20180618000757 |
| Provider Name | Salina Mostajabian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467716621 PECOS PAC ID: 8820344096 Enrollment ID: I20180629001679 |
| Provider Name | Jeffrey Wade Hutchinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477545408 PECOS PAC ID: 3870810245 Enrollment ID: I20190221000115 |
| Provider Name | Shannon Marie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208242 PECOS PAC ID: 0840533386 Enrollment ID: I20190523002471 |
| Provider Name | Denise Martinez-rivas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225698426 PECOS PAC ID: 3476888348 Enrollment ID: I20190715002017 |
| Provider Name | Feba Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649625534 PECOS PAC ID: 2860824489 Enrollment ID: I20191119002283 |
| Provider Name | Sriyutha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609221514 PECOS PAC ID: 5496047367 Enrollment ID: I20191120000083 |
| Provider Name | Sonia Yvette Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874462 PECOS PAC ID: 8921431172 Enrollment ID: I20191203000542 |
| Provider Name | Marianela Guzman Alonso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730730995 PECOS PAC ID: 3476987868 Enrollment ID: I20191217002797 |
| Provider Name | Jina M Mariano Martinez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902391790 PECOS PAC ID: 9931450095 Enrollment ID: I20200218000066 |
| Provider Name | Rosa Maria Frausto De Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285270389 PECOS PAC ID: 5698104545 Enrollment ID: I20200329000602 |
| Provider Name | Jessica Wansart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417320763 PECOS PAC ID: 8921412859 Enrollment ID: I20210204000132 |
| Provider Name | Nicole A Moretti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427318518 PECOS PAC ID: 3577843010 Enrollment ID: I20210419001080 |
| Provider Name | Ashley Sareen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872317 PECOS PAC ID: 3072992411 Enrollment ID: I20220615002218 |
| Provider Name | Deisy Ali Jaimes-jaimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649912320 PECOS PAC ID: 5890164859 Enrollment ID: I20221214000012 |
| Provider Name | Isadora Cabral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851955967 PECOS PAC ID: 4183093891 Enrollment ID: I20221219001876 |
| Provider Name | Paul Herman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720027584 PECOS PAC ID: 0648401570 Enrollment ID: I20230306002148 |
| Provider Name | Geeta Rose Silas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801823752 PECOS PAC ID: 6608844873 Enrollment ID: I20230412003071 |
| Provider Name | Maria Fernanda Guzman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114652153 PECOS PAC ID: 8022473321 Enrollment ID: I20230420000052 |
| Provider Name | Estefania Quintero Mojica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871094185 PECOS PAC ID: 0941665780 Enrollment ID: I20230428002632 |
| Provider Name | Najiba Keshwani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013440734 PECOS PAC ID: 3678937695 Enrollment ID: I20230908003676 |
| Provider Name | Teshira Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477231777 PECOS PAC ID: 6901253152 Enrollment ID: I20231108004012 |
| Provider Name | Nina F Abrishami |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649057969 PECOS PAC ID: 8628426988 Enrollment ID: I20231127002038 |
| Provider Name | Amanda Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619741618 PECOS PAC ID: 9830533074 Enrollment ID: I20240215003602 |
| Provider Name | Travis Miller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215457296 PECOS PAC ID: 4688019979 Enrollment ID: I20240227000059 |
| Provider Name | Saloni Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194346395 PECOS PAC ID: 1850736950 Enrollment ID: I20240228003187 |
| Provider Name | Hanan Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386098754 PECOS PAC ID: 0840606331 Enrollment ID: I20240405003869 |
| Provider Name | Geraldine Sellu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063980696 PECOS PAC ID: 6002256658 Enrollment ID: I20240430000374 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |