HMO Blue Texas SM Table of Contents
HMO Blue TexasSM bmk_toc Table of Contents Independent Provider Network (IPN) Primary Care Physicians ......................................................................................... 2 Specialists.............................................................................................................. 59 Supervised and Sponsored Providers ................................................................. 282 Hospitals .............................................................................................................. 293 AIM Specialty Health®’ (AIM) ............................................................................... 294 Quest Diagnostics (Quest)................................................................................... 295 Ancillary Providers ............................................................................................... 296 Listing of Providers .............................................................................................. 305 Behavioral Health Providers (including Chemical Dependency Providers) ................. 320 Behavioral Health Hospitals......................................................................................... 355 Vision Providers ........................................................................................................... 356 Pharmacy Providers..................................................................................................... 360 Index of Primary Care Providers.................................................................................. 365 Index of Specialists ...................................................................................................... 371 Search Criteria Product Type: Subregion: Last Updated: HMO AUSTIN October 15, 2014 Limited Provider Networks Your primary care physician is part of a provider network or association of health care professionals who work together to provide a full range of health care services. That means, when you choose your primary care physician, you are also choosing a limited provider network and in most instances, for services to be covered by your health care benefit plan, you are not allowed to receive services from any physician or health care professional that is not also part of your primary care physician’s network. You will not be able to select any physician or provider outside of your primary care physician’s network, even if that physician or provider is participating in HMO Blue Texassm. All of your care will be provided by or arranged for within the limited provider network to which your primary care physician belongs, so make sure that your primary care physician’s network includes the specialists and hospitals that you prefer. ATTENTION FEMALE ENROLLEES: Choosing OB/GYN Services In selecting your primary care physician, remember that your primary care physician’s network affects your choice of an OB/GYN. For preventive care (well-woman exams), gynecological conditions, or maternity care, female members may see a network OB/GYN without first obtaining a referral from their primary care physician. If you choose to select an OB/GYN, the OB/GYN you select must belong to the same limited provider network as your primary care physician. This is another reason to make certain that your primary care physician’s network includes the specialists, particularly the OB/GYN, and hospitals that you prefer. You are not required to select an OB/GYN; you may elect to receive your OB/GYN services from your primary care physician. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. INDEPENDENT O ctober 15, 2014PROVIDER NETW ORK ( IPN) AUSTIN FAMILY PRACTICE " Aberra, Getnet, MD Aus tin Gender: Male PCP # 8EQ04001 NPI: 1801839170 1210 W Braker Ln (512) 978-9300 Hospital Affiliation: Medical Center Hospital Clinic Affiliation: Communitycare Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice " Agueros, Horacio M, MD Aus tin Gender: Male # PCP # 0063DD01 PCP # 8DE40901 NPI: 1477586618 2609 E Seventh St J (512) 474-6836 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Clinica Siete Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Family Practice " Alamia, Rodolfo R, MD Aus tin J Gender: Male PCP # 0002DY01 NPI: 1346321098 1221 W Ben White B212 (512) 443-8500 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Family Practice " Ambler, Mark S, MD Austin Gender: Male PCP # 8814M501 NPI: 1851310965 1807 W Slaughter Ln Ste 490 J (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Gender: Male PCP # 8A319701 NPI: 1386690477 1313 Red River St Ste 100 J (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Armstrong, Michael L, DO Austin Gender: Male # PCP # 8CY93301 NPI: 1295734937 2802 Webberville Rd (512) 978-9400 Hospital Affiliation: Ballinger Memorial Hospital, Palo Pinto General Hospital, Weatherford Regional Med Ctr Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Allen, Gregory G, MD Aus tin Gender: Male PCP # 8CZ03201 NPI: 1124060389 2909 N IH 35 (512) 478-4939 Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: Family Practice " Alward, Ian S, MD Aus tin Gender: Male # PCP # 8H197501 NPI: 1790764058 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 86302J01 NPI: 1245252576 1313 Red River Ste 100 J (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Arnecilla, Jennifer A, MD Gender: Female PCP # 8K904001 NPI: 1982604161 7600 Burnet Rd Ste 270 J (512) 377-2336 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austins Friendly Family Med PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Family Practice " Bolton, Kim P, MD Austin ! J " Brimberry, Matthew, MD Gender: Male # PCP # 8DF53301 NPI: 1578791976 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice " Brinson, Cynthia C, MD Austin Gender: Female PCP # 8DZ32101 NPI: 1093766396 1313 Red River Ste 100 (512) 324-8600 Hospital Affiliation: St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Bingham, Julie A, MD Gender: Female PCP # 8ED57701 NPI: 1548375272 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Parkview Regional Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Aseh, Omerine Y, MD Gender: Female PCP # 8CY63701 NPI: 1649429556 3816 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Birdwell, Larry R, DO Austin Gender: Male # PCP # 8CY93401 NPI: 1063466761 2529 S First St (512) 978-9500 Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Balderas, Dagoberto, DO Austin Gender: Male PCP # 8ED51501 NPI: 1699835843 14101 Hwy 290 W Ste 200A J (512) 301-6400 Clinic Affiliation: Lewis Family Medicine Board Certified Specialties: Family Practice Austin " Bangston, John F, MD Austin Gender: Male PCP # 8A272001 NPI: 1457361800 11671 Jollyville Rd Ste 203 J (512) 338-5150 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: North Austin Family Medicinepa Board Certified Specialties: Family Practice ! Blair, Stephen, MD Gender: Male PCP # 8EF66301 NPI: 1962404244 1000 E 41st St Ste 925 (512) 978-9940 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None " Bockmon, Kimball W, MD Austin Gender: Male PCP # 8W587301 NPI: 1548212152 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: Park Plaza Hospital, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Gender: Female PCP # 88879S01 NPI: 1558376608 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Austin Austin " Alberda, Kelly J, MD J " Benold, Terrell B, MD Austin Austin Aus tin Gender: Male PCP # 8K823601 NPI: 1972525376 1313 Red River St Ste 100 (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Scott & White Hlthcare Round Rock, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Barta, Adam P, MD Austin Bristol, Paul E, MD Gender: Male PCP # 0096DK01 NPI: 1780760595 2013 Wells Branch Pwky Ste 113 J (512) 251-2828 Hospital Affiliation: St Davids Medical Center Practice Information: No Patients Under 7 yrs old Board Certified Specialties: None Austin ! " Brode, Donald R, MD Austin J Gender: Male PCP # 82414S01 NPI: 1669417580 3828 S First St (512) 443-1311 # PCP # 8CY94301 NPI: 1669417580 4614 N IH 35 (512) 978-9100 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA, Communitycare Board Certified Specialties: Family Practice " Brooke, William F, MD Austin Gender: Male PCP # 8BT49001 NPI: 1659358430 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J - Wheelchair Access 2 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Calderon, April M, DO " Chaudhury, Saswati, MD Aus tin AUSTIN Cont FAMILY PRACTICE Cont " Browning, Stewart R, MD Austin Gender: Male PCP # 8B074101 NPI: 1699781971 1807 W Slaughter Ln Ste 490 J (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J ! Bui, Thieu, MD Gender: Male # PCP # 00SA9901 NPI: 1811003296 8738 N Lamar Blvd J (512) 834-2035 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Board Certified Specialties: None Austin " Burnell, Elizabeth E, MD Austin Gender: Female PCP # 8DB88601 NPI: 1255325429 7610 W Hwy 71 Ste F (512) 288-0859 Hospital Affiliation: River Oaks Endoscopy Center Llp, West Houston Medical Center Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice Butler, David T, MD Gender: Male !# PCP # 8K667001 NPI: 1295703254 11940 Jollyville Rd Ste 115S J (512) 258-5800 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Butler David T MD Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Austin " Buttrey, Sarah, MD Austin Gender: Female PCP # 8DJ77001 NPI: 1922018852 2811 E Second St (512) 324-4930 Hospital Affiliation: 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 Certified Specialties: Family Practice Callaway, Susan, MD Gender: Female PCP # 86C68301 NPI: 1083620363 3828 S First St J (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Chen, Anthony Y, MD Gender: Male PCP # 8DW58001 NPI: 1619289949 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Canon, Todd A, MD Gender: Male # PCP # 8CJ05101 NPI: 1275553901 2555 Western Trails Blvd Ste 101 (512) 892-6600 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice Austin Carlson, Kevin R, MD Gender: Male PCP # 0094DK01 NPI: 1366528184 2013 Wells Branch Pkwy Ste 113 J (512) 251-2828 Hospital Affiliation: St Davids Medical Center Practice Information: No Patients Under 7 yrs old Board Certified Specialties: None Childers, Jacob A, MD Gender: Male ! PCP # 8CC72801 NPI: 1255411617 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin " Casas, Cheyanne M, MD Aus tin Gender: Female # PCP # 8DQ60401 NPI: 1528047693 5625 Eiger Rd Ste 200 (512) 892-7076 Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice " Chuo, Li Tai, MD Austin Gender: Male PCP # 8BJ80301 NPI: 1841384211 2900 N Quinlan Park Rd Ste 430 (512) 266-8877 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice " Cauvin, Paul D, MD Aus tin Aus tin ! Aus tin Chen, Helo, DO Gender: Male PCP # 8EN01101 NPI: 1760491047 8900 Shoal Creek Blvd Bldg 200 (512) 323-6000 PCP # 8DS13001 PCP # 8W769001 NPI: 1760491047 8900 Shoal Creek Blvd Ste 200 (512) 323-6900 Clinic Affiliation: Greentree Health, Union Treatment Centers, Utc Health and Rehab Austin Board Certified Specialties: None Aus tin J " Cole III, Donald, MD Austin Gender: Female PCP # 8BS97501 NPI: 1710157938 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Gender: Male PCP # 8R680701 NPI: 1700892080 3828 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Aus tin " Byrd Jr, Charles R, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours ! Aus tin Austin Gender: Male PCP # 0099GU01 NPI: 1225056328 2765 Bee Caves Rd J (512) 328-2752 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 8 yrs old Board Certified Specialties: Family Practice Austin Gender: Female PCP # 8CL98604 NPI: 1437475191 12129 FM 620 Ste 600 E (512) 336-3400 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 87J44001 NPI: 1447265590 11714 Wilson Parke Ave Ste 150 (512) 250-5571 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Clark Brown, Cheryl M, MD Gender: Female PCP # 0026ST01 NPI: 1619000239 2113 E Martin Luther King Jr Blvd Ste 101 J (512) 391-9700 Hospital Affiliation: University Med Ctr Brackenridge Board Certified Specialties: None Austin Chang, Christopher, MD Gender: Male PCP # 8EK10801 NPI: 1518251800 11714 Wilson Parke Ave Ste 150 (512) 272-4636 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Clemons, Lisa K, MD Austin Chapa, Yesica, MD Gender: Female PCP # 8EM42701 NPI: 1467747741 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None J Gender: Female PCP # 8B609401 NPI: 1285656603 1313 Red River St Ste 100 (512) 324-8880 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Cortez, Monique, MD Austin Gender: Female PCP # 8F707401 NPI: 1619983996 3828 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice ! " Cox, Geoffrey H, MD Austin Gender: Male PCP # 8511M001 NPI: 1700849353 7900 FM 1826 Ste 202 J (512) 416-0044 Hospital Affiliation: Seton Medical Center, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: South Oaks Medical Board Certified Specialties: Family Practice " Crook, Gretchen L, MD Austin Gender: Female PCP # 8F707201 NPI: 1346255403 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Crow, Steven C, MD Gender: Male # PCP # 82A57901 NPI: 1720010903 2909 N IH 35 J (512) 478-4939 Austin # PCP # 8CY94601 NPI: 1720010903 4614 N IH 35 (512) 978-9100 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Communitycare, Peoples Community Clinic Inc Board Certified Specialties: None " Dang, Tony, MD Austin Gender: Male # PCP # 8CW36201 NPI: 1083795199 11207 N Lamar Blvd Ste B (512) 832-1300 Hospital Affiliation: Seton Medical Center Clinic Affiliation: North Lamar Family Medicine Board Certified Specialties: Family Practice Austin Dawson, Mark C, MD Gender: Male PCP # 8CS94301 NPI: 1164400867 5625 Eiger Rd Ste 200 (812) 892-5881 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None J - Wheelchair Access 3 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Escamilla, David F, MD " Fite, Kevin D, MD Austin AUSTIN Cont FAMILY PRACTICE Cont " Dent, Marenda D, DO Aus tin Gender: Female # PCP # 8DS46102 NPI: 1821121112 11521 Ranch Rd 620 B Ste 100 (512) 402-6830 Clinic Affiliation: Medspring Prime of Texas PA Practice Information: No Patients Under 7 yrs old Board Certified Specialties: Family Practice " Easterling, Amy K, DO Aus tin Gender: Female # PCP # 8CE47601 NPI: 1881897270 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice " Elmore, Ellen L, MD Aus tin ! Gender: Female PCP # 8BS97601 NPI: 1164694634 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Gender: Male PCP # 8CY95107 NPI: 1427093434 1200 Montopolis Dr J (512) 978-9800 Gender: Male PCP # 8CQ80501 NPI: 1730372491 12201 Renfert Way Ste 315 (512) 837-6000 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Austin Medical Group PLLC Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Family Practice PCP # 8CY95105 NPI: 1427093434 211 Comal St J (512) 978-9200 PCP # 8CY95112 NPI: 1427093434 2529 S First St J (512) 978-9500 " Foadey, Tongny W, MD Austin Gender: Male PCP # 8V437301 NPI: 1902035801 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice PCP # 8CY95110 NPI: 1427093434 2802 Webberville Rd J (512) 978-9400 # PCP # 8CY95103 NPI: 1427093434 500 E Seventh St J (512) 978-9920 # PCP # 8CY95113 NPI: 1427093434 6801 S IH 35 Ste 1E J (512) 978-9960 J Ganta, Neelima, MD Gender: Female PCP # 8CY95301 NPI: 1619186681 1200 Montopolis Dr J (512) 978-9800 Clinic Affiliation: Communitycare Board Certified Specialties: None " Garcia, Derrick, MD Austin J " Franklin, William G, MD Gender: Male # PCP # 84490S03 NPI: 1609948314 3003 Bee Caves Rd Ste 201 J (512) 652-0122 PCP # 8CY95101 NPI: 1427093434 7112 Ed Bluestein Blvd Ste 155 J (512) 978-9300 # PCP # 84490S01 NPI: 1609948314 4303 Victory Dr J (512) 462-3627 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: Family Practice PCP # 8CY95111 NPI: 1427093434 825 E Rundberg Ln Ste B1 J (512) 978-9600 PCP # 8CY95102 NPI: 1427093434 928 Blackson Ave J (512) 978-9740 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Frazier, Jenny M, MD Austin Gender: Female PCP # 8BG94901 NPI: 1962441030 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Lake Pointe Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 5 yrs old, No Patients Under 8 yrs old Board Certified Specialties: Family Practice Fannin, Tuyet M, DO Gender: Female PCP # 8U207001 NPI: 1235126194 711 W 38th St Ste C9 J (512) 454-3500 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Symphony Healthcare PA Board Certified Specialties: None Austin Geyer, Darren E, MD Gender: Male # PCP # 85083Y01 NPI: 1053311985 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None " Ghaffar, Anila J, MD Austin Gender: Female PCP # 8DV04701 NPI: 1639346950 1015 W 39 1/2 St (512) 371-7478 Clinic Affiliation: Pro Care Medical Center Board Certified Specialties: Family Practice " Gildersleeve, Roger W, MD Austin Gender: Male PCP # 8CB72901 NPI: 1770554149 1221 W Ben White Blvd Ste B100 300 (877) 800-5722 Hospital Affiliation: Round Rock Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice " Frederick, John, MD " Fincken, Gerald T, DO Austin Gender: Male PCP # 83039Y01 NPI: 1841206117 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Freeman, Georgeanne, DO Gender: Female PCP # 8DB56901 NPI: 1194838409 1611 W Fifth St Ste 180 J (512) 391-9400 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Downtown Doctor Board Certified Specialties: None Austin Gender: Male PCP # 8B074401 NPI: 1134135403 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Austin Gender: Male PCP # 85082Y01 NPI: 1316932221 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice Gender: Female PCP # 8DU47701 NPI: 1245318138 11111 Research Blvd Ste 310 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Austin Austin PCP # 8CY95108 NPI: 1427093434 8656A W Hwy 71 Ste C J (512) 978-9820 ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Gangupantula, Gopika, MD Austin " Glawe, Jane M, MD Austin J Gender: Female PCP # 8B074601 NPI: 1952317224 3828 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J - Wheelchair Access 4 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Gutierrez, Michael L, MD Gender: Male ! PCP # 00U83W01 NPI: 1770664427 1009 E 40th St Ste 300B J (512) 482-8280 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Board Certified Specialties: None " Hill, Svetlana M, MD Aus tin AUSTIN Cont FAMILY PRACTICE Cont " Glaze, Sylvia, MD Austin Gender: Female PCP # 89C01101 NPI: 1225043383 4515 Seton Ctr Pkwy 220 J (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Ha, Chen X, MD Guel, Mario H, MD Gender: Male PCP # 8EJ10301 NPI: 1629274626 5510 S IH 35 Ste 250A (512) 301-1166 Hospital Affiliation: Mission Regional Medical Center, South Texas Health System, South Texas Regional Medical Center, University Medical Center Clinic Affiliation: Wellness Med Clinics LLC Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None ! J Gender: Male PCP # 0088AA01 NPI: 1457330292 631 W 38th St Ste 2 (512) 459-3177 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Austin Gender: Female PCP # 8DY03501 NPI: 1669487724 10401 Anderson Mill Rd Ste 110-B (512) 250-5571 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice PCP # 8CZ64901 NPI: 1134120579 4303 Victory Dr (512) 462-3627 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: Family Practice " Gupta, Ajay K, MD Austin ! Gender: Female PCP # 8EF74101 NPI: 1942366638 6633 US 290 Frontage Rd Ste 300 (512) 872-6868 PCP # 8DJ04701 NPI: 1942366638 7200 Wyoming Springs Dr Ste 1500 (512) 218-8696 Clinic Affiliation: Capital Area Primary Care PLLC, Lamia Kadir MD Board Certified Specialties: Family Practice " Kapadia, Deepti G, MD Austin Gender: Female PCP # 89C02101 NPI: 1649285701 1807 W Slaughter Ln Ste 490 J (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Karst, Fernando E, MD Austin Gender: Male PCP # 8EK12201 NPI: 1326148586 6633 E Hwy 290 Ste 101 (512) 314-3834 Hospital Affiliation: Christus Santa Rosa New Braunfels, University Health System Clinic Affiliation: James McKinney DO PA Board Certified Specialties: Family Practice " Hutchens, Mark H, MD J " Heisler, Gerald P, MD Austin " Kadir, Lamia, MD Austin Austin Aus tin J Hon, Serena, MD Gender: Female PCP # 8EK11201 NPI: 1093002537 11714 Wilson Parke Ave Ste 150 (512) 231-5548 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Hooda, Madhu, MD Gender: Female PCP # 8CZ64902 NPI: 1134120579 3003 Bee Caves Rd Ste 201 (512) 462-3627 Jones, Patsy, MD Gender: Female PCP # 0039DP01 NPI: 1275636607 2113 E MLK Jr Blvd Ste 106 J (512) 472-9664 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin Gender: Male PCP # 8CZ79601 NPI: 1699757641 706 W Ben White Blvd Ste A100 (512) 442-1996 Hospital Affiliation: 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 Certified Specialties: Family Practice Austin " Hanley, Patricia S, MD Aus tin Gender: Female PCP # 8DF20901 NPI: 1104029735 2301 W N Loop Blvd J (512) 452-2506 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Inspire Family Health PA Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J " Hahn, James S, MD " Guerra, Adriana, MD Gutierrez, Emilio F, MD Gender: Male PCP # 0065DK01 PCP # 8DC97601 NPI: 1659467447 4400 Red River St J (512) 474-9000 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Emilio Gutierrez MD Board Certified Specialties: None Austin Aus tin Austin Gender: Male PCP # 82T24801 NPI: 1629026067 1101 W 40th St J (512) 459-4147 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Jefferson Street Family Practice Board Certified Specialties: Family Practice " Holme, Josef E, MD Gender: Female PCP # 8EE73801 NPI: 1538171277 9801 Anderson Mill Rd Ste 105 (512) 999-7010 Hospital Affiliation: Dallas Regional Med Ctr I 30, St Davids Medical Center Clinic Affiliation: Texas Medical Wellness Center Board Certified Specialties: Family Practice " Gonzalez, Ernesto A, MD Austin Gender: Female PCP # 8EH92601 NPI: 1922162726 11420 Bee Caves Rd Ste A150 (512) 520-7222 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Hill Family Medicine & Skin Care Board Certified Specialties: Family Practice Aus tin Austin Gender: Male PCP # 8EC28901 NPI: 1871528091 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Gender: Male PCP # 8EC38101 NPI: 1245310168 1221 W Ben White Blvd (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Gender: Male PCP # 8G896001 NPI: 1467461293 3200 Red River St Ste 201 (512) 473-0201 Hospital Affiliation: 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 Certified Specialties: Family Practice " Jewell, Janet, MD Austin " Hill, Matthew S, DO Aus tin Gender: Male # PCP # 8EH92501 NPI: 1568665313 11420 Bee Caves Rd Ste A150 J (512) 520-7222 Hospital Affiliation: Arise Austin Medical Center Clinic Affiliation: Hill Family Medicine & Skin Care Board Certified Specialties: Family Practice J Gender: Female PCP # 87J40701 NPI: 1821003989 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Johnson, Jason D, MD Austin Gender: Male PCP # 8BS97101 NPI: 1295727410 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Keinarth, Paul D, MD Gender: Male PCP # 8F144101 NPI: 1730182601 5222 Burnet Rd Ste 200 J (512) 459-9889 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Margolin & Keinarth PA Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None Austin " Keller, Katherine D, DO Austin Gender: Female # PCP # 8CX99102 NPI: 1356634760 3003 Bee Caves Rd Ste 201 J (512) 462-3627 # PCP # 8CX99101 NPI: 1356634760 4303 Victory Dr J (512) 462-3627 Hospital Affiliation: Arise Austin Medical Center Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: Family Practice J - Wheelchair Access 5 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Kim, Yun W, MD " Lee, Emmanuel J, MD Austin AUSTIN Cont FAMILY PRACTICE Cont " Kempf, Melissa M, MD Aus tin ! Aus tin Gender: Female PCP # 8CU43202 NPI: 1568541043 12180 N Mopac Ste B (512) 836-8800 Hospital Affiliation: Northeast Baptist Hospital Clinic Affiliation: San Antonio Osteo Relief Ctr PA Board Certified Specialties: Family Practice Kenneally, Gaila M, DO Gender: Female PCP # 8BJ95801 NPI: 1700831468 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Austin " Kerr, Jacqueline M, MD Aus tin Gender: Female # PCP # 8DJ77501 NPI: 1215948120 2811 E Second St (512) 324-4930 PCP # 8DJ77502 NPI: 1215948120 3706 S First St (512) 324-4930 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Family Practice " Khambati, Munira A, MD Aus tin Gender: Female PCP # 8DA26001 NPI: 1215958624 4007 James Casey St Ste D 240 (512) 440-8989 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: R N Poonawala PA Board Certified Specialties: Family Practice Aus tin Khunti, Anuja, DO Gender: Female PCP # 8EG95501 NPI: 1629319769 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None # PCP # 8H174001 NPI: 1427123900 4303 Victory Dr J (512) 462-3627 Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours # PCP # 8DJ75001 NPI: 1821163122 8913 Collinfield Dr (512) 324-6850 Hospital Affiliation: 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 Certified Specialties: Family Practice Kohli, Anumeha, MD Gender: Female PCP # 8EB61301 NPI: 1932436532 4534 Westgate Blvd Ste 108 (512) 892-7076 Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None " Legere, Claudia L, MD Gender: Female PCP # 8BJ80401 NPI: 1568653061 2900 N Quinlan Park Rd Ste 430 J (512) 266-8877 Hospital Affiliation: North Austin Medical Center, St Davids Hospital, St Davids Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Kohli, Gurneet S, MD Gender: Male PCP # 8EB61401 NPI: 1225291784 4534 Westgate Blvd Ste 108 (512) 892-7076 Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None Gender: Male PCP # 89C03501 NPI: 1912913260 4515 Seton Ctr Pkwy 220 J (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin " Krienke, Russell, MD Austin Gender: Male PCP # 88334301 NPI: 1821004177 3828 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Lerma III, Sammy, MD Gender: Male PCP # 8EP19801 NPI: 1871571950 1034 Liberty Park Dr (512) 452-2100 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Chudleigh PA Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None " Levy, Mark J, MD " Liu, Yu Mei, MD Austin Gender: Female PCP # 8DJ74802 NPI: 1215949607 3706 S First St (512) 324-4940 # PCP # 8DJ74801 NPI: 1215949607 8913 Collinfield Dr (512) 324-6850 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Family Practice Malleske, Joseph J, MD Gender: Male # PCP # 88C34401 NPI: 1013911700 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: None Austin " Malpani, Vishal B, MD Austin Austin Gender: Male # PCP # 8H197201 NPI: 1801890595 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice " Lall, Asha R, MD Austin Gender: Female PCP # 8J403901 NPI: 1457366510 6811 Austin Center Blvd Ste 300 (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Lewis, Harold D, DO Austin Gender: Male PCP # 00BL1701 NPI: 1689773459 1901 W Wm Cannon Dr Ste 123 J (512) 444-2661 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Board Certified Specialties: Family Practice " Lamy, Keith H, MD Austin Gender: Male # PCP # 8AW35601 NPI: 1164430278 1106 Clayton Ln Ste 102W J (512) 453-7356 Hospital Affiliation: Scott & White Hlthcare Round Rock, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Keith Lamy MD Board Certified Specialties: Family Practice Lewis, Kevin W, DO Gender: Male PCP # 8DW34401 NPI: 1033312426 14101 Hwy 290 W Ste 200A (512) 301-6400 !# PCP # 0043ST02 NPI: 1033312426 1901 W William Cannon Ste 125 J (512) 444-2661 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Lewis Family Medicine Board Certified Specialties: None Austin " Kravitz, Larry C, MD " Kim, John S, MD Austin Gender: Male PCP # 8DJ75002 NPI: 1821163122 3706 S First St (512) 324-4940 Austin Aus tin Gender: Male # PCP # 8H174002 NPI: 1427123900 3003 Bee Caves Rd Ste 201 J (512) 462-3627 Austin Gender: Male PCP # 8DX08201 NPI: 1730404138 3200 Red River St Ste 210 (512) 472-3161 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Yun W Kim MD Board Certified Specialties: Family Practice ! J Gender: Male PCP # 8CY25801 NPI: 1225030281 2222 Rosewood Ave (512) 465-4840 Hospital Affiliation: Scott And White Memorial Hospital, Seton Medical Center Clinic Affiliation: Wellmed Medical Group PA Board Certified Specialties: Family Practice " Marchand, Gregory, MD Austin Gender: Male PCP # 0010ZW01 PCP # 8EP22401 NPI: 1033104336 4534 Westgate Blvd Ste 113 (512) 394-6020 # PCP # 85080Y01 NPI: 1033104336 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Marchand and Assoc Family Me, South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice J - Wheelchair Access 6 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Martin, Manuel J, MD " Miller, Hillary, MD Aus tin AUSTIN Cont FAMILY PRACTICE Cont Margolin, Steven P, MD Gender: Male # PCP # 8F144001 NPI: 1598768475 5222 Burnet Rd Ste 200 J (512) 459-9889 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Margolin & Keinarth PA Practice Information: No Patients Under 7 yrs old Board Certified Specialties: None Austin " Marking, George, MD Austin Gender: Male PCP # 88874301 NPI: 1801801972 3828 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Markley, Michelle L, MD Gender: Female PCP # 83037Y01 NPI: 1801802160 6811 Austin Center Blvd Ste 300 J (512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Martens, Thomas E, DO Gender: Male PCP # 8EN01001 NPI: 1144333055 8900 Shoal Creek Blvd Bldg 200 (512) 323-6000 # PCP # 8AK60901 NPI: 1144333055 8900 Shoal Crk Blvd Ste 200 J (512) 323-6900 Clinic Affiliation: Union Treatment Centers, Utc Health and Rehab Austin Board Certified Specialties: None Austin Martin, David L, MD Gender: Male PCP # 8AS10001 NPI: 1912114307 12411 Hymeadow Dr Ste 3A (512) 258-2500 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: David L Martin MD Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Moran, William J, MD Gender: Male PCP # 0016HB01 NPI: 1114922325 4201 Marathon Blvd Ste 204 J (512) 459-3205 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Board Certified Specialties: None Morrow, John M, MD Gender: Male PCP # 89C01801 NPI: 1609882950 10401 Anderson Mill Rd Ste 110B J (512) 250-5571 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None Austin " McCarty, Robyn E, MD Aus tin ! J Gender: Female PCP # 8G896101 NPI: 1730293929 3200 Red River St Ste 201 (512) 473-0201 Hospital Affiliation: 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 Certified Specialties: Family Practice " Munoz, Abilio, MD Austin " McGaugh Jr, Ronald C, MD Aus tin J Gender: Male PCP # 8DR90701 NPI: 1023200383 15004 Avery Ranch Blvd Ste 105 (512) 528-7420 Hospital Affiliation: Cedar Park Regional Medical Ctr, Nacogdoches Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Timberland Medical Group Practice Information: No Patients Under 6 yrs old Board Certified Specialties: Family Practice Merian, Frederick L, MD Gender: Male PCP # 8W687101 NPI: 1861508293 8302 Minnesota Ln J (512) 891-0056 Hospital Affiliation: Detar Hospital Navarro, Detar Hospital North Clinic Affiliation: The Doctor Is At Your Door PA Board Certified Specialties: None Aus tin Gender: Male # PCP # 8K933001 NPI: 1154498228 2115 Northland Dr J (512) 377-3400 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Munoz Abilio MD Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Family Practice " Nugent, Mark A, MD Austin Gender: Male PCP # 83040Y01 NPI: 1356357610 3828 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Obrien, Katharine M, DO Austin Gender: Female PCP # 83032Y01 NPI: 1083720718 10401 Anderson Mill Rd Ste 110B J (512) 250-5571 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Olagundoye, Olasupo A, MD Gender: Male PCP # 8CY98601 NPI: 1164455598 2802 Webberville Rd J (512) 978-9400 Clinic Affiliation: Communitycare Board Certified Specialties: None Austin " Oubre, Philip B, MD Austin Gender: Male PCP # 8EB23601 NPI: 1750693529 4107 S Capital of TX Hwy Ste 100A (512) 443-9355 Clinic Affiliation: David L Sneed DO PA Board Certified Specialties: Family Practice Naglieri, Lori M, MD Gender: Female PCP # 8A554401 NPI: 1528073699 6937 N IH 35 Ste 200 J (512) 407-8686 PCP # 8CB40301 NPI: 1528073699 7011 Ribelin Ranch Rd Ste 200 (512) 345-7436 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA, River Hills Family Medicine Board Certified Specialties: None " Navarro, Carlos F, MD Austin " Merryman, James R, DO J Gender: Male PCP # 8J403601 NPI: 1528074861 3828 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice ! J Gender: Male PCP # 89C03901 NPI: 1710993076 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Norris, Robert W, MD Austin Austin Aus tin ! Gender: Female PCP # 86C68801 NPI: 1538175898 6811 Austin Center Blvd Ste 300 (512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Martinez, George D, MD Gender: Male PCP # 82A26201 NPI: 1619010451 13450 Research Blvd Ste 100 J (512) 250-5577 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: The Austin Clinic Board Certified Specialties: None " Marroquin, Robbin B, MD Austin ! Aus tin Austin Gender: Female PCP # 8DL99601 NPI: 1457532871 6448 E Hwy 290 Ste D103 J (512) 452-2100 Clinic Affiliation: Lake Mi Mobile Doctors PC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Family Practice Austin Gender: Male # PCP # 8H197001 NPI: 1710981402 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids Georgetown Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge, Valley Baptist Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice J Gender: Male PCP # 8EM23701 NPI: 1801802152 706 W Ben White Blvd Bldg A Ste 100 (512) 442-1996 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Wellmed Medical Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Family Practice " Newbould, Samantha, MD Austin Gender: Female PCP # 8DB47601 NPI: 1790763282 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Pampe, Eugene D, MD Austin Gender: Male !# PCP # 82910B01 NPI: 1710964382 6012 W William Cannon Dr Ste D101 J (512) 892-6441 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Pampe Eugene D MD Board Certified Specialties: Family Practice " Paul, Love D, MD Austin Gender: Male PCP # 8CC71101 NPI: 1730147018 12201 Renfert Way Dr Ste 315 (512) 837-6000 Hospital Affiliation: Detar Hospital Navarro, Detar Hospital North, North Austin Medical Center Clinic Affiliation: Austin Medical Group PLLC Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Family Practice J - Wheelchair Access 7 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont FAMILY PRACTICE Cont " Pekar, Nathan H, MD Aus tin Gender: Male # PCP # 8CH35902 NPI: 1760479059 3003 Bee Caves Rd Ste 201 J (512) 652-0122 # PCP # 8CH35901 NPI: 1760479059 4303 Victory Dr J (512) 462-3627 Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: Family Practice " Pena, Roberto M, MD Aus tin Gender: Male PCP # 8CG79801 NPI: 1366451759 2911 Medical Arts St Ste 14 (512) 477-4693 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Family Practice Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Family Practice Perez, Kenneth A, DO Gender: Male PCP # 8J403401 NPI: 1649286907 3828 S First St J (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Aus tin " Pittman, Bradley, MD Aus tin J Gender: Male PCP # 8DM56101 NPI: 1740357524 1221 W Ben White Blvd Ste B200 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Family Practice " Pollard, Jennifer B, MD Aus tin Gender: Female PCP # 0067YK01 NPI: 1417915802 4701 Westgate Blvd Ste A (512) 693-4373 Board Certified Specialties: Family Practice " Poole, Lena A, MD Aus tin ! Gender: Female PCP # 8EG10101 NPI: 1992986962 3708 Jefferson St Ste A (512) 459-6503 Clinic Affiliation: Wellmed Medical Group PA Board Certified Specialties: Family Practice Poonawala, Robina N, MD Gender: Female PCP # 8AJ97601 NPI: 1124025390 4007 James Casey St Ste D240 J (512) 440-8989 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: R N Poonawala PA Board Certified Specialties: None Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Porter, Barbara, MD " Rahman, Sangita P, MD Austin Austin Gender: Female PCP # 82412S01 NPI: 1699780767 11714 Wilson Parke Ave Ste 150 J (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Gender: Female PCP # 8AQ20001 NPI: 1457343428 7900 FM 1826 Ste 202 J (512) 416-0044 Hospital Affiliation: Seton Medical Center Clinic Affiliation: South Oaks Medical Board Certified Specialties: Family Practice Pothuluri, Nomita J, MD Gender: Female # PCP # 8DT72801 NPI: 1013070754 4303 Victory Dr J (512) 462-3627 Hospital Affiliation: Kingwood Medical Center Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: None Austin " Salazar, Dora L, MD Austin J " Raley, Robert C, MD Austin