South Austin Family Practice Clinic, Pllc | |
5625 Eiger Rd Suite 200 Austin TX 78735-8982 | |
(512) 892-7076 | |
(512) 892-1634 |
Full Name | South Austin Family Practice Clinic, Pllc |
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Speciality | Family Medicine |
Location | 5625 Eiger Rd, Austin, Texas |
Authorized Official Name and Position | Kevin P Spencer (PRESIDENT) |
Authorized Official Contact | 5128927076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Austin Family Practice Clinic, Pllc 5625 Eiger Rd Suite 200 Austin TX 78735-8982 Ph: (512) 892-7076 | South Austin Family Practice Clinic, Pllc 5625 Eiger Rd Suite 200 Austin TX 78735-8982 Ph: (512) 892-7076 |
NPI Number | 1235130592 |
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Provider Enumeration Date | 08/09/2005 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 3678564358 |
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Medicare Enrollment ID | O20040520001500 |
Identifier | Type | State | Issuer |
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1235130592 | NPI | - | NPPES |
1235130592 | Other | TX | NPI |
Provider Name | Rita M Schultz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124116926 PECOS PAC ID: 6103713714 Enrollment ID: I20040228000523 |
Provider Name | Ralph S Sharman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548297096 PECOS PAC ID: 4587652714 Enrollment ID: I20040505000593 |
Provider Name | Kevin Patrick Spencer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417996570 PECOS PAC ID: 5496735326 Enrollment ID: I20040722000029 |
Provider Name | Craig T Kopecky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174756365 PECOS PAC ID: 2961466875 Enrollment ID: I20041118001128 |
Provider Name | Clyde D Smith |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1104917202 PECOS PAC ID: 1355383167 Enrollment ID: I20050523000571 |
Provider Name | Erin Michelle Amjadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871529115 PECOS PAC ID: 9234165614 Enrollment ID: I20050718000255 |
Provider Name | Trey G Brader |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952505711 PECOS PAC ID: 1456383116 Enrollment ID: I20050902000383 |
Provider Name | Truly Peterson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982643680 PECOS PAC ID: 8921011149 Enrollment ID: I20060710000310 |
Provider Name | Sheryl A Innerarity |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710165220 PECOS PAC ID: 8628157419 Enrollment ID: I20080505000793 |
Provider Name | Pompeyo C Chavez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821292426 PECOS PAC ID: 6406935295 Enrollment ID: I20080505000834 |
Provider Name | Brian Bobb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144280991 PECOS PAC ID: 7517944952 Enrollment ID: I20081003000485 |
Provider Name | Anne B Spencer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699927111 PECOS PAC ID: 3779646443 Enrollment ID: I20090107000482 |
Provider Name | Brian L Sullivan |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053395079 PECOS PAC ID: 4284787177 Enrollment ID: I20090921000679 |
Provider Name | James E Handy |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528027992 PECOS PAC ID: 7012053879 Enrollment ID: I20091008000053 |
Provider Name | Ronald L Cox |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1962404699 PECOS PAC ID: 1456389626 Enrollment ID: I20091112000290 |
Provider Name | Michael S Lifshen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982605234 PECOS PAC ID: 7416091608 Enrollment ID: I20100225000965 |
Provider Name | Darren Eugene Geyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053311985 PECOS PAC ID: 3870505886 Enrollment ID: I20100728000688 |
Provider Name | Hyon C Shin |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558469452 PECOS PAC ID: 1254421894 Enrollment ID: I20101122000745 |
Provider Name | Mark C Dawson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164400867 PECOS PAC ID: 2668669490 Enrollment ID: I20101206001259 |
Provider Name | David J Gabriel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619084993 PECOS PAC ID: 8426226689 Enrollment ID: I20110714000518 |
Provider Name | Olivia Y Blankenship |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427362219 PECOS PAC ID: 9436329208 Enrollment ID: I20110906000069 |
Provider Name | Dorea W Neigert |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366670853 PECOS PAC ID: 0042485781 Enrollment ID: I20111208000447 |
Provider Name | William Berkley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457368730 PECOS PAC ID: 1254509359 Enrollment ID: I20120306001004 |
Provider Name | Matthew A Brimbery |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578791976 PECOS PAC ID: 6800051137 Enrollment ID: I20120711000313 |
Provider Name | Gurneet S Kohli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225291784 PECOS PAC ID: 0446429278 Enrollment ID: I20140305001468 |
