| Village Medical | |
|
720 W 34th St Austin TX 78705-1205 | |
| (512) 988-5355 | |
| (512) 323-0307 |
| Full Name | Village Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 720 W 34th St, Austin, Texas |
| Authorized Official Name and Position | Kristi I Lee (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 7065134897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical Po Box 360340 Pittsburgh PA 15251-6340 Ph: (512) 988-5355 | Village Medical 720 W 34th St Austin TX 78705-1205 Ph: (512) 988-5355 |
| NPI Number | 1790318566 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 7911337472 |
|---|---|
| Medicare Enrollment ID | O20200423002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790318566 | NPI | - | NPPES |
| Provider Name | Mark D Stoeckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689671042 PECOS PAC ID: 7214926286 Enrollment ID: I20040506001281 |
| Provider Name | Erica W Swegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780672063 PECOS PAC ID: 7012906340 Enrollment ID: I20040511000656 |
| Provider Name | Esther B De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588898209 PECOS PAC ID: 8426038746 Enrollment ID: I20040727000243 |
| Provider Name | Shane E Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194768911 PECOS PAC ID: 6103885413 Enrollment ID: I20041004000438 |
| Provider Name | Nathan A Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992705768 PECOS PAC ID: 3779502158 Enrollment ID: I20051115000487 |
| Provider Name | Ravi Kishore Konidala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124013552 PECOS PAC ID: 1557331758 Enrollment ID: I20071003000750 |
| Provider Name | Daniel L Rasor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043211329 PECOS PAC ID: 5294880068 Enrollment ID: I20090831000240 |
| Provider Name | Vijayalakshmi Yalamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356442784 PECOS PAC ID: 3173667474 Enrollment ID: I20100225000039 |
| Provider Name | Gregory Marchand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033104336 PECOS PAC ID: 9335151349 Enrollment ID: I20100728000593 |
| Provider Name | Clive K Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20120606000764 |
| Provider Name | Yun Woong Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730404138 PECOS PAC ID: 5799925806 Enrollment ID: I20130715000305 |
| Provider Name | Jamilla C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337029 PECOS PAC ID: 1052568102 Enrollment ID: I20131108001448 |
| Provider Name | Paraag Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265751192 PECOS PAC ID: 4688999725 Enrollment ID: I20150211001608 |
| Provider Name | Michele Graczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992089031 PECOS PAC ID: 3476866096 Enrollment ID: I20150724011277 |
| Provider Name | Diana Carolyn Gomez Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344997 PECOS PAC ID: 2668788720 Enrollment ID: I20150903001581 |
| Provider Name | Juan Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215297155 PECOS PAC ID: 0749406494 Enrollment ID: I20151005001263 |
| Provider Name | Jeannette E Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043305469 PECOS PAC ID: 4183771868 Enrollment ID: I20160105002688 |
| Provider Name | Karina Gutierrez Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992148605 PECOS PAC ID: 0749573251 Enrollment ID: I20160721000310 |
| Provider Name | Caroline P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660572 PECOS PAC ID: 3971871617 Enrollment ID: I20170621000859 |
| Provider Name | Danielle N. Stramandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831419399 PECOS PAC ID: 9537318910 Enrollment ID: I20170703001675 |
| Provider Name | Meaghan Rathvon Lisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790915775 PECOS PAC ID: 4981730918 Enrollment ID: I20190416001598 |
| Provider Name | Annie So Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129540 PECOS PAC ID: 8022344225 Enrollment ID: I20190725002258 |
| Provider Name | Connie Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073967584 PECOS PAC ID: 8820332075 Enrollment ID: I20190801002678 |
| Provider Name | Yamama Alkourbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487018487 PECOS PAC ID: 7810224367 Enrollment ID: I20190807001487 |
| Provider Name | Fanny Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376108464 PECOS PAC ID: 4587086251 Enrollment ID: I20200625001574 |
| Provider Name | Stephanie Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023323342 PECOS PAC ID: 4587844634 Enrollment ID: I20211021001087 |
| Provider Name | Kurt Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861991580 PECOS PAC ID: 2466836002 Enrollment ID: I20220831003041 |
| Provider Name | Ronak Ghiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861925877 PECOS PAC ID: 7517236219 Enrollment ID: I20221006002531 |
| Provider Name | Amy Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225154651 PECOS PAC ID: 7113025164 Enrollment ID: I20230428001409 |
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 |