Gender: Male PCP # 00910D01 NPI: 1154460590 2301 W N Loop J (512) 452-2506 PCP # 8CZ09101 NPI: 1154460590 2301 W N Loop Blvd (512) 452-2506 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Rc Raley Professional Assoc Practice Information: No Obstetrics, No Patients Under 13 yrs old Board Certified Specialties: Family Practice " Powell, Steven Z, MD Austin Gender: Male PCP # 8V911801 NPI: 1548247356 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Christus Santa Rosa Hosp City Ctr, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Sanchez Ellig, Marina, MD Austin Gender: Female PCP # 8AM79101 NPI: 1932220704 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Sanchez Fuentes, Elizabeth P, MD Austin Gender: Female # PCP # 8DJ83101 NPI: 1063492395 3706 S First St J (512) 324-4940 " Reddy, Padma P, MD Austin Gender: Female PCP # 8CY98901 NPI: 1396779823 928 Blackson Ave J (512) 978-9740 Hospital Affiliation: Mem Hermann Southwest Hospital Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Prajapati, Sarita H, MD Austin Gender: Female # PCP # 8CH36002 NPI: 1346337490 3003 Bee Caves Rd Ste 201 (512) 652-0122 " Rhodes, Kerry D, MD # PCP # 8CH36001 NPI: 1346337490 4303 Victory Dr (512) 462-3627 Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: Family Practice Austin Gender: Male PCP # 0088AR01 NPI: 1083697593 631 W 38th St Ste 2 J (512) 459-3177 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Family Practice ! " Pyron, Martha I, MD Austin Gender: Female # PCP # 8BX01001 NPI: 1184667123 13805 Research Blvd Ste 150 (512) 257-2500 Clinic Affiliation: Medicine In Motion Martha Pyron M Board Certified Specialties: Family Practice J Santiago, Jose F, MD Gender: Male # PCP # 00773G01 NPI: 1023121613 2624 W Wm Cannon J (512) 443-7746 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Board Certified Specialties: None " Schroeder, Lorraine K, MD Austin " Rie, Michael, MD " Queng, John A, MD Austin Gender: Male PCP # 8B074801 NPI: 1558377812 6835 Austin Ctr Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin " Quintana, Max E, MD Austin Gender: Male # PCP # 8BR92801 NPI: 1538392345 1221 W Ben White Blvd Ste B200 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Roth, Stephanie D, MD Gender: Female PCP # 8EH48101 NPI: 1528022472 1210 W Braker Ln (512) 978-9300 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: Communitycare Board Certified Specialties: None " Russell, Michael A, DO Austin Gender: Male PCP # 8DU89601 NPI: 1023336039 7900 FM 1826 Bldg 2 Ste 202 (512) 416-0044 Clinic Affiliation: South Oaks Medical Board Certified Specialties: Family Practice PCP # 8DJ83102 NPI: 1063492395 8913 Collinfield Dr (512) 324-6850 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Family Practice Austin Austin Gender: Male # PCP # 8DK26201 NPI: 1902009301 2555 Western Trails Blvd Ste 101 (512) 892-6600 Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice Gender: Female PCP # 00L30M01 NPI: 1013064880 3303 Northland Dr Ste 220 (512) 476-0275 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 8 yrs old Board Certified Specialties: Family Practice J Gender: Female PCP # 0097DK01 NPI: 1760568588 2013 Wells Branch Pkwy Ste 113 (512) 251-2828 Hospital Affiliation: Round Rock Medical Center, St Davids Medical Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Family Practice Schultz, Rita M, DO Gender: Female # PCP # 8V437101 NPI: 1124116926 5625 Eiger Rd Ste 200 (512) 892-7076 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None Austin " Sethi, Shelly, DO Austin Gender: Female PCP # 8W587001 NPI: 1982710612 6835 Austin Center Blvd (512) 346-8888 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J - Wheelchair Access 8 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Spencer, Kevin P, MD Gender: Male PCP # 8V437001 NPI: 1417996570 5625 Eiger Rd Ste 200 J (512) 892-7076 Hospital Affiliation: Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None " Treadwell, Leah J, MD Aus tin AUSTIN Cont FAMILY PRACTICE Cont " Sheff, Gregory S, MD Austin Gender: Male PCP # 8S554501 NPI: 1205842564 1807 Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J Aus tin " Smith, Melissa C, MD Austin Gender: Female # PCP # 8DJ82901 NPI: 1225049166 2811 E Second St (512) 324-4930 " Sneed, David L, DO PCP # 0079JU01 NPI: 1134113137 4107 S Capital of Texas Hwy Ste 100A J (512) 443-9355 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: David L Sneed DO PA Board Certified Specialties: Family Practice " Underhill, Carla S, MD Steffy, Daniel A, MD Gender: Male PCP # 8DY16302 NPI: 1740419712 10526 W Parmer Ln (512) 310-4700 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None J Gender: Female PCP # 00JX8401 NPI: 1295750149 3200 Red River Ste 210 (512) 472-3161 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Family Practice " Vachris, Timothy P, MD J Gender: Male PCP # 8CG17601 NPI: 1285872143 3200 Red River St Ste 201 (512) 473-0201 Hospital Affiliation: 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 Certified Specialties: Family Practice " Vander Straten, David, MD Austin Gender: Male PCP # 8CY99701 NPI: 1528013281 2529 S First St (512) 978-9500 Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Tham, Marlene M, DO " Velasquez, Nelly D, MD Austin Gender: Female PCP # 8DV61701 NPI: 1851462139 1611 W Fifth St Ste 180 (512) 391-9400 Hospital Affiliation: John Peter Smith Hospital, Plaza Medical Center Fort Worth Clinic Affiliation: Downtown Doctor Board Certified Specialties: Family Practice J Gender: Female PCP # 8M250001 NPI: 1619955218 900 E 30th St Ste 200 (512) 236-1100 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Velasquez Nelly MD Board Certified Specialties: Family Practice " Velez Rodriguez, Frances M, MD Austin " Tran, Ngoc Phuong T, DO Aus tin J " Walz, Danielle, MD Austin Gender: Female PCP # 8DD67801 NPI: 1386844587 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Family Practice " Warfield, Kimberly L, MD Austin Gender: Female PCP # 8W229901 NPI: 1174571582 6301 W Parmer Ln Ste 102 J (512) 834-9999 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Dominion Medical Assoc PA Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice, Internal Medicine " Weary, Andrew H, MD Austin Gender: Male PCP # 8EN69901 NPI: 1609861517 1000 E 41st St Ste 925 (512) 978-9940 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice Austin Gender: Female PCP # 8511M201 NPI: 1083676126 7900 FM 1826 Ste 202 (512) 416-0044 Hospital Affiliation: Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: South Oaks Medical Board Certified Specialties: Family Practice Aus tin Gender: Male PCP # 8EM27101 NPI: 1457442113 2222 Rosewood Ave J (512) 465-4840 Gender: Female PCP # 82513K01 NPI: 1326054602 10401 Anderson Mill Rd Ste 110B (512) 250-5571 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Swamy, Sunita, MD Gender: Female PCP # 8K795001 NPI: 1164423521 900 E 30th St Ste 200 J (512) 236-1100 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Swamy Sunita MD Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None " Sooriarachchi, Sanjaya P, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Aus tin Austin PCP # 8CY99201 NPI: 1457442113 825 E Rundberg Ln Ste B 1 J (512) 978-9600 Clinic Affiliation: Communitycare, Wellmed Medical Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Family Practice Gender: Female PCP # 80069K01 NPI: 1295754406 1313 Red River St Ste 100 (512) 324-8600 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice " Stiegler, Ashley, MD Austin Gender: Male PCP # 8EC50201 NPI: 1134113137 4107 S Capital of TX Hwy Ste 100A (512) 443-9355 " Truong, Kimphuong, MD Aus tin J Gender: Female PCP # 8V911301 NPI: 1437267291 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin " Sprute, Dana, MD " Smith, Donovan D, MD PCP # 8DJ82902 NPI: 1225049166 3706 S First St (512) 324-4930 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Family Practice ! Aus tin Austin Gender: Female # PCP # 8H197401 NPI: 1699752774 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Southwest Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice Austin Gender: Female # PCP # 8EN70101 NPI: 1316189756 2802 Webberville Rd (512) 978-9400 Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice Gender: Female PCP # 00H46M01 NPI: 1215944087 1611 Ohlen Rd (512) 873-7173 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice " Weidmann, Eric W, MD Austin Gender: Male # PCP # 88C34501 NPI: 1922002617 2555 Western Trails Blvd Ste 101 J (512) 892-6600 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Medical Clinic PA Board Certified Specialties: Family Practice " White, Richard H, MD Austin Gender: Male PCP # 00T59X01 NPI: 1588659452 631 W 38th St J (512) 459-1203 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice " Wiggins, Terry S, MD Austin Gender: Male PCP # 8BF03701 NPI: 1164432621 2765 Bee Caves Rd Ste 201 (512) 328-2752 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Terry Wiggins MD Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Family Practice J - Wheelchair Access 9 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Zamora, Guadalupe, MD Gender: Male PCP # 8AJ25601 NPI: 1588795348 2100 E Sixth St Ste A J (512) 482-0248 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Guadalupe Zamora MD Board Certified Specialties: None Austin AUSTIN Cont FAMILY PRACTICE Cont Willhelm, Gevin W, DO Gender: Male ! PCP # 8AJ07901 NPI: 1700069689 11645 Angus Rd Ste 9 (512) 346-7661 Hospital Affiliation: Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Gevin W Willhelm DO Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None Aus tin Aus tin Woerner, David R, MD Gender: Male PCP # 8W587901 NPI: 1932119773 6835 Austin Center Blvd (512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Zamora, Santiago A, MD Gender: Male # PCP # 88750S01 NPI: 1194733568 7408 Cameron Rd Ste A J (512) 459-7275 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Santiago A Zamora MD Board Certified Specialties: None Austin J Yeh, Grace S, MD Gender: Female ! PCP # 0049EJ01 NPI: 1033193271 3624 N Hills Dr Ste B102 J (512) 343-8011 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 4 yrs old Board Certified Specialties: None " Zamora, Belda M, MD J Gender: Female PCP # 87920N01 NPI: 1770594764 2100 E Sixth St Ste B (512) 474-7824 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Capitol City Family Practice Practice Information: No infants under 6 months old Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Bermudez, Jairo L, MD Gender: Male PCP # 8DT95301 NPI: 1578550919 3828 S First St (512) 443-1311 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Bezerra, Herminio Q, MD Austin Gender: Male PCP # 8CY94101 PCP # 8EQ03001 NPI: 1275569659 2529 S First St (512) 978-9500 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine " Aventa, Tony R, MD Austin Gender: Male PCP # 8CZ79401 PCP # 88333601 NPI: 1689680944 3708 Jefferson St Ste A (512) 346-6611 (512) 459-6503 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA, Wellmed Medical Group PA Board Certified Specialties: Family Practice Gender: Male PCP # 8F989001 NPI: 1801875034 1301 W 38th St Ste 601 J (512) 454-5171 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Blancarte, Gilbert, MD Austin J " Bartos, Sara J, MD Austin Gender: Female PCP # 89980X01 NPI: 1326254673 2911 Medical Arts St Ste 7 J (512) 476-9934 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Bartos Sara MD Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine " Zook, Marc E, MD Austin ! Gender: Male PCP # 8P554401 NPI: 1497761753 11714 Wilson Parke Ave STE150 (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Aus tin Aus tin Avashia, Swati B, MD Gender: Female PCP # 8CE12401 NPI: 1740291319 1313 Red River St Ste 100 J (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None GENERAL PRACTICE " Booton, Steven K, MD J " Bell, Kristin C, MD Minto, Lester J, MD Gender: Male # PCP # 8R051401 NPI: 1902986276 8401 N Interstate 35 Ste 200 J (512) 250-1005 Clinic Affiliation: Whole Womans Health of Austin Board Certified Specialties: None ! Gender: Female PCP # 8DH45601 NPI: 1023113404 11521 FM 620 N Ste C 800 (512) 219-0670 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Internal Medicine Gender: Male PCP # 8AM93001 NPI: 1265410773 1701 W Ben White Blvd Ste 140 (512) 441-8666 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Austin Internal Medicine Clinic P Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Austin Austin Austin Gender: Male PCP # 8A381101 NPI: 1699824193 4301 Burnet Rd Ste A (512) 380-9441 Hospital Affiliation: Cornerstone Hosp Of Austin, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Primary Physicians of Austinpa Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Internal Medicine Austin Austin " Zavaleta, Thomas P, MD " Wright, David P, MD Gender: Male PCP # 86607J01 NPI: 1487677282 1313 Red River Ste 100 (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice Gender: Male PCP # 8CY94001 NPI: 1659436004 2802 Webberville Rd (512) 978-9400 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine Austin Aus tin J " Aung, Myo, MD Gender: Female PCP # 8EB82501 NPI: 1164670550 1313 Red River Ste 100 (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Family Practice ! ! " Berent, Craig T, MD Austin Austin " Zarndt, Jessica R, DO " Wong, Albert J, MD Reilly, William G, MD Gender: Male PCP # 8DW30216 NPI: 1447260963 11814 Jollyville Rd Ste 103 (512) 250-9202 Hospital Affiliation: Basin Healthcare Center, Odessa Regional Medical Center Clinic Affiliation: Low-T Physicians Professional Mbr Board Certified Specialties: None INTERNAL MEDICINE Austin Aus tin Gender: Male PCP # 8R680801 NPI: 1770599037 10401 Anderson Mill 110B (512) 250-5571 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Austin Gender: Male PCP # 8DH19901 NPI: 1093740987 720 W 34th St Ste 100 (512) 381-5599 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Steven K Booton MD Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine " Brod, Delbert R, MD Austin Gender: Male PCP # 8EJ51201 NPI: 1013936103 4534 Westgate Blvd Ste 108 (512) 892-7076 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Internal Medicine J - Wheelchair Access 10 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Coughlin, Sean J, MD " Dehipitiya, C S, MD Aus tin AUSTIN Cont INTERNAL MEDICINE Cont " Burugu, Sukanya, MD Austin Gender: Female PCP # 0022YK01 NPI: 1992710040 11615 Angus Rd Ste 108 (512) 372-4400 PCP # 8CQ17803 NPI: 1992710040 2806 Real St J (512) 474-1411 " Cheruku, Sunil R, MD Austin Gender: Male PCP # 8EF55901 NPI: 1235173345 5508 Parkcrest Dr Ste 310 (512) 420-9900 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Sleep Medicine Consultants of Cen Board Certified Specialties: Internal Medicine " Daghestani, Anas, MD Gender: Male PCP # 8S554001 NPI: 1366458630 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine # PCP # 8DJ83001 NPI: 1902915119 3706 S First St (512) 324-4940 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Internal Medicine " Coats, Teresa L, MD Gender: Female PCP # 8CE55401 NPI: 1992889844 313 E 12th St Ste 102 (512) 324-9650 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Gender: Female PCP # 87J46301 NPI: 1275549545 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Doner, Kevin T, MD Austin Gender: Male PCP # 8DZ93401 NPI: 1336115880 12717 Shops Pkwy Ste 500 (512) 222-8667 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Total Mens Physicians Group LLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine " Daniels, Sarah R, MD Gender: Female PCP # 8CP11801 NPI: 1861652711 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Heart Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Date, Swati D, MD Aus tin Austin ! ! Aus tin J " Edoka, Emmanuel C, MD Austin Gender: Male PCP # 8AW51701 NPI: 1598857682 805 E 32nd St Ste 103 J (512) 322-0800 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Emmanuel Edoka MD Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine Austin " Dollar, Debra L, MD Dang, Hoa T, MD Gender: Male # PCP # 00U26N01 NPI: 1841354586 8745 N Lamar Blvd J (512) 832-4739 Hospital Affiliation: Seton Northwest Hospital, St Davids Medical Center Practice Information: No infants under 6 months old Board Certified Specialties: None " Clark, Margaret K, MD Gender: Male PCP # 8F989101 NPI: 1659377125 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Austin Aus tin Austin Gender: Female PCP # 8DJ83002 NPI: 1902915119 2811 E Second St (512) 324-4930 J Aus tin PCP # 8CQ17801 NPI: 1992710040 5301 Duval Rd Ste A500 J (512) 222-0000 PCP # 8CQ17802 NPI: 1992710040 9801 S First St J (512) 292-3071 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Adult Primary Care Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine Austin Gender: Male PCP # 8EL84901 NPI: 1912911009 11714 Wilson Parke Ste 150 (512) 272-4636 Hospital Affiliation: Baptist Health System, Christus Santa Rosa Hosp City Ctr, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine Gender: Female PCP # 87J45601 NPI: 1982619045 4515 Seton Center Pkwy 220 (512) 338-8388 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Davis, Gregory T, MD Aus tin Gender: Male PCP # 8EF06201 NPI: 1255362448 4101 Marathon Blvd (512) 323-9222 Hospital Affiliation: University Medical Center Clinic Affiliation: Rational Intergrative Medicine Pl Board Certified Specialties: Internal Medicine " Fagerberg, Marcia D, MD Austin Gender: Female PCP # 82418S01 NPI: 1235144395 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Folarin, Hope, MD Austin Gender: Female # PCP # 8CQ13901 NPI: 1720286347 1221 W Ben White Blvd Ste 200B (877) 800-5722 PCP # 8EL39901 NPI: 1720286347 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA, Lone Star Circle of Care Board Certified Specialties: Internal Medicine " Dooley, Linda W, MD Austin Gender: Female # PCP # 8CY95001 NPI: 1164460036 4614 N IH 35 J (512) 978-9100 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine Austin Dubois, Susan K, MD Gender: Female PCP # 8DC02701 NPI: 1114091675 2901 N IH 35 Ste 101 (512) 232-3900 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None " Eapen, Prakash S, MD Austin Gender: Male PCP # 8CY70701 NPI: 1255595435 1221 W Ben White Blvd Ste 200B (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Internal Medicine Ericson, Stephanie