Provider Name | Anumeha Kohli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932436532 PECOS PAC ID: 4981850138 Enrollment ID: I20140328000682 |
Provider Name | Robert J Ondash |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053320069 PECOS PAC ID: 4284666371 Enrollment ID: I20141210000903 |
Provider Name | Carla J Thompson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003021593 PECOS PAC ID: 1153645619 Enrollment ID: I20150112000970 |
Provider Name | Gay Lynne Carson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821471020 PECOS PAC ID: 1052611571 Enrollment ID: I20160126000482 |
Provider Name | Aubrey Stanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912373895 PECOS PAC ID: 4284939620 Enrollment ID: I20160224000211 |
Provider Name | Carrie A Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396161725 PECOS PAC ID: 9234436023 Enrollment ID: I20160322001317 |
Provider Name | Sarah Elizabeth Browning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720442197 PECOS PAC ID: 4486945482 Enrollment ID: I20160622001702 |
Provider Name | John Patrick Fardal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578900387 PECOS PAC ID: 1557580149 Enrollment ID: I20160811000124 |
Provider Name | Selena Y Ng |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255745717 PECOS PAC ID: 3971896465 Enrollment ID: I20170714000121 |
Provider Name | William P Noble |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144513748 PECOS PAC ID: 1153546569 Enrollment ID: I20170918000517 |
Provider Name | Kathryn B Breihan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376917286 PECOS PAC ID: 2062778723 Enrollment ID: I20171113002508 |
Provider Name | Andrew D Papendieck |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992186829 PECOS PAC ID: 6103135710 Enrollment ID: I20180109001301 |
Provider Name | Blair H Owens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316310600 PECOS PAC ID: 6709131683 Enrollment ID: I20180618001152 |
Provider Name | Margaret A Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912302514 PECOS PAC ID: 0143575027 Enrollment ID: I20180618001219 |
Provider Name | Kristen L Emptage |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821270661 PECOS PAC ID: 2668555152 Enrollment ID: I20180626002475 |
Provider Name | Hayley C Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619305992 PECOS PAC ID: 3779712609 Enrollment ID: I20180730001629 |
Provider Name | Ellyn Scholz Lizakowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053667683 PECOS PAC ID: 6204184773 Enrollment ID: I20180801000128 |
Provider Name | Allen Nicholas Jarzombek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306257738 PECOS PAC ID: 3870850902 Enrollment ID: I20191004002021 |
Provider Name | Mallory Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942843438 PECOS PAC ID: 4082048947 Enrollment ID: I20191231000461 |
Provider Name | Cara Lye |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851649016 PECOS PAC ID: 7911321138 Enrollment ID: I20200721003518 |
Provider Name | Manshi Valluri Mallepogu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538540620 PECOS PAC ID: 1557656014 Enrollment ID: I20201013001360 |
Provider Name | Anita R Singal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033400668 PECOS PAC ID: 1153543335 Enrollment ID: I20201119002507 |
Provider Name | Ariana Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346842622 PECOS PAC ID: 0648681304 Enrollment ID: I20201201002407 |
Provider Name | Karsyn Stark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699370346 PECOS PAC ID: 4082026943 Enrollment ID: I20201217000717 |
Provider Name | Stacy Royer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053911149 PECOS PAC ID: 0244649853 Enrollment ID: I20210512000986 |
Provider Name | Krystal Dawn Deleon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700375979 PECOS PAC ID: 6800141870 Enrollment ID: I20210807000174 |
Provider Name | Christina M Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437825031 PECOS PAC ID: 1759771843 Enrollment ID: I20211203001234 |
Provider Name | Michelle Lee Blackburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265172779 PECOS PAC ID: 9537547179 Enrollment ID: I20220609001928 |
Provider Name | Alyssa Danielle Rosales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376203406 PECOS PAC ID: 5395123996 Enrollment ID: I20220610001301 |
Provider Name | Theresa Rose Schmidt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043977531 PECOS PAC ID: 4385023910 Enrollment ID: I20220628000818 |
Provider Name | Toral J Parikh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477817930 PECOS PAC ID: 5890095996 Enrollment ID: I20230612002832 |
Provider Name | Aditi Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013537380 PECOS PAC ID: 0143682864 Enrollment ID: I20230814000079 |
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 |