A, MD Gender: Female PCP # 8EM77301 NPI: 1699067173 6835 Austin Center Blvd (512) 272-4636 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Fought, Jason R, MD Austin Gender: Male PCP # 8EJ51301 NPI: 1851312029 4534 Westgate Blvd Ste 108 (512) 892-7076 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Internal Medicine Galloway, Robert E, MD Gender: Male PCP # 8DT63001 NPI: 1760464770 7610 W Hwy 71 Ste F J (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Austin Ganta, Neelima, MD Gender: Female PCP # 8CY95301 NPI: 1619186681 1200 Montopolis Dr J (512) 978-9800 Clinic Affiliation: Communitycare Board Certified Specialties: None Austin J - Wheelchair Access 11 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Haydon, Hans, MD " Kolte, Bharati P, MD Austin AUSTIN Cont INTERNAL MEDICINE Cont " Gaur, Sunita, MD Aus tin J PCP # 82669S01 NPI: 1598770653 3828 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Gray, Carlos E, MD Aus tin Gender: Male PCP # 00SZ8301 NPI: 1881671352 2900 S IH-35 Ste 108 (512) 445-5085 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Griffin, Robert, MD Aus tin ! J Gender: Male PCP # 87J38701 NPI: 1447266788 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Grossmann, Alicia W, MD Aus tin " Groves, Robert L, MD J Gender: Male PCP # 80352801 NPI: 1124007356 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Heart Hospital Of Austin, Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Gupta, Abhilasha, MD Aus tin ! Gender: Female PCP # 8W543801 NPI: 1225032931 12505 Hymeadow Dr (512) 219-0129 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Wellmed Medical Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8EF37101 NPI: 1285649343 2911 Medical Arts St Ste 7 (512) 476-9934 Hospital Affiliation: Central Texas Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center Clinic Affiliation: Flora Medical Clinic PLLC Board Certified Specialties: Internal Medicine " Hull, James, MD " Krishnarajah, Amirthananthar, MD Austin Austin Gender: Male PCP # 89C01701 NPI: 1326054693 6835 Austin Ctr Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Gender: Male PCP # 8EH40401 NPI: 1518994052 1631 E Second St (512) 804-3913 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine " Kroll, Kenneth C, MD Austin Gender: Male PCP # 80352101 NPI: 1831179589 1301 W 38th St Ste 601 J (512) 454-5171 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " James, Jeffree A, MD Austin Gender: Male # PCP # 00PT9501 NPI: 1023119716 3232 E Martin Luther King J (512) 477-7076 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine " Lepgold, Edith L, MD Austin J " MacKay, Daniel A, MD Gender: Male # PCP # 88106Q01 NPI: 1962450916 12007 Technology Blvd Ste 210 (512) 610-1660 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Care Physicians PA Board Certified Specialties: Internal Medicine " Maldonado Jr, Humberto, MD Austin J " Kumar, Ullattil N, MD Gender: Male PCP # 8CF29801 NPI: 1275694291 2200 Park Bend Dr Bldg 2 Ste 300 (512) 836-5665 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Austin Primary Care Physicians Board Certified Specialties: Internal Medicine " Katkuri, Rajani R, MD Gender: Female PCP # 8CY97802 NPI: 1871607911 1210 W Braker Ln (512) 978-9300 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Communitycare Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Mankey, Celina G, MD Gender: Female PCP # 8CM71201 NPI: 1427048149 313 E 12th St (512) 324-9650 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine " Laviolette, Amanda, MD " Klocek, Jonathan R, MD Austin Gender: Male PCP # 85876G01 NPI: 1265412910 1301 W 38th St Ste 601 J (512) 454-5171 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Leija, Graciela M, MD Austin Gender: Female PCP # 8EK95301 NPI: 1679674170 5802 Berkman Dr Unit A (512) 363-5725 Hospital Affiliation: Valley Baptist Medical Center Brownsville, Valley Regional Medical Center Clinic Affiliation: Eastside Clinic and Wellness Cent Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Kohli, Nandini D, MD Austin Gender: Female PCP # 0065JE01 PCP # 8W519101 NPI: 1942308804 2200 Park Bend Dr Bldg 2 Ste 300 J (512) 836-5665 Hospital Affiliation: North Austin Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Primary Care Physicians Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Internal Medicine Gender: Male PCP # 85875G01 NPI: 1598745259 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine Austin Austin Gender: Female PCP # 8CF34201 NPI: 1538363106 313 E 12th Ste 102 J (512) 324-9650 Hospital Affiliation: Seton Highland Lakes, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine Gender: Female PCP # 8F989201 NPI: 1972619658 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Austin Austin Austin Gender: Female PCP # 8CK75601 NPI: 1225296320 6301 W Parmer Ln Ste 102 (512) 568-3565 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Alicia W Grossmann MD Board Certified Specialties: Internal Medicine Aus tin Austin Gender: Male ! PCP # 88876001 NPI: 1205841368 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Marcus, Howard, MD Austin J Gender: Male PCP # 88875301 NPI: 1255347514 6835 Ausitn Ctr Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Markowitz, Sheldon L, MD Austin Gender: Male PCP # 8BW27001 NPI: 1407835648 1305 W 34th St Ste 204 (512) 243-6868 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Sheldon L Markowitz MD Practice Information: Call for new patient availability, No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine J - Wheelchair Access 12 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Rhodes, Roxana A, MD Gender: Female ! PCP # 82Z14101 NPI: 1629131941 631 W 38th St J (512) 453-3542 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Partners In Health MD Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None " Morrison, Robert G, MD Aus tin AUSTIN Cont INTERNAL MEDICINE Cont " Marroquin, James C, MD Austin Gender: Male PCP # 8BX14401 NPI: 1902014392 1301 W 38th St Ste 601 J (512) 454-5171 Hospital Affiliation: Heart Hospital Of Austin, Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine J " Nagavarapu, Shantisony P, MD Aus tin J " Martin, Dieter R, MD Austin Gender: Male PCP # 8EJ51401 NPI: 1548298391 4534 Westgate Blvd Ste 108 (512) 892-7076 Hospital Affiliation: North Austin Medical Center, St Davids S Austin Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Internal Medicine Mewhinney, Hugh S, MD Gender: Male # PCP # 8CY98201 NPI: 1205880705 2529 S First St (512) 978-9500 Clinic Affiliation: Communitycare Board Certified Specialties: None J PCP # 86603J01 NPI: 1285708305 313 E 12th St Ste 102 J (512) 324-9650 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None J Aus tin J Aus tin " Monge, Maria C, MD Austin Gender: Female PCP # 8EC51001 NPI: 1851567556 2909 N IH 35 (512) 478-4939 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Peoples Community Clinic Inc Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours PCP # 8CY98401 NPI: 1215131891 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine " Schneider, Adam J, MD Austin Gender: Male PCP # 8CZ79801 NPI: 1720088206 3708 Jefferson St Ste A (512) 459-6503 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Wellmed Medical Group PA Board Certified Specialties: Internal Medicine ! J Pearlson, Yale S, MD Gender: Male PCP # 8EB97901 NPI: 1962553149 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Aus tin Gender: Male PCP # 85874G01 NPI: 1215917679 1301 W 38th St Ste 601 (512) 454-5171 Hospital Affiliation: Heart Hospital Of Austin, Seton Medical Center Clinic Affiliation: Capital Medical Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Sepehri, Sogol, MD Austin " Prete, Michael, MD " Mondy, Kristin E, MD Gender: Female PCP # 8CE60801 NPI: 1265459762 313 E 12th St Ste 101 (512) 324-9650 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine Gender: Female # PCP # 8DJ77701 NPI: 1700897634 8913 Collinfield Dr (512) 324-6850 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: Internal Medicine Aus tin Austin ! " Risinger, Christy T, MD Austin " Nutson, Peter A, MD Austin ! Gender: Female PCP # 8CY98402 NPI: 1215131891 1210 W Braker Ln (512) 978-9300 Aus tin Austin Miller, Beth W, MD Gender: Female ! PCP # 86603J02 NPI: 1285708305 1301 W 38th St Ste 113 J (512) 324-3395 Austin Gender: Male PCP # 8CY98301 NPI: 1407911969 4614 N IH 35 (512) 978-9100 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine Gender: Male PCP # 87J37901 NPI: 1417962580 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Punjabi, Narendra S, MD Gender: Male PCP # 8CM79201 NPI: 1295740751 11615 Angus Rd Ste 106 (512) 346-8652 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Clinic Affiliation: Narendra Punjabi MD Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Rao, Jalaja K, MD Gender: Female PCP # 8DN89601 NPI: 1679627467 12201 Renfert Way Ste 315 (512) 837-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Austin Medical Group PLLC Board Certified Specialties: None Gender: Female # PCP # 8DA44601 NPI: 1942468103 11601 Faubian Ln J (512) 666-5169 Hospital Affiliation: North Austin Medical Center, Reliant Rehab Hosp Central Tx Lp Clinic Affiliation: Expert Care PLLC Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Shih, Angela H, MD Austin Gender: Female PCP # 8AJ33101 NPI: 1912011271 11673 Jollyville Rd Ste B101 J (512) 339-1535 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Angela Shih MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Shulman, Edie E, MD Austin Gender: Female PCP # 8BE63001 NPI: 1659304673 11673 Jollyville Rd Ste B101 J (512) 339-1535 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Edie E Shulman MD PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine Shung, Sheila X, MD Gender: Female ! PCP # 8DM51901 NPI: 1407839848 12319 N Mopac Expwy Ste C-240 (512) 833-0140 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Sheila Shung MD PLLC Internal Med Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None Austin " Siegel, Amy B, MD Austin Gender: Female PCP # 8EL45501 NPI: 1558394759 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Shah, Rita R, MD Austin J Gender: Female PCP # 89775601 NPI: 1396751657 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Shekarchi, Azim G, MD Austin J Gender: Male PCP # 86780N01 NPI: 1770598849 3828 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Smith, Ferril C, MD Austin Gender: Male PCP # 00A52T01 NPI: 1740382084 4207 James Casey St Ste 304 Med Ctr So Bldg J (512) 440-8307 Hospital Affiliation: St Davids S Austin Medical Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Stoufflet, Paul E, MD Gender: Male PCP # 8X210001 NPI: 1386754083 711 W 38th St Ste C5 J (512) 651-5558 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Westlake Medicine Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin J - Wheelchair Access 13 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. OBSTETRICS-GYNECOLOGY " Vo, Phu T, MD Austin AUSTIN Cont INTERNAL MEDICINE Cont " Stroud, Robert L, MD Aus tin Gender: Male # PCP # 00JK8401 NPI: 1851407043 4007 James Casey Ste C120 J (512) 441-4028 Hospital Affiliation: Seton Medical Center, South Austin Surgery Center, St Davids S Austin Medical Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Tannous, Rawah, MD Aus tin Gender: Female PCP # 8S554101 NPI: 1114932282 1807 W Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " Thadani, Anita, MD Aus tin J Gender: Female PCP # 87J42901 NPI: 1932114006 4515 Seton Ctr Pkwy 220 (512) 338-8388 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Gender: Male # PCP # 00817D01 NPI: 1730130295 822 Fairfield Dr St 100 J (512) 837-5911 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Internal Medicine " Warfield, Kimberly L, MD Gender: Female PCP # 8W229901 NPI: 1174571582 6301 W Parmer Ln Ste 102 J (512) 834-9999 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Dominion Medical Assoc PA Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice, Internal Medicine " Vandel, Jerry D, MD Aus tin J Gender: Male PCP # 00RX3301 NPI: 1588699466 900 E 30th St Ste 205 (512) 477-1405 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine " Vlahakos, Victor, MD Aus tin Gender: Male PCP # 8DD67401 NPI: 1437199353 7610 W Hwy 71 Ste F (512) 288-0859 Hospital Affiliation: Mem Hermann Northwest Hosp Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin " Weeks, David D, MD Austin Gender: Male PCP # 8F707701 NPI: 1326054685 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine Austin " Wolf, Lydia L, MD Austin Gender: Female PCP # 8W525201 NPI: 1467433375 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Hospital Affiliation: Clear Lake Regional Medical Center, Mem Hermann Hospital, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Toupin, Leo R, MD J Gender: Male PCP # 8EC36801 NPI: 1982795407 11111 Research Blvd Ste 230 J (877) 800-5722 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Lone Star Circle of Care Practice Information: Female Patients only, No Patients Under 2 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin Aus tin Gender: Male PCP # 8AW41901 NPI: 1518052224 12335 Hymeadow Dr Ste 150 (512) 977-8300 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Leo Toupin MD Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine " Billue, David C, MD Austin Braunstein, Maryjane E, MD Gender: Female PCP # 8DU34801 NPI: 1265449623 11111 Research Blvd Ste 230 (877) 800-5722 Hospital Affiliation: Round Rock Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Mendelson, Edward G, MD Gender: Male PCP # 8DD76001 NPI: 1881669349 7610 W Hwy 71 Ste F (512) 288-0859 Hospital Affiliation: Mem Hermann Katy Hospital Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 11 yrs old Board Certified Specialties: None Avashia, Swati B, MD Gender: Female PCP # 8CE12401 NPI: 1740291319 1313 Red River St Ste 100 J (512) 324-8600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None Austin " Azuma, Lynn M, MD Austin J " Barrera, Rodolfo C, DO Austin J " Bartlett, Elizabeth A, MD " Sorin, Robert, MD " Yalamanchili, Vijayalakshmi, MD Austin PEDIATRICS Gender: Female PCP # 00JV6601 NPI: 1356442784 12411 Hymeadow Dr Ste 3E J (512) 331-5321 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine " Alcorn, Amy M, MD Austin Gender: Female PCP # 82413S01 NPI: 1942229059 1807 W Slaughter Ln Ste 490 J (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Zhou, Chen, MD Austin Gender: Female PCP # 8DN93801 NPI: 1851595458 13376 N Hwy 183 Ste 110 (512) 219-0129 Hospital Affiliation: Heart Hospital Of Austin, Scott And White Memorial Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Wellmed Medical Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Austin Austin, Geshia, MD Gender: Female PCP # 8DS36601 NPI: 1295053643 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Gender: Male PCP # 80270B01 NPI: 1588763130 1015 E 32nd St Ste 203 (512) 476-5437 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin Austin Gender: Male PCP # 86058K01 NPI: 1154307833 2909 N IH 35 J (512) 478-4939 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: Obstetrics-Gynecology Gender: Female PCP # 8AB53604 NPI: 1295782043 2113 Wells Branch Pkwy Ste 1200 (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J Gender: Female PCP # 81192Z01 NPI: 1295778876 6618 Sitio Del Rio Blvd Ste A101 (512) 241-1370 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Hill Country Pediatrics PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Bayer, Michael, MD Austin Gender: Male # PCP # 88215701 NPI: 1750469623 711 W 38th St Ste C2 J (512) 458-6717 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Pediatric Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Bell, Anna C, MD Austin J Gender: Female PCP # 8BD26001 NPI: 1063616662 1912 W 35th St (512) 451-5161 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center Clinic Affiliation: Childrens Medical Group PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 14 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Brooke, Dawn S, MD Gender: Female PCP # 88872S01 NPI: 1376559641 10401 Anderson Mill Ste 110B J (512) 250-5571 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Cepeda, Nitzia E, MD Aus tin AUSTIN Cont PEDIATRICS Cont " Benchekroune, Ghizlane, MD Austin Gender: Female PCP # 8DQ47801 NPI: 1497922132 1221 W Ben White Blvd Ste B200 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics " Bryant, Deborah K, MD " Benhammou, Rania O, MD J Aus tin " Bocchicchio, Jeffrey F, MD Austin Gender: Male PCP # 8DZ68201 NPI: 1912912064 5339 N IH 35 J (877) 800-5722 Hospital Affiliation: 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 Certified Specialties: Pediatrics Aus tin " Brekken, Alissa, MD Austin Gender: Female PCP # 8DY08301 NPI: 1043414535 10401 Anderson Mill Rd Ste 110-B (512) 250-5571 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Brieno, Elsa G, MD Gender: Female PCP # 00L65D01 NPI: 1477647048 4201 Marathon Blvd Ste 201 J (512) 323-0276 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Over 19 yrs old Board Certified Specialties: None Austin " Broberg, Scott A, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 88594J01 NPI: 1508872888 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Chapa, Ricardo J, MD Burnett, Melissa S, MD Gender: Female PCP # 8AH35701 NPI: 1770542409 3816 S First St (512) 443-1311 Hospital Affiliation: 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: Austin Regional Clinic PA Board Certified Specialties: None Busceme, Heidi W, MD Gender: Female PCP # 8BK94201 NPI: 1851391759 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Christus St Michael Health System, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge, Wadley Regional Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Caldwell, William D, MD ! J Gender: Male PCP # 8U794001 NPI: 1053361113 1305 W 34th St Ste 210 (512) 454-0406 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: William D Caldwell MD Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8DW59601 NPI: 1073830246 1015 E 32nd St Ste 203 (512) 476-5437 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Pediatric Care of Austin PA Practice Information: No Patients Over 20 yrs old Board Certified Specialties: Pediatrics Concepcion, Constancio V, MD Gender: Male PCP # 8CY94501 NPI: 1770574659 1210 W Braker Ln J (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: None Austin " Dawson, Thomas B, MD Austin Gender: Male PCP # 8EE54401 NPI: 1922011857 1111 W 34th St Ste 102 (512) 467-1600 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Dawson Ramirez Pediatrics Board Certified Specialties: Pediatrics " Day, Avis, MD Austin J " De Wette, Julia, MD " Cassels, Melody D, MD Gender: Female PCP # 8BP72001 NPI: 1467664003 1305 W 34th St Ste 210 (512) 454-0406 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: William D Caldwell MD Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 87J38101 NPI: 1609881762 3816 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin Aus tin J Gender: Female PCP # 8AB08101 NPI: 1154412237 11851 Jollyville Rd Ste 204 (512) 219-5550 Hospital Affiliation: Houston Methodist Sugar Land Hosp, North Austin Medical Center, Oakbend Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Moms2moms Pediatrics PLLC Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin Aus tin Austin Gender: Male PCP # 89C03001 NPI: 1003822727 3816 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J Aus tin Austin Gender: Female # PCP # 8BZ19401 NPI: 1669590444 4700 Seton Ctr Pkwy Ste 125 (512) 338-8500 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, Texas Childrens Hospital Clinic Affiliation: Northwest Pediatrics and Adolescents Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin J Gender: Female PCP # 88875801 NPI: 1427063585 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Deshpande, Mrudula A, MD Gender: Female # PCP # 8B114001 NPI: 1245240647 13740 Research Blvd Ste V1 (512) 250-0406 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Dudley, Courtney R, MD Gender: Female PCP # 8W149001 NPI: 1144242173 12120 Ranch Rd 620 N J (512) 833-7334 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Lone Star Pediatrics Practice Information: No Patients Over 19 yrs old Board Certified Specialties: None Austin " Duong, Mai X, MD Austin Gender: Male PCP # 82664S01 NPI: 1184630451 1807 W Slaughter Ln Ste 490 J (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin Eagleton, Mary K, MD Gender: Female PCP # 8EJ92301 NPI: 1669765350 1912 W 35th St (512) 451-5161 Clinic Affiliation: Childrens Medical Group PA Board Certified Specialties: None " Edoka, Joanne W, MD Austin Gender: Female PCP # 0044BW01 NPI: 1700987500 805 E 32nd St Ste 102 J (512) 582-1201 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Over 16 yrs old Board Certified Specialties: Pediatrics " Essandoh, Yvonne A, DO Austin Gender: Female PCP # 8EQ01501 NPI: 1598911596 1210 W Braker Ln (512) 978-9300 # PCP # 8CR21602 NPI: 1598911596 2410 E Riverside Dr Ste G 3 (512) 744-6000 # PCP # 8CR21601 NPI: 1598911596 5339 N I-H 35 (512) 744-6000 Clinic Affiliation: Communitycare, Glenn Wood MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 15 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Getman, William F, MD " Hebner, Claire M, MD Austin AUSTIN Cont PEDIATRICS Cont Aus tin Aus tin Estrada, Franchesca C, MD Gender: Female PCP # 8EL28201 NPI: 1497769020 11714 Wilson Parke Ave Ste 150 (512) 231-5548 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Ferguson, Laura E, MD Gender: Female PCP # 8ED89501 NPI: 1316981863 6811 Austin Center Blvd Ste 300 (512) 346-8888 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Florer, Christine M, MD Gender: Female # PCP # 8CP00601 NPI: 1851519763 6835 Austin Ctr Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Gender: Male PCP # 88877S01 NPI: 1043226319 6835 Austin Center Blvd J (512) 346-6611 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female PCP # 8BJ95701 NPI: 1225057060 3816 S First St (512) 443-1311 Hospital Affiliation: 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: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Gonzalez, Helena C, MD Austin " Henderson, Kathleen A, DO Austin Gender: Female PCP # 8DT66301 NPI: 1851619589 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female # PCP # 8CW38101 NPI: 1174782742 4700 Seton Center Pkwy Ste 125 J (512) 338-8500 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Northwest Pediatrics and Adolescents Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Goodman, James M, MD Austin Gender: Male PCP # 8CA44301 NPI: 1962606525 1807 W Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Aus tin " Frank, Allan L, MD Gender: Male # PCP # 81993401 NPI: 1164537270 1100 W 39th 1/2 St J (512) 454-4545 J PCP # 81993403 NPI: 1164537270 4100 Duval Rd Bldg 4 Ste 100 (512) 250-0220 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 80X86101 NPI: 1083685788 4007 James Casey St Ste D140 J (512) 443-3883 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, 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 Certified Specialties: Pediatrics " Gennrich, Michael J, MD Aus tin Gender: Male PCP # 8DN82401 NPI: 1609087899 4515 Seton Center Pkwy Ste 220 (512) 338-8388 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Gender: Male # PCP # 8CH55601 NPI: 1588868152 12120 Ranch Rd 620 N J (512) 833-7334 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Lone Star Pediatrics Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8DN68501 NPI: 1407862758 2499 S Capital of Texas Bldg B Ste 100 (512) 328-7666 PCP # 8U684001 NPI: 1407862758 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA, Bee Caves Pediatrics PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin " Jain, Sangeeta S, MD Gender: Female PCP # 8W525501 NPI: 1013921261 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PCP # 8CY97602 NPI: 1366776031 825 E Rundberg Ln Ste B1 (512) 978-9600 Clinic Affiliation: Communitycare Board Certified Specialties: None " Gupta, Indu R, MD Austin Gender: Female PCP # 8DU96501 NPI: 1255442067 6836 Bee Cave Rd Ste 180 (512) 328-2333 Hospital Affiliation: 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: Tarrant Angelyn L MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin Holzman, Grace B, MD Gender: Female PCP # 8CY97603 NPI: 1366776031 2529 S First St (512) 978-9500 PCP # 8CY97601 NPI: 1366776031 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 PCP # 81993303 NPI: 1235244369 4100 Duval Rd Ste 1- 101 (512) 250-0220 Hospital Affiliation: 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 Certified Specialties: Pediatrics Austin " Holmes, Michael C, MD " Grier, Mark W, MD Gender: Female # PCP # 8CD12901 NPI: 1609812015 2499 S Capital of Texas Hwy Ste B100 (512) 328-7666 Hospital Affiliation: Seton Medical Center, Texas Childrens Hospital Clinic Affiliation: Bee Caves Pediatrics PA Board Certified Specialties: Pediatrics Gender: Male # PCP # 81993301 NPI: 1235244369 1100 W 39th 1/2 St J (512) 454-4545 Austin Austin " Garcia, Eugenia, MD " Hughes, Thomas E, MD ! Gender: Female # PCP # 8CJ32301 NPI: 1548436496 13917 W Hwy 71 Ste A J (512) 610-7030 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Beansprout Pediatrics Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 87J44101 NPI: 1689680951 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Austin " Hine, Peter W, MD " Grant, Danielle D, MD Aus tin J Austin Austin Aus tin " Horton, Jack, MD Austin Jolet, Kelly, MD Gender: Female PCP # 0055NS01 PCP # 8AB34201 NPI: 1972601680 7900 FM 1826 Bldg 1 Ste 220 (512) 288-9669 Hospital Affiliation: 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 Certified Specialties: None " Kangos, Peter A, MD Austin Gender: Male # PCP # 8B041001 NPI: 1285745547 12411 Hymeadow Dr Ste 3F J (512) 250-1997 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Kangos Peter A MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 16 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont PEDIATRICS Cont " Knapp, Elizabeth C, MD Austin Gender: Female PCP # 8B074201 NPI: 1003822354 6835 Austin Ctr Blvd J (512) 346-6611 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female # PCP # 8AT50501 NPI: 1104024207 11111 Research Blvd Ste 230 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PCP # 8CY93601 NPI: 1558520544 2529 S First St (512) 978-9500 " Lingle, Susan, MD Austin PCP # 8CY93612 NPI: 1558520544 2802 Webberville Rd (512) 978-9400 " Kyu, Win W, MD Austin " Li Pelaez, Joanne R, DO Austin PCP # 8CY93606 NPI: 1558520544 211 Comal St (512) 978-9200 Austin Gender: Female PCP # 8CY98001 NPI: 1699835421 7112 Ed Bluestein Blvd Ste 155 J (512) 978-9300 Hospital Affiliation: North Central Baptist Hospital, Northeast Baptist Hospital, Seton Medical Center Clinic Affiliation: Communitycare Board Certified Specialties: Pediatrics Lama Briseno, Tracy R, DO Gender: Female PCP # 8CY93608 NPI: 1558520544 1200 Montopolis Dr (512) 978-9800 J PCP # 8CY93604 NPI: 1558520544 500 E Seventh St (512) 978-9920 # PCP # 8CY93613 NPI: 1558520544 6801 S IH 35 Ste 1E (512) 978-9960 " Lopez, Ramona C, MD Austin Gender: Female PCP # 80X86001 NPI: 1659342350 4007 James Casey St Ste D140 (512) 443-3883 Hospital Affiliation: 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 Certified Specialties: Pediatrics PCP # 8CY93609 NPI: 1558520544 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 Lal, Arti, MD Gender: Female PCP # 8CS29802 NPI: 1417047077 12129 FM 620 (512) 918-2500 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None PCP # 8CY93602 NPI: 1558520544 825 E Rundberg Ln Ste B1 (512) 978-9600 PCP # 8CY93610 NPI: 1558520544 8656A Hwy 71 W Ste C (512) 978-9820 " Louis, Jack A, MD Austin Gender: Male # PCP # 88215601 NPI: 1740368406 711 W 38th St Ste C2 J (512) 458-6717 Hospital Affiliation: 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 Certified Specialties: Pediatrics PCP # 8CY93603 NPI: 1558520544 928 Blackson Ave (512) 978-9740 Clinic Affiliation: Communitycare Board Certified Specialties: None " Leong, Sharon C, MD Aus tin J Gender: Female PCP # 87J46201 NPI: 1760498018 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Malik, Durdana A, MD Austin Gender: Female PCP # 0056ED01 NPI: 1184734261 4207 James Casey St Ste 111 J (512) 444-9800 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Over 14 yrs old Board Certified Specialties: Pediatrics Mani, Jayashree, MD Gender: Female # PCP # 81993601 NPI: 1285749382 1100 W 39th 1/2 St J (512) 454-4545 Austin PCP # 81993603 NPI: 1285749382 4100 Duval Rd Bldg 5 Ste 100 J (512) 250-0220 Hospital Affiliation: 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 Certified Specialties: None " Mathai, Cynthia P, DO Austin Gender: Female PCP # 8CY04501 NPI: 1013176197 1807 W Claughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Lowrey, Robert, MD J " Lewellyn, Larry L, DO ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours PCP # 86021Y03 NPI: 1134234388 4100 Duval Rd Bldg IV Ste 100 J (512) 250-0220 Hospital Affiliation: 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 Certified Specialties: None Austin Aus tin J Gender: Female PCP # 88873701 NPI: 1346256609 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Ma, Helen, DO Gender: Female # PCP # 86021Y01 NPI: 1134234388 1100 W 39th 1/2 St J (512) 454-4545 Austin Gender: Male PCP # 00FR2701 NPI: 1821064098 4007 James Casey St Ste A150 (512) 447-0707 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 89774901 NPI: 1356356414 6835 Austin Center Blvd (512) 346-6611 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " McConnell, Tammy S, DO Austin Gender: Female PCP # 8CF24501 NPI: 1801896246 1912 W 35th St (512) 451-5161 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Childrens Medical Group PA Board Certified Specialties: Pediatrics J - Wheelchair Access 17 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont PEDIATRICS Cont " McMains, Merrick J, MD Aus tin Gender: Male PCP # 8DP78301 NPI: 1518964014 2911 Medical Arts St Ste 20 (512) 236-9306 Clinic Affiliation: Longhorn Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Mitchell, Janet, MD Aus tin J Gender: Female PCP # 89C04501 NPI: 1164438412 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Mouser, Rebecca, MD Aus tin J Gender: Female PCP # 89C01201 NPI: 1700891876 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Mulcihy, Casey, MD Gender: Male PCP # 00JQ4101 NPI: 1386757953 4007 James Casey Ste D200 J (512) 447-5588 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Aus tin " Muzaffar, Syema, MD Aus tin J " Nakonechna, Olena L, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Rannefeld, Marcia E, DO Austin Austin Gender: Female # PCP # 8DJ77603 NPI: 1629254883 3706 S First St J (512) 324-4940 Gender: Female PCP # 8AB34001 NPI: 1487752127 7900 FM 1826 Bldg 1 Ste 220 J (512) 288-9669 Hospital Affiliation: 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 Certified Specialties: Pediatrics Gender: Female # PCP # 8CF76111 NPI: 1699738849 2237 E Riverside Dr Ste 101C J (512) 744-6000 PCP # 8DJ77602 NPI: 1629254883 8913 Collinfield Dr J (512) 324-6850 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Petropoulos, Mary C, MD Austin Gender: Female PCP # 84111F01 NPI: 1750483707 11673 Jollyville Rd Ste 104 J (512) 338-5130 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Childrens Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Norton, Lydia W, MD Austin Gender: Female # PCP # 8H492201 NPI: 1366419442 2499 S Cap of TX Hwy Bldg B 100 J (512) 328-7666 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Bee Caves Pediatrics PA Board Certified Specialties: Pediatrics " Oliveras Rentas, Edith J, MD Austin " Prochnow, Ross, MD Austin Gender: Female # PCP # 8H131601 NPI: 1861555195 2237 E Riverside Dr Ste 101C J (512) 744-6000 Gender: Male PCP # 84G10201 NPI: 1235144304 4515 Seton Center Parkway Ste 220 J (512) 338-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics # PCP # 8H131604 NPI: 1861555195 2621 Ridgepoint Dr Ste 140 J (512) 583-9640 # PCP # 8H131606 NPI: 1861555195 6425 S IH 35 Ste 100 J (512) 744-6000 Austin Austin # PCP # 8CF76110 NPI: 1699738849 2321 Ridgepoint Dr Ste 140 J (512) 744-6000 # PCP # 8CF76101 NPI: 1699738849 6425 S IH 35 Ste 100 J (512) 744-6000 # PCP # 8CF76108 NPI: 1699738849 7112 Ed Bluestein Blvd Ste 100 J (512) 744-6000 Hospital Affiliation: Baylor All Saints Medical Center At Fort Worth, Cook Childrens Medical Center, Plaza Medical Center Fort Worth, Tx Hlth Harris Methodist Hosp Fw, Tx Hlth Harris Methodist Hosp Sw Clinic Affiliation: Glenn Wood MD Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Pediatrics " Rimer, Haydee C, MD Austin J " Qian, Baoping, MD Austin Gender: Male PCP # 8EM75301 NPI: 1144415936 1111 Research Blvd Ste 230 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics # PCP # 8H131602 NPI: 1861555195 7112 Ed Bluestein Blvd Ste 100 J (512) 744-6000 Clinic Affiliation: Glenn Wood MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PCP # 8DJ74902 NPI: 1033120936 2811 E Second St (512) 324-4930 # PCP # 8DJ74901 NPI: 1033120936 8913 Collinfield Dr J (512) 324-5860 Hospital Affiliation: 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 Certified Specialties: Pediatrics " Patil, Vaishalee S, MD Austin " Ramirez, Jaime E, MD Austin Gender: Male PCP # 8EE54501 NPI: 1598778409 1111 W 34th St Ste 102 (512) 467-1600 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Dawson Ramirez Pediatrics Board Certified Specialties: Pediatrics Pannell, Jennifer, MD Gender: Female PCP # 8R680101 NPI: 1730195090 1807 W Slaughter Ln Ste 490 (512) 282-8967 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Rane, Nishigandha Y, MD Austin Patel, Ranita, MD Gender: Female PCP # 8EL75601 NPI: 1265722789 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Gender: Female # PCP # 8G170301 NPI: 1902830946 4700 Seton Center Pkwy Ste 125 J (512) 338-8500 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Northwest Pediatrics and Adolescents Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female PCP # 8AB34101 NPI: 1255439931 7900 FM 1826 Bldg 1 Ste 220 (512) 288-9669 Hospital Affiliation: 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 Certified Specialties: Pediatrics Rodriguez, Roberto L, MD Gender: Male PCP # 8CY99001 NPI: 1548252836 211 Comal St J (512) 978-9200 Clinic Affiliation: Communitycare Board Certified Specialties: None Austin " Ruiz, Elena, MD Austin Gender: Female # PCP # 8H492101 NPI: 1356352637 2499 S Cap of TX Hwy B100 (512) 328-7666 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Bee Caves Pediatrics PA Board Certified Specialties: Pediatrics " Rusk, Natalie W, MD Austin Gender: Female PCP # 8V911201 NPI: 1407861578 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 18 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp AUSTIN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Shieh, Sue A, MD " Temple, Brian W, MD Aus tin AUSTIN Cont PEDIATRICS Cont Russell, Terri A, MD Gender: Female PCP # 8BF00502 NPI: 1700985553 2911 Medical Arts St Ste 16 J (512) 467-7111 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Terri Anne Russell MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Austin Sabri, Nadia A, MD Gender: Female PCP # 8DT73601 NPI: 1922324797 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Sarathy, Rama, MD Austin Gender: Female PCP # 8CS01708 NPI: 1023010287 2237 E Riverside Dr Ste 101C (512) 744-6000 PCP # 8CS01707 NPI: 1023010287 2621 Ridgepoint Dr Ste 140 (512) 744-6000 PCP # 8CS01706 NPI: 1023010287 6425 S IH 35 Ste 100 (512) 744-6000 PCP # 8CS01702 NPI: 1023010287 7112 Ed Bluestein Blvd Ste 100 (512) 744-6000 # PCP # 8CS01701 NPI: 1023010287 9411 N Lamar Blvd Ste 120 (512) 744-6000 Hospital Affiliation: Cleveland Regional Medical Center, Memorial Medical Center Livingston Clinic Affiliation: Glenn Wood MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Shah, Avni A, DO Gender: Female # PCP # 8EA09601 NPI: 1700103926 1100 W 39 1/2 St J (512) 454-4545 Austin PCP # 8EA09602 NPI: 1700103926 4100 Duval Rd Ste 100 Bldg 4 J (512) 250-0220 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Capital Pediatric Group Asso Practice Information: No Patients Over 20 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Austin PCP # 83042Y01 NPI: 1265447320 4515 Seton Center Parkway Ste 220 (512) 338-8388 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male # PCP # 8DT89801 NPI: 1689863649 13917 W Hwy 71 Ste A (512) 610-7030 Hospital Affiliation: Lakeway Regional Medical Ctr Llc Clinic Affiliation: Beansprout Pediatrics Board Certified Specialties: Pediatrics Austin " Sood, Lily, MD Aus tin J Gender: Female PCP # 88873601 NPI: 1598771859 3816 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Spence, Timothy A, MD Gender: Male ! PCP # 8EJ84901 NPI: 1710969415 11714 Wilson Parke Ave Ste 150 (512) 231-5548 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Aus tin Thant, Lewai, MD Gender: Female PCP # 8CY99601 NPI: 1104870641 2529 S First St (512) 978-9500 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None " Thorstad, Kelly G, MD Austin Gender: Female # PCP # 8J803001 NPI: 1174508832 12120 Ranch Rd 620 N J (512) 833-7334 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Lone Star Pediatrics Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Pediatrics Torres, Manuel A, MD Gender: Male PCP # 8AJ92601 NPI: 1972713410 1110 W William Cannon Dr Ste 502 J (512) 474-2660 Hospital Affiliation: 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 Certified Specialties: None Austin Spencer, Evelyn E, MD Gender: Female PCP # 8AB08001 NPI: 1740371764 11851 Jollyville Rd Ste 204 J (512) 219-5550 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Moms2moms Pediatrics PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Aus tin Tarrant, Angelyn L, MD Gender: Female PCP # 8M643001 NPI: 1740389402 6836 Bee Cave Rd Ste 180 J (512) 328-2333 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Trevino, Christine A, DO Austin Aus tin J Gender: Female PCP # 8CF07001 NPI: 1164626727 7900 FM 1826 Bldg 1 Ste 220 (512) 288-9669 Clinic Affiliation: Southwest Pediatrics Assoc Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Treybig, Sandra K, MD Gender: Female # PCP # 81993901 NPI: 1336254507 1100 W 39th 1/2 St J (512) 454-4545 Austin Tarrant, Natalie B, MD Gender: Female # PCP # 8J031101 NPI: 1861492514 6618 Sitio Del Rio Blvd Ste A101 J (512) 241-1370 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Hill Country Pediatrics PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Aus tin J PCP # 81993903 NPI: 1336254507 4100 Duval Rd Bldg 4 Ste 100 (512) 250-0220 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Capital Pediatric Group Asso Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Villarreal-Levy, Christine C, MD Gender: Female # PCP # 8CZ06402 NPI: 1588944920 4800 Manor Rd J (512) 499-0090 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: None Austin " Wagner, Nicholas J, MD Austin Gender: Male PCP # 8AB34501 NPI: 1497915565 7900 FM 1826 Bldg 1 Ste 220 J (512) 288-9669 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Southwest Clinic Affiliation: Southwest Pediatrics Assoc Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Ward, Michael H, MD Austin Gender: Male PCP # 82665S01 NPI: 1952317216 3816 S First St J (512) 443-1311 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Wells, Leslie L, MD Austin Gender: Female # PCP # 8J031001 NPI: 1528067907 6618 Sitio Del Rio Blvd Ste A101 J (512) 241-1370 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Hill Country Pediatrics PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Wheelock, Valerie G, MD Gender: Female PCP # 8W669001 NPI: 1871694349 7004 W Bee Caves Rd Bldg 1 Ste 210 J (512) 327-0562 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Valerie Wheelock MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin " White, Alan, MD Austin Gender: Male PCP # 87J44802 NPI: 1861408122 11111 Research Blvd 485 J (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 19 AUSTIN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Vocal, Laurier A, MD Gender: Male PCP # 8DE24001 NPI: 1821102005 3101 Hwy 71 E Ste 101 (512) 304-0300 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Family Health Center of Bastrop Practice Information: No Obstetrics Board Certified Specialties: None " Ziari, Alison D, MD Austin AUSTIN Cont PEDIATRICS Cont " White, Amy L, MD Aus tin Gender: Female # PCP # 8EE54601 NPI: 1821169004 1111 W 34th St Ste 102 (512) 467-1600 Hospital Affiliation: 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 Certified Specialties: Pediatrics " Wiseman, Lisa, MD Aus tin Gender: Female # PCP # 8BZ21601 NPI: 1992946669 4700 Seton Center Pkwy Ste 125 (512) 338-8500 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Northwest Pediatrics and Adolescents Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Wood, Glenn G, MD Aus tin # PCP # 8H131006 NPI: 1346247749 6425 S IH 35 Ste 100 J (512) 744-6000 Gender: Male # PCP # 8V380001 NPI: 1902985427 195 S Hasler Blvd Ste B1 J (512) 308-1555 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Bastrop Medical Clinic PA Board Certified Specialties: Internal Medicine " Akkanti, Yamini A, MD Gender: Female # PCP # 8CR50901 NPI: 1760659973 201 Childers Dr Ste 109 (512) 321-3430 Hospital Affiliation: Seton Edgar B Davis, Seton Smithville Reg Hospital Clinic Affiliation: Sai Medical Group PA Board Certified Specialties: Family Practice Gender: Female PCP # 8DU73001 NPI: 1972794162 12005 Bee Cave Rd Ste 2A (512) 225-0766 Clinic Affiliation: Bee Well Pediatrics of Central Te Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Thompson, Carla J, MD Bee Cave Gender: Female PCP # 8EL30601 NPI: 1003021593 11701 Bee Cave Rd Ste 130 (512) 892-7076 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: South Austin Family Practiceclinic LLP Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Gupta, Rajeev, MD Gender: Male # PCP # 85180X01 NPI: 1417936261 475 Hwy 71 W J (512) 321-9091 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Bastrop County Medical Assoc PA Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Internal Medicine " Chavez, Pompeyo C, MD Gender: Male PCP # 8DE24101 NPI: 1821292426 3101 Hwy 71 E Ste 101 (512) 304-0300 Clinic Affiliation: Family Health Center of Bastrop Board Certified Specialties: Family Practice " Porter, Brent A, MD Bastrop " Van Benthuysen, Suzanne L, MD Bee Cave Gender: Female PCP # 8DU73101 NPI: 1962673301 12005 Bee Cave Rd Ste 2A (512) 225-0766 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Bee Well Pediatrics of Central Te Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8CV13401 NPI: 1588680672 441 W Hwy 71 Ste C (512) 791-1224 Hospital Affiliation: Doctors Hospital, Medical Center Of Plano Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Internal Medicine " Dougherty Jr, Robert J, MD Bastrop Gender: Male PCP # 0068JE01 NPI: 1114935210 441 Hwy 71 W J (512) 581-5016 ! PCP # 8BV29001 NPI: 1114935210 441 Hwy 71 W Ste B1 (512) 581-5016 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Robert James Dougherty MD Board Certified Specialties: Family Practice BEE CAVE FAMILY PRACTICE " Fagerberg, Kristyn T, MD BEE CAVES FAMILY PRACTICE Bee Cave Gender: Female PCP # 8DF72001 NPI: 1154332054 11805 Bee Caves Rd Ste 100 (512) 402-9013 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Lrmc Physician Services Inc Board Certified Specialties: Family Practice Lerma III, Sammy, MD Gender: Male PCP # 83460Y01 NPI: 1871571950 1109 Church St J (512) 321-3311 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Lerma III Sammy MD Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Bastrop " Jones, Mason D, MD Bee Caves Gender: Male PCP # 8EN23401 NPI: 1639220551 12717 Shops Pkwy Ste 500 (512) 222-8667 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Total Mens Physicians Group LLC Board Certified Specialties: Family Practice " Gabriel, David J, MD Bee Cave Gender: Male PCP # 8CW04801 NPI: 1619084993 11701 Bee Caves Rd Ste 130 (512) 892-7076 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: South Austin Family Practiceclinic LLP Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice " Ortega, Juan C, MD Bastrop Gender: Male PCP # 8EC40701 NPI: 1720074529 3101 Hwy 71 E Ste 101 (512) 304-0300 Hospital Affiliation: Columbus Community Hospital Clinic Affiliation: Family Health Center of Bastrop Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Morgan, Jessica A, MD Bee Cave Bastrop Bastrop # PCP # 8H131001 NPI: 1346247749 7112 Ed Bluestein Blvd Ste 100 J (512) 744-6000 PEDIATRICS " Batlle, Augustin R, MD Bastrop ! Gaertner, James S, MD Gender: Male PCP # 8DF72101 NPI: 1225068315 11805 Bee Caves Rd Ste 100 (512) 402-9013 Clinic Affiliation: Lrmc Physician Services Inc Board Certified Specialties: None Bee Cave Bastrop FAMILY PRACTICE PCP # 8DR85001 NPI: 1346247749 6610 McNeil Dr (512) 583-9679 # PCP # 8H131010 NPI: 1346247749 9411 N Lamar Blvd Ste 120 J (512) 744-6000 Hospital Affiliation: St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Glenn Wood MD, McNeil Pediatrics PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics INTERNAL MEDICINE BASTROP Gender: Male # PCP # 8H131009 NPI: 1346247749 2237 E Riverside Dr Ste 101 C J (512) 744-6000 # PCP # 8H131008 NPI: 1346247749 2621 Ridgepoint Dr Ste 140 J (512) 744-6000 Bastrop Gender: Female PCP # 8W525801 NPI: 1881669711 11714 Wilson Parke Ave Ste 150 (512) 528-2300 Hospital Affiliation: Mother Frances Hospital, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics BELLMEAD FAMILY PRACTICE Paltjon, Jason M, MD Gender: Male ! PCP # 8S039302 NPI: 1336100114 556 N Loop 340 (254) 412-5700 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Bellmead J - Wheelchair Access 20 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp BRYAN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Holland Barki, Penelope A, MD " Sanchez, Ernesto H, MD Belton BELLMEAD Cont FAMILY PRACTICE Cont " Partin, Patrick B, MD Bellmead Gender: Male ! PCP # 8F557002 NPI: 1629039417 556 N Loop 340 J (254) 412-5700 Hospital Affiliation: Scott And White Memorial Hospital, Stephens Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Ryman, James L, MD Bellmead Gender: Male PCP # 8CG85202 NPI: 1841352424 556 N Loop J (254) 215-9791 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice BELTON FAMILY PRACTICE " Bartels, Walton G, MD Belton Gender: Male PCP # 80753801 NPI: 1740240084 1505 N Main St J (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Dale, Andrew M, MD J Gender: Male PCP # 8DL85401 NPI: 1255492765 2851 N Main Ste 1 (254) 939-1844 Clinic Affiliation: Lhp Texas MD Services Inc Board Certified Specialties: Family Practice " Fasolino, Edward, MD Hovland, Sarah, MD Gender: Female PCP # 8EL06501 NPI: 1295027803 1001 Arbor Park Dr J (254) 933-4100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None PCP # 87G90001 NPI: 1982664751 1505 N Main St J (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Davis, Tinku, MD Belton PCP # 80427F01 NPI: 1821059080 1505 N Main St (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J Drigalla, Jessica W, MD Gender: Female PCP # 8X205104 NPI: 1770641706 1009 Arbor Park Dr J (254) 933-4100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " McDonald, Darin K, MD Gender: Male PCP # 8AB76002 NPI: 1821210899 1505 N Main St (254) 933-2040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Guptha, Sushma N, MD Gender: Female # PCP # 8DU83402 NPI: 1710064357 1505 N Main J (254) 933-4040 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Belton " Mueller, Jessie M, MD Belton J Gender: Female PCP # 8CL41502 NPI: 1578721882 309 Lake Rd Ste A (254) 933-5600 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice BELTRON PEDIATRICS " Nieland, Melissa J, MD Belton J J Gender: Female PCP # 8CY45602 NPI: 1730384405 1001 Arborpark Dr (254) 933-4100 " Baca, Katrina M, MD Beltron PCP # 8CY45601 NPI: 1730384405 1505 N Main St (254) 933-4040 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice J Gender: Female PCP # 8F557602 NPI: 1346209616 1009 Arbor Park Dr (254) 933-4100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics BERTRAM FAMILY PRACTICE " Franz, Charles M, DO Bertram Gender: Male PCP # 8J562302 NPI: 1912978206 160 N Lampasas St J (512) 355-9233 Hospital Affiliation: Seton Highland Lakes, The Medical Ctr Of Southeast Tx Lp Clinic Affiliation: Seton Healthcare Practice Information: No Obstetrics, No Patients Under 1 yrs old Board Certified Specialties: Family Practice INTERNAL MEDICINE " Deng, Yue, MD Bertram Gender: Female PCP # 8AK93605 NPI: 1821292483 160 N Lampasas St J (512) 355-9233 Hospital Affiliation: Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Healthcare Board Certified Specialties: Internal Medicine BRYAN FAMILY PRACTICE " Adams, Rae A, MD Bryan Gender: Female # PCP # 8CW85201 NPI: 1508019001 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice Biles, Russell K, MD Gender: Male PCP # 84M13204 NPI: 1871552687 748 N Earl Rudder Frwy J (979) 691-3170 Hospital Affiliation: Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Bryan Daftarian, Arezu, MD Gender: Female PCP # 8BR01301 NPI: 1881659589 2900 E 29th St Ste 200 J (979) 774-8440 Hospital Affiliation: St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: None Bryan " Dhaduk, Shailesh D, MD Bryan Gender: Male # PCP # 8U423001 NPI: 1326047259 2709 Osler Blvd J (979) 776-2200 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center, The Physicians Centre Clinic Affiliation: Bryan Family Medicine Clinic PA Board Certified Specialties: Family Practice " Parker Jr, E Don, MD Belton J Gender: Female PCP # 8CB05702 NPI: 1477757037 1009 Arbor Park Dr (254) 933-4100 Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Pediatrics Belton Belton J PCP # 8AR18502 NPI: 1184690232 1505 N Main St (254) 933-4040 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None PEDIATRICS " Ligon Jr, William F, MD " Hagen, Michael P, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Belton Belton Gender: Male PCP # 80755001 NPI: 1881654580 1505 N Main St J (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Sewell, Stephen J, MD Gender: Male PCP # 8AR18503 NPI: 1184690232 1001 Arborpark Dr J (254) 933-4100 Howell, Shelley M, DO Gender: Male ! PCP # 8EC59301 NPI: 1295748598 2851 N Main St Ste 1 (254) 939-1844 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Lhp Texas MD Services Inc Board Certified Specialties: None J Gender: Male PCP # 8368NC02 NPI: 1407840259 309 Lake Rd A (254) 939-5800 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Belton Belton Belton Gender: Male PCP # 87G90002 NPI: 1982664751 1001 Arbor Park Dr J (254) 933-4100 J Belton Belton ! Belton PCP # 87190N01 NPI: 1679533129 1505 N Main St (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 8B091501 NPI: 1588625370 1505 N Main St (254) 933-4040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J - Wheelchair Access 21 BRYAN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Maedo, Kelly M, MD " Sabrsula Jr, Irvin F, MD Bryan BRYAN Cont FAMILY PRACTICE Cont " Dickey, Nancy W, MD Bryan Gender: Female PCP # 8BR01501 NPI: 1932215258 2900 E 29th St Ste 200 (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice " Gill, Kory L, DO J PCP # 8DR07501 NPI: 1154582716 3201 University Dr E Ste 115 (979) 776-0169 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: Central Texas Sports Medicin& Ortho PA, The Texas A&M University System H Board Certified Specialties: Family Practice " Kakwan, Ume Haney Y, MD Bryan J Gender: Female PCP # 8EC60201 NPI: 1699761536 2703 Osler Blvd (979) 776-0055 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: Family Medicine and Senior Care Board Certified Specialties: Family Practice Lichorad, Anna, MD Gender: Female PCP # 8BR01901 NPI: 1750392056 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: Burleson St Joseph Health Center, College Station Medical Center, Madison St Joseph Health Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: None Bryan " Loyd, Ryan A, MD Bryan J Gender: Male PCP # 8BR21101 NPI: 1487851226 2900 E 29th St Ste 200 (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8DW37603 NPI: 1609196401 748 N Earl Rudder Frwy (979) 207-2900 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice PCP # 8EL13501 NPI: 1750602199 3201 University Dr E Ste 115 (979) 776-0169 Hospital Affiliation: St Joseph Regional Health Center Clinic Affiliation: Central Texas Sports Medicin& Ortho PA, The Texas A&M University System H Board Certified Specialties: Family Practice Bryan Gender: Male PCP # 8BZ69501 NPI: 1154582716 2900 E 29th St Ste 200 (979) 776-8440 " Sanchez, Jorge E, MD Gender: Female PCP # 8EA41901 NPI: 1750602199 2900 E 29th St (979) 776-8440 Gender: Female PCP # 8EL72301 NPI: 1073809794 2900 E 29th St (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice Gender: Male PCP # 8DE64301 NPI: 1730140906 2900 E 29th St (979) 776-8440 Hospital Affiliation: College Station Medical Center, Mother Frances Hospital, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Internal Medicine Bry an " Marsh, Laura E, MD " Fuller, Katie J, DO " Lindzey, David L, MD Bryan Gender: Male PCP # 8DU58701 NPI: 1548266679 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice Bryan Bryan J Bry an Gender: Female PCP # 8BR21201 NPI: 1104838887 2900 E 29th St Ste 200 (979) 776-8440 Hospital Affiliation: Burleson St Joseph Health Center, College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice " Ogden, Paul E, MD Bryan Gender: Male PCP # 8CJ87601 NPI: 1285695056 2900 E 29th St (979) 776-8440 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Internal Medicine " Severson, Sarah K, DO Bry an Gender: Female PCP # 8EC47002 NPI: 1114185451 748 N Earl Rudder Frwy J (979) 207-2900 Hospital Affiliation: Bayshore Medical Center, El Campo Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " McClellan, David A, MD Bryan Gender: Male PCP # 8BR21401 NPI: 1154333847 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Medical Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice PEDIATRICS " Soriano, Maria C, MD Bryan Gender: Female PCP # 8DZ05501 NPI: 1376733899 2901 E 29th St Ste 123 (979) 776-9400 " Simmons Jr, John F, MD Bry an Gender: Male PCP # 8CA07201 NPI: 1942452123 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice Ormberg, Audrey, MD Gender: Female # PCP # 8BR21601 NPI: 1891781506 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: None Bryan " Villarreal, Roque, MD Bry an Gender: Male PCP # 84E44304 NPI: 1568424588 748 N Earl Rudder Frwy J (979) 691-3170 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Pope, Robert A, MD Bryan Gender: Male PCP # 8BR21801 NPI: 1518979103 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: Family Practice INTERNAL MEDICINE " Bonds Jr, James, MD Bry an Gender: Male ! PCP # 8AJ81201 NPI: 1093709511 3201 University Dr E Ste 360 J (979) 731-8686 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: James Bonds MD Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Internal Medicine Roberman, Susan G, MD Gender: Female PCP # 8BR21901 NPI: 1982635348 2900 E 29th St Ste 200 J (979) 776-8440 Hospital Affiliation: Baylor Medical Center At Garland, College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: None Bryan J PCP # 8U590801 NPI: 1376733899 2901 E 29th St Ste 123 (979) 776-9400 Hospital Affiliation: St Joseph Regional Health Center Clinic Affiliation: St Joseph Physician Assoc, St Joseph Regional Health Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Pediatrics BUDA FAMILY PRACTICE Carney, Linda K, MD Gender: Female PCP # 8V564001 NPI: 1356317929 1760 FM 967 Ste B J (512) 295-7877 Hospital Affiliation: Central Texas Medical Center, St Davids S Austin Medical Center Clinic Affiliation: All Med Physicians PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Buda Clogston, Curtis P, MD Gender: Male # PCP # 8P232002 NPI: 1174543524 118 Trademark St J (512) 392-5556 Hospital Affiliation: Seton Medical Center, Southwest General Hospital Clinic Affiliation: Curtis P Clogston MD Board Certified Specialties: None Buda " Viscardi, Marjorie E, MD Buda Gender: Female # PCP # 8BN26001 NPI: 1710046206 155 Cimarron Park L00p Ste A J (512) 295-2121 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Gary L Gilcrease MD Board Certified Specialties: Family Practice J - Wheelchair Access 22 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp CEDAR PARK Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Graves, Robert A, DO Burnet BUDA Cont PEDIATRICS " Collins, Karyn W, MD Buda Gender: Female PCP # 8S519101 NPI: 1245246420 211 Railroad St J (512) 312-5312 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Southwest Clinic Affiliation: Pediatric Junction PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Lincoln, Anna P, MD Buda Gender: Female PCP # 8S519001 NPI: 1518973791 211 Railroad St J (512) 312-5312 Hospital Affiliation: Seton Medical Center Hays, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Pediatric Junction PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics J Robinson, Jere L, MD Gender: Male PCP # 00SX4801 NPI: 1467440636 2309 W US Hwy 29 J (512) 756-2784 Hospital Affiliation: Seton Highland Lakes Practice Information: No infants under 6 months old Board Certified Specialties: None Bogdanovich, Michael B, MD Gender: Male # PCP # 87690Y01 NPI: 1386609048 500 W Whitestone Blvd Ste 100 J (512) 250-3900 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Northwest Diagnostic Clinic Board Certified Specialties: None Gender: Male PCP # 85794G01 NPI: 1922058502 1103 Woodson Dr (979) 567-7080 Hospital Affiliation: Burleson St Joseph Health Center, St Joseph Regional Health Center Clinic Affiliation: St Joseph Regional Health Center Board Certified Specialties: Family Practice " Butler, Harrell D, MD Cedar Park J Gender: Male PCP # 8G934101 NPI: 1174539456 801 E Whitestone Bldg B (512) 259-3467 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Calderon, April M, DO Cedar Park CAMERON FAMILY PRACTICE " Barkis, Leslie A, DO Cameron Gender: Male PCP # 8DU64905 NPI: 1669468039 708 N Crockett Ave (254) 697-6554 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice INTERNAL MEDICINE " Deng, Yue, MD Burnet " Frazier, Viviana C, MD Cedar Park Gender: Female PCP # 8BG94001 NPI: 1093897555 801 E Whitestone Blvd B (512) 259-3467 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Cedar Park " Parsi, Kia E, MD " Franz, Charles M, DO Gender: Female PCP # 8AK93601 NPI: 1821292483 200 County Rd 340A J (512) 715-3110 Hospital Affiliation: Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Healthcare Board Certified Specialties: Internal Medicine Gender: Female PCP # 8DE94701 NPI: 1396777355 921 W New Hope Dr Ste 401 (512) 986-8858 Clinic Affiliation: Rosie Augustin Wheeler MD Board Certified Specialties: Family Practice Caldwell J Gender: Female PCP # 8CH34701 NPI: 1467459115 500 W Whitestone 100 (512) 250-3900 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Northwest Diagnostic Clinic Board Certified Specialties: Family Practice " Augustin Wheeler, Rosie, MD Gender: Male PCP # 8DZ20101 NPI: 1013945070 1012 Woodson Dr (979) 567-4900 Hospital Affiliation: Burleson St Joseph Health Center Clinic Affiliation: Burleson County Family Medicine P Board Certified Specialties: Family Practice ! " Eady, Christine M, DO Cedar Park Cedar Park " Chennault, John S, DO Burnet PCP # 8J562308 NPI: 1912978206 3201 S Water St J (830) 596-3081 Hospital Affiliation: Seton Highland Lakes, The Medical Ctr Of Southeast Tx Lp Clinic Affiliation: Seton Healthcare Practice Information: No Obstetrics, No Patients Under 1 yrs old Board Certified Specialties: Family Practice Gender: Female PCP # 8CP18101 NPI: 1912191982 450 Cypress Creek Rd Bldg 5 (512) 249-1400 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Family Practice Caldwell " Cravey, Bruce M, MD Gender: Male PCP # 8J562301 NPI: 1912978206 200 County Rd 340A J (512) 715-3110 " Akin, Angela R, DO Cedar Park FAMILY PRACTICE Burnet Gender: Female PCP # 8DS46101 NPI: 1821121112 1335 E Whitestone Blvd Ste 100 (512) 400-6840 Clinic Affiliation: Medspring Prime of Texas PA Practice Information: No Patients Under 7 yrs old Board Certified Specialties: Family Practice FAMILY PRACTICE CALDWELL FAMILY PRACTICE Gender: Male PCP # 8CS19903 NPI: 1487636064 101 E Jackson St (512) 756-7510 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice CEDAR PARK Burnet BURNET " Dent, Marenda D, DO Cedar Park Gender: Male PCP # 8G328601 NPI: 1982624854 200 County Rd 340A (512) 715-3110 Hospital Affiliation: Seton Highland Lakes Clinic Affiliation: Seton Healthcare Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine " Cantu, James R, MD Cameron Gender: Male PCP # 8CW90302 NPI: 1780977512 101 Lafferty (254) 605-1100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J J Gender: Female PCP # 8CL98603 NPI: 1437475191 900 Quest Pkwy (254) 724-2111 PCP # 8CL98606 NPI: 1437475191 910 E Whitestone Blvd (512) 260-6100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Dandekar, Meghana S, MD Cedar Park Gender: Female PCP # 8BK94401 NPI: 1932127834 801 E Whitestone Blvd Ste B (512) 259-3467 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Gogulski, David H, MD Cedar Park Gender: Male PCP # 84194K04 NPI: 1245290931 900 E Whitestone Blvd J (512) 684-4911 PCP # 84194K03 NPI: 1245290931 900 Quest Parkway J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Gray, Nadeen L, MD Cedar Park Gender: Female !# PCP # 8DR05701 NPI: 1770598831 345 Cypress Creek Rd Ste 104 (512) 336-2777 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Family Practice Hathcock, Ann E, DO Gender: Female PCP # 8BT30501 NPI: 1649339870 450 Cypress Creek Rd Bldg 5 (512) 249-1400 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Timberland Medical Group Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None Cedar Park Locklear, Mike L, MD Gender: Male PCP # 8CL49302 NPI: 1598713174 101 Lafferty J (254) 605-1100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Cameron ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J - Wheelchair Access 23 CEDAR PARK Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Morrison, Bryan K, MD " Stewart, Christopher A, MD Cedar Park CEDAR PARK Cont FAMILY PRACTICE Cont " Hughes, Eric M, MD Cedar Park Gender: Male PCP # 8BG94501 NPI: 1891809513 801 E Whitestone Blvd Ste B (512) 259-3467 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Overstreet, Haley C, MD Gender: Female PCP # 8ED05701 NPI: 1700107323 450 Cypress Creek Rd Bldg 5 (512) 249-1400 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Family Practice " Kappler, Julie E, MD " King, Cameron T, MD Cedar Park Gender: Male # PCP # 8S530101 NPI: 1457338436 345 Cypress Creek Rd Ste 104 J (512) 336-2777 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Family Practice " King, Susan C, MD Cedar Park Gender: Female # PCP # 0054GQ01 NPI: 1669459327 1907 Cypress Creek Rd Ste 104 J (512) 346-7966 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital, St Davids Medical Center Board Certified Specialties: Family Practice " Mansolo, Ron M, MD Cedar Park Gender: Male PCP # 8CL02101 NPI: 1871586933 500 W Whitestone Blvd Ste 105 (512) 918-2225 Hospital Affiliation: River Oaks Endoscopy Center Llp, Round Rock Medical Center, Seton Northwest Hospital, West Houston Medical Center Clinic Affiliation: Rrcp Medical PLLC Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice Merola, Wendy M, MD Gender: Female PCP # 8X259001 NPI: 1285603613 901 Cypress Creek Rd Bldg 1 Ste 100 J (512) 615-9191 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Specialists In Family Medicine PA Board Certified Specialties: None Cedar Park ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Fowler, John T, MD Gender: Male PCP # 8EG91401 NPI: 1528075348 1201 N Lakeline Blvd Ste 400 (512) 379-7272 Hospital Affiliation: Baptist Beaumont Hospital, Christus Dubuis Hospital Beaumont, Christus Hospital Clinic Affiliation: Zest Family Practice PLLC Board Certified Specialties: None Cedar Park Gender: Male PCP # 86774K03 NPI: 1184686230 900 Quest Parkway J (512) 509-0200 Cedar Park Cedar Park Gender: Female PCP # 8DP38602 NPI: 1285895086 900 Quest Pkwy (512) 260-6100 Hospital Affiliation: Tx Hlth Presbyterian Hosp Allen Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Cedar Park Gender: Male PCP # 8BK94901 NPI: 1013912823 801 E Whitestone Blvd Bldg B (512) 259-3467 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Patel, Smita C, MD Cedar Park Gender: Female PCP # 8AB53306 NPI: 1235166786 900 Quest Pkwy J (512) 250-6100 PCP # 86774K05 NPI: 1184686230 910 E Whitestone Blvd J (512) 260-6100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Stoeckel, Mark D, MD Gender: Male PCP # 8CT13501 NPI: 1689671042 450 Cypress Creek Rd Bldg 5 J (512) 249-1400 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: None " Kohli, Nandini D, MD Cedar Park Gender: Female PCP # 8W519102 NPI: 1942308804 11901 W Parmer Ln Ste 300 (512) 652-0050 Hospital Affiliation: North Austin Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Primary Care Physicians Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Internal Medicine Cedar Park Yee, Bing G, MD Gender: Male PCP # 82400X01 NPI: 1770683484 200 S Bell Bldg B-4 J (512) 249-0880 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Cedar Park Family Practice Practice Information: No infants under 6 months old Board Certified Specialties: None J Cedar Park PCP # 8AB53307 NPI: 1235166786 910 E Whitestone Blvd J (512) 260-6100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Young, Blake A, MD Gender: Male PCP # 8EK63702 NPI: 1205124252 910 E Whitestone Blvd J (512) 260-6100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Naik, Manish M, MD Cedar Park Gender: Male PCP # 87J45901 NPI: 1184630436 1401 Medical Pkwy Ste 220 Bldg B (512) 260-1581 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine J Cedar Park Ringler Jr, Robert L, MD Gender: Male PCP # 8DT66002 NPI: 1225005051 900 Quest Pkwy (512) 260-6100 Cedar Park PCP # 8DT66003 NPI: 1225005051 910 E Whitestone Blvd (512) 260-6100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Pegany, Mohinder S, MD Cedar Park Gender: Male PCP # 8AM79301 NPI: 1992798987 1401 Medical Bldg B 220 (512) 260-1581 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine INTERNAL MEDICINE " Agarwal, Nikhil, MD Cedar Park Gender: Male PCP # 8DB46101 NPI: 1124173513 11901 W Parmer Ln Ste 300 J (512) 652-0050 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Austin Primary Care Physicians Board Certified Specialties: Internal Medicine " Smith, Benjamin L, MD Cedar Park Gender: Male PCP # 87430Y02 NPI: 1336101641 900 Quest Pkwy J (512) 509-0200 PCP # 87430Y03 NPI: 1336101641 910 E Whitestone Blvd J (512) 260-6100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Farmer, Christopher M, MD " Reinhart, Joshua H, MD Cedar Park J Cedar Park Surapaneni, Veena, MD Gender: Female PCP # 8DD87801 NPI: 1235212580 11901 W Parmer Ln Ste 110 (512) 260-5206 Cedar Park Gender: Male PCP # 8DB47903 NPI: 1619136462 900 E Whitestone Blvd J (512) 684-4911 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Steffy, Krista M, MD Cedar Park Gender: Female PCP # 8DZ22502 NPI: 1366681678 900 Quest Pkwy J (512) 260-6100 Foster, Steven K, MD Gender: Male # PCP # 8CE99501 NPI: 1245276682 190 Buttercup Creek Blvd (512) 336-5824 Hospital Affiliation: Cedar Park Regional Medical Ctr, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Family Medical Center Board Certified Specialties: None Cedar Park PCP # 8DZ22503 NPI: 1366681678 910 E Whitestone Blvd J (512) 260-6100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Gender: Male PCP # 8CQ96201 NPI: 1225229412 190 Buttercup Creek Blvd (512) 336-5824 Clinic Affiliation: Family Medical Center Board Certified Specialties: Internal Medicine J PCP # 0088ED01 NPI: 1235212580 11901 W Parmer Ln Ste 110 (512) 260-5206 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Veena Surapaneni PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: None J - Wheelchair Access 24 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp COLLEGE STATION Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Foster, Steven K, MD Gender: Male # PCP # 8CE99501 NPI: 1245276682 190 Buttercup Creek Blvd (512) 336-5824 Hospital Affiliation: Cedar Park Regional Medical Ctr, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Family Medical Center Board Certified Specialties: None " Pandya, Charuben C, MD Cedar Park CEDAR PARK Cont INTERNAL MEDICINE Cont Wu, Jennifer Q, MD Gender: Female PCP # 8DW21501 NPI: 1275858367 1401 Medical Pkwy Bldg B Ste 220 (512) 260-1581 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Cedar Park PEDIATRICS " Cardwell, Brent S, MD Cedar Park Gender: Male # PCP # 8S530001 NPI: 1720065709 345 Cypress Creek Rd Ste 104 J (512) 336-2777 Hospital Affiliation: 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: Cedar Park Pediatric and Family Med Board Certified Specialties: Pediatrics " Cardwell, Jennifer M, MD Cedar Park Gender: Female # PCP # 8S530701 NPI: 1699824706 345 Cypress Creek Rd Ste 104 (512) 336-2777 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Pediatrics " Cheng, Arthur C, MD Cedar Park Gender: Male PCP # 8AQ06601 NPI: 1669472866 801 E Whitestone Blvd Bldg B (512) 259-3467 Hospital Affiliation: 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: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Cohen, Joseph I, MD Cedar Park Gender: Male PCP # 8U337001 NPI: 1932119930 200 Buttercup Creek Blvd Ste 100 J (512) 335-9600 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Cedar Park Pediatrics Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics " Coldwater, Cheryl L, MD Cedar Park Cedar Park Gender: Female PCP # 8BG94201 NPI: 1710091855 715 Discovery Blvd Ste 117 (512) 528-2300 Hospital Affiliation: 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: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Hutchens, Lisa W, MD Gender: Female # PCP # 8CG54501 NPI: 1730287525 345 Cypress Creek Rd Ste 104 (512) 336-2777 Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: None Cedar Park " Pezzullo, Rosemarie A, MD Cedar Park Jackson, Charity L, MD Gender: Female PCP # 8CW07701 NPI: 1033382262 715 Discovery Blvd Ste 117 (512) 528-2300 Hospital Affiliation: 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 Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Cedar Park " Keegan, Lee O, MD Cedar Park " Rice Monteiro, Kellie A, DO Cedar Park Gender: Female PCP # 8W525901 NPI: 1174563605 715 Discovery Blvd Ste 117 (512) 528-2300 Hospital Affiliation: 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: Austin Regional Clinic PA Board Certified Specialties: Pediatrics " Spencer, Chris C, MD Cedar Park Gender: Female # PCP # 8S530901 NPI: 1134323629 345 Cypress Creek Rd 104 (512) 336-2777 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Pediatrics J " Mathew, Betzi S, MD Cedar Park Gender: Female # PCP # 8S530501 NPI: 1073510566 345 Cypress Creek Rd Ste 104 (512) 336-2777 Hospital Affiliation: Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Pediatrics Gender: Male PCP # 87J46701 NPI: 1316953672 715 Discovery Blvd Ste 117 (512) 528-2300 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " West, Deborah P, MD Cedar Park Gender: Female # PCP # 8CF35601 NPI: 1548267040 1730 E Whitestone Blvd Ste 101 (877) 800-5722 Hospital Affiliation: 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 Certified Specialties: Pediatrics " Moore, Lindsey N, MD Cedar Park Gender: Female # PCP # 8DG83501 NPI: 1184867632 345 Cypress Creek Rd Ste 104 J (512) 336-2777 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Cedar Park Pediatric and Family Med Board Certified Specialties: Pediatrics COLLEGE STATION FAMILY PRACTICE " Allen Jr, James H, MD College Station Gender: Female PCP # 8CY43701 NPI: 1346255494 190 Buttercup Creek Blvd (512) 336-5824 Hospital Affiliation: 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 Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8DM70601 NPI: 1235221607 200 Buttercup Creek Blvd Ste 100 (512) 335-9600 Clinic Affiliation: Cedar Park Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J Gender: Male PCP # 8CA00802 NPI: 1912983362 1600 University Dr E (979) 691-3300 Hospital Affiliation: Heart Of Texas Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Bacak, Russell B, MD College Station Gender: Male PCP # 8M186001 NPI: 1184705741 2803 Earl Rudder Frwy S Ste 201 J (979) 695-3570 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: BCS Abundant Life Family Practice PA Board Certified Specialties: Family Practice " Barrow, Justin B, MD College Station Gender: Male PCP # 8F119402 NPI: 1376503607 1600 University Dr E J (979) 691-3300 Hospital Affiliation: Muleshoe Area Medical Center, Scott And White Memorial Hospital, University Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Biles, Russell K, MD Gender: Male PCP # 84M13203 NPI: 1871552687 1600 University Dr E J (979) 691-3300 Hospital Affiliation: Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None College Station " Blazo, Maria A, MD College Station Gender: Female PCP # 8EQ85702 NPI: 1902986334 1600 University Dr E J (979) 691-3300 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Houston Methodist Hospital, Texas Childrens Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Bramson, Rachel, MD College Station Gender: Female PCP # 84M15403 NPI: 1437118213 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Brieger, Duane A, MD Gender: Male PCP # 84015K02 NPI: 1205896230 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None College Station " English, Mark, MD College Station Gender: Male PCP # 84E44803 NPI: 1134189996 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice ! J - Wheelchair Access 25 COLLEGE STATION Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Higgins, Mark S, MD Gender: Male PCP # 81X05902 NPI: 1043270648 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Poling, Matthew C, MD College Station COLLEGE STATION Cont FAMILY PRACTICE Cont Eschberger, Anne M, MD Gender: Female PCP # 8DW94702 NPI: 1295056638 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None College Station " Feaster, Robert S, MD College Station Gender: Male PCP # 8BZ31002 NPI: 1891951018 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Gehring, Donald, DO College Station ! J Gender: Male PCP # 84M13303 NPI: 1043270739 1600 University Dr E (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Goerig, Brian J, MD College Station Gender: Male PCP # 8EL08501 NPI: 1477593051 2849 Barron Rd (979) 703-1902 Hospital Affiliation: El Campo Memorial Hospital, Gulf Coast Medical Center, Mother Frances Hosp Winnsboro Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: Family Practice Greiner, Kathryn, MD Gender: Female PCP # 8EL06302 NPI: 1548556269 700 Scott& White Dr (979) 201-0100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None College Station Herron, Richard E, MD Gender: Male PCP # 80568Y01 NPI: 1780646687 1602 Rock Prairie Rd Ste 230 J (979) 693-2586 Hospital Affiliation: St Joseph Regional Health Center Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: None College Station " Higginbotham, Steven W, MD College Station Gender: Male PCP # 8F270602 NPI: 1073566758 1600 University Dr E (254) 724-2911 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours College Station Gender: Male PCP # 8F119902 NPI: 1922069327 1600 University Dr E J (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Knoop, Kristopher D, MD College Station Richardson, Wade A, MD Gender: Male PCP # 81X06003 NPI: 1326009978 1296 Arrington Rd J (979) 691-3300 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Gender: Male PCP # 8CA74302 NPI: 1598759318 1296 Arrington Rd J (979) 691-3300 Hospital Affiliation: St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice College Station " Marley, Laneece D, MD College Station " Rutland, Kathryn T, MD " Villarreal, Roque, MD College Station J " Wagner, Thomas J, MD College Station J College Station Gender: Female PCP # 8EN11002 NPI: 1477849198 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Female PCP # 8EG06002 NPI: 1851586176 1730 Birmingham Dr Ste 100 (979) 774-7587 PCP # 8EG06003 NPI: 1851586176 2849 Barron Rd (979) 703-1902 " Moscoso-Donoso, Wilson R, MD College Station Gender: Male PCP # 8DL34702 NPI: 1093762940 1600 University Dr E J (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice # PCP # 8EG06001 NPI: 1851586176 711 Church Ave Ste 101 (979) 485-2827 Hospital Affiliation: College Station Medical Center Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: Family Practice Ngo, Van T, MD Gender: Female PCP # 81X06202 NPI: 1003877929 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None College Station Waguespack, Jeffrey W, MD Gender: Male PCP # 84009K02 NPI: 1619939634 1296 Arrington Rd J (979) 691-3300 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Welch, Thomas K, MD College Station J " Sanchez, Jorge E, MD Ormberg, Audrey, MD Gender: Female # PCP # 8BR21602 NPI: 1891781506 1264 Texas A and M University J (979) 458-8374 Hospital Affiliation: College Station Medical Center, St Joseph Regional Health Center Clinic Affiliation: The Texas A&M University System H Board Certified Specialties: None College Station Sterling, James, DO Gender: Male ! PCP # 84M12903 NPI: 1588626816 1600 University Dr E J (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None College Station " Pockrus, Mandy J, MD College Station Gender: Female PCP # 8DJ35902 NPI: 1578890216 1600 University Dr E J (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Turner, Denise K, MD College Station Gender: Female PCP # 8CW14702 NPI: 1952312563 1600 University Dr E J (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 84M14302 NPI: 1639131659 1296 Arrington Rd (979) 691-3300 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice College Station College Station Gender: Male PCP # 8DW37602 NPI: 1609196401 1600 E University Dr (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Gender: Male PCP # 84E44303 NPI: 1568424588 1600 University Dr E (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 84M14402 NPI: 1720040637 1600 University Dr E (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Wiprud, Robert, MD College Station J Gender: Male PCP # 84E42503 NPI: 1740242148 1600 University Dr E (254) 724-2911 Hospital Affiliation: College Station Medical Center, Scott And White Memorial Hospital, St Joseph Regional Health Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice INTERNAL MEDICINE " Alikhan, Amina, MD College Station Gender: Female PCP # 8BZ13002 NPI: 1518124171 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Bota, Vasile M, MD College Station Gender: Male PCP # 8EK56702 NPI: 1447488176 1600 E University Dr (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J - Wheelchair Access 26 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp COPPERAS COVE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Mitter, Ajay, MD Gender: Male PCP # 80563Y01 NPI: 1174587307 1602 Rock Prairie Rd Ste 2660 J (979) 694-2984 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, College Station Medical Center, Mem Hermann Southeast Hosp, Mem Hermann Southwest Hospital, Park Plaza Hospital Clinic Affiliation: Regional Employee Assistance Program Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None College Station COLLEGE STATION Cont INTERNAL MEDICINE Cont Covington, Bill R, MD Gender: Male PCP # 8DV00302 NPI: 1912168279 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None College Station " Goraya, Nimrit, MD College Station Gender: Female PCP # 8CN06702 NPI: 1518168723 1600 University Dr E J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J Gender: Male PCP # 80744202 NPI: 1306806914 1600 University Dr E J (979) 691-3300 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Practice Limited to Geriatrics Board Certified Specialties: Internal Medicine " Meade, Linda P, MD Gender: Female PCP # 85422Y02 NPI: 1457311946 1600 University Dr E J (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8CF33903 NPI: 1336107549 1600 E University Dr (979) 691-3300 Hospital Affiliation: John Peter Smith Hospital, Parkland Health And Hospital Sys Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Meyer, Arlene, MD J J Gender: Female PCP # 84M13402 NPI: 1982665949 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Ransom, Daniel G, MD College Station J " White, Heath D, DO J Gender: Male PCP # 81X06502 NPI: 1073574216 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics College Station College Station Gender: Male PCP # 8CW55706 NPI: 1134392582 700 Scott & White Dr (979) 207-0100 Gender: Male PCP # 84E42802 NPI: 1104887892 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Sicilio, Mark S, MD College Station PCP # 8CW55705 NPI: 1134392582 800 Scott & White Dr (979) 207-4000 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J Gender: Male PCP # 84E41602 NPI: 1477514149 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Svendsen, Betty Ann E, MD College Station PEDIATRICS " Agadi, Satish, MD College Station College Station College Station J " Schlabach, Michael R, MD " Issac, Tony, MD Mahajan, Ashutosh K, MD Gender: Male PCP # 8DW39702 NPI: 1932140183 1600 University Dr E J (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Lawrence, Glenn L, MD College Station J Gender: Male PCP # 8CW38803 NPI: 1700999265 1600 E University Dr (979) 691-3300 Hospital Affiliation: ChildrensHospitalSanAntonio', Christus Santa Rosa Hosp City Ctr, University Health System Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics College Station Gender: Male PCP # 8BG56102 NPI: 1710902960 1600 University Dr E (979) 691-3300 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine College Station Gender: Male PCP # 8CW94102 NPI: 1447440912 1600 University Dr E J (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J " Pieratt III, William H, DO " Guo, Jadie Y, MD " Hackethorn, David L, MD " Kane, Javier R, MD College Station College Station College Station Gender: Female PCP # 8CL71502 NPI: 1578721940 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 84E40702 NPI: 1104886571 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics College Station " Phan, Kelly M, MD " Grillo, Kelly H, MD Gender: Female PCP # 8AD06702 NPI: 1619156056 1600 University Dr E J (979) 691-3300 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J College Station College Station Gender: Female PCP # 8AD06303 NPI: 1306851274 700 Scott and White Dr J (979) 207-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Foster, D M, MD College Station J Gender: Male PCP # 8EB57802 NPI: 1275724585 700 Scott and White Dr (254) 724-2111 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J PCP # 84016K02 NPI: 1740242296 1600 University Dr E (254) 724-2911 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics COPPERAS COVE FAMILY PRACTICE " Chikkala, Subha, MD Copperas Cove Gender: Female # PCP # 8DV94401 NPI: 1245505254 2401 Walker Place Blvd J (254) 547-5516 Hospital Affiliation: Metroplex Hospital, Valley Baptist Medical Center Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice " Go, David Y, MD Copperas Cove Gender: Male PCP # 8EB57401 NPI: 1962479212 2401 Walker Place Blvd (254) 547-5516 Hospital Affiliation: Seton Medical Ctr Harker Heights Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice Morsch, James K, MD Gender: Male PCP # 8EC14501 NPI: 1851385371 806 E Ave D Ste H (254) 518-5511 Clinic Affiliation: Cove Medical Clinic PA Board Certified Specialties: None Copperas Cove " Patteson Jr, Morris K, MD Copperas Cove Gender: Male # PCP # 89Y90103 NPI: 1609858232 2401 Walker Place Blvd Ste 300 J (254) 547-5516 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice " Reddy, Rajesh, MD Copperas Cove Gender: Male PCP # 8ER03501 NPI: 1205029287 239 W Hwy 190 J (254) 542-9000 Hospital Affiliation: Metroplex Hospital, Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice INTERNAL MEDICINE " Harrison, Karen P, MD Copperas Cove Gender: Female PCP # 82708N01 NPI: 1902866460 239 W Hwy 190 J (254) 724-2111 # PCP # 8X900101 NPI: 1902866460 806 E Ave D Ste E J (254) 547-0006 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Harrison and Harrison Internal Me, Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs, No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Flippin, Jill M, MD College Station Gender: Female PCP # 8BU45102 NPI: 1871767087 1600 University Dr E (979) 691-3300 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J - Wheelchair Access 27 COPPERAS COVE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. PEDIATRICS " Stockman, Gail D, MD Corsicana COPPERAS COVE Cont INTERNAL MEDICINE Cont Harrison, Raymond J, MD Gender: Male PCP # 82707N02 NPI: 1699735324 239 E Business 190 J (254) 542-9000 Copperas Cove PCP # 8X900001 NPI: 1699735324 806 E Ave D Ste E (254) 547-0006 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Harrison and Harrison Internal Me, Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs, No Patients Under 18 yrs old Board Certified Specialties: None J CORSICANA FAMILY PRACTICE " Giessel, Barton E, MD Corsicana Gender: Male PCP # 8DQ23501 NPI: 1578616504 400 Hospital Dr Ste 101 (903) 641-3800 Hospital Affiliation: Bellville St Joseph Health Center, Scott & White Hospital Brenham, Scott And White Memorial Hospital Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: Family Practice J " Mataoui, Noha, MD Corsicana Gender: Female PCP # 8DQ29301 NPI: 1366670440 400 Hospital Dr Ste 104 (903) 641-3848 Hospital Affiliation: Baylor Medical Center At Mckinney Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: Family Practice J INTERNAL MEDICINE " Rogers, Kent E, MD Corsicana Gender: Male PCP # 8AL34701 NPI: 1740255587 301 Hospital Dr Ste 195 (903) 872-3305 Hospital Affiliation: Parkland Health And Hospital Sys Clinic Affiliation: Medical Surg Assocs Corsicana Board Certified Specialties: Internal Medicine Stevener, David S, MD Gender: Male PCP # 8EA27901 NPI: 1609193721 401 Hospital Dr Ste 140 (903) 872-3005 Clinic Affiliation: Medical Surg Assocs Corsicana Board Certified Specialties: None Corsicana ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8G241501 NPI: 1588730170 400 Hospital Dr Ste 200 J (903) 654-4578 Hospital Affiliation: Good Shepherd Medical Center, Longview Regional Medical Center Clinic Affiliation: Regional Employee Assistance Program Board Certified Specialties: Internal Medicine Haslund, Karen, MD Gender: Female PCP # 8CY95501 NPI: 1972566941 5301 Ross Rd Ste H (512) 386-3335 Clinic Affiliation: Communitycare Board Certified Specialties: None ELGIN Del Valle Lama Briseno, Tracy R, DO Gender: Female PCP # 8CY93605 NPI: 1558520544 3518 FM 973 (512) 978-9820 Clinic Affiliation: Communitycare Board Certified Specialties: None Del Valle COTTONWOOD SHORES FAMILY PRACTICE Liggett, Scott P, MD Gender: Male PCP # 8CS20703 NPI: 1336121953 100 Pecan Crossing (830) 598-4405 Hospital Affiliation: Scott & White Hospital Llano, Seton Highland Lakes Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Cottonwood Shores FAMILY PRACTICE Biel, William T, MD Gender: Male !# PCP # 83690Y01 NPI: 1366437485 209 E Second St J (512) 285-3315 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Elgin Medical Center PA Board Certified Specialties: None Elgin " Molina Batlle, Claudia M, MD Elgin Gender: Female PCP # 8CV13101 NPI: 1508800863 428 S Main St (512) 791-1224 Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice DRIPPING SPRINGS FAMILY PRACTICE Buchanan, Todd D, MD Gender: Male PCP # 86210S01 NPI: 1164456646 104 W Mercer St J (512) 858-4166 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Dripping Springs Family Clin Board Certified Specialties: None Dripping Springs INTERNAL MEDICINE Jones, Shirley F, MD Gender: Female PCP # 8CS30204 NPI: 1750304200 100 Pecan Crossing (830) 598-4055 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Cottonwood Shores Sharman Jr, Ralph S, MD Gender: Male PCP # 8DW40801 NPI: 1548297096 104 W Mercer (512) 892-7076 Dripping Springs PCP # 8AJ05101 NPI: 1548297096 104 W Mercer St Ste H J (512) 858-2997 Hospital Affiliation: Central Texas Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Ralph S Sharman Jr MD, South Austin Family Practiceclinic LLP Board Certified Specialties: None Turner, Terry L, MD Gender: Male PCP # 8CS22803 NPI: 1982686481 100 Pecan Crossing (830) 598-4405 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Cottonwood Shores " Ruiz, Marilyn, MD Elgin Gender: Female !# PCP # 8BN74001 NPI: 1528273281 209 E Second St J (512) 285-3315 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Elgin Medical Center PA Board Certified Specialties: Family Practice Sherman, Kenneth B, MD Gender: Male !# PCP # 83691Y01 NPI: 1710972476 209 E Second St J (512) 285-3315 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Elgin Medical Center PA Board Certified Specialties: None Elgin PEDIATRICS " English, Karen E, MD Elgin PEDIATRICS J " Boes, Sheila D, MD Dripping Springs Gender: Female PCP # 8EB71101 NPI: 1396708103 331 Sportsplex Dr Ste C (512) 894-3737 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Dripping Springs Pediatrics Board Certified Specialties: Pediatrics DEL VALLE FAMILY PRACTICE " Escamilla, David F, MD Del Valle Gender: Male PCP # 8CY95104 NPI: 1427093434 3518 FM 973 J (512) 978-9820 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice Stinson, Kathleen S, MD Gender: Female PCP # 8W060001 NPI: 1659312262 331 Sportsplex Dr Ste C J (512) 894-3737 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Dripping Springs Pediatrics Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Dripping Springs INTERNAL MEDICINE " Sasson, Bobby, MD Del Valle Gender: Female PCP # 8CY99101 NPI: 1528181344 3518 FM 973 (512) 978-9760 Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine Gender: Female PCP # 8K528001 NPI: 1891752697 218 W US Hwy 290 (512) 281-1900 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Elgin Pediatrics PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics FAIRFIELD FAMILY PRACTICE Berger III, Joseph R, DO Gender: Male PCP # 8P880501 NPI: 1508859596 734 W Commerce St J (903) 289-2181 Hospital Affiliation: East Texas Medical Center Fairfield, Parkview Regional Hospital Clinic Affiliation: Etmc Jewett Health Clinic Practice Information: No Obstetrics Board Certified Specialties: None F airfield J - Wheelchair Access 28 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp GEORGETOWN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Vo, Thu P, DO " Duperval-Brownlee, Tamarah, MD Gatesv ille FAIRFIELD Cont FAMILY PRACTICE Cont Orms, James M, MD Gender: Male PCP # 8M680602 NPI: 1487694717 125 Newman St J (903) 389-2181 Fairfield J Routhouska, Glenn A, DO Gender: Male PCP # 81W71701 NPI: 1821091703 106 N Keechi St J (903) 389-6112 Hospital Affiliation: East Texas Medical Center Fairfield, Palestine Regional Medical Center Clinic Affiliation: East Texas Physicians Alliance LLP Board Certified Specialties: None " Wuenschel, Diedra D, DO FAMILY PRACTICE " Clay, Nancy J, MD Gatesville Gender: Female PCP # 8BQ53001 PCP # 8U777201 NPI: 1962542118 1507 W Main St (254) 865-2166 (254) 865-8251 Hospital Affiliation: Coryell Memorial Hospital Clinic Affiliation: Coryell Memorial Hospital-HBP Board Certified Specialties: Family Practice Gender: Male PCP # 8DE87201 NPI: 1104973304 1507 W Main St J (254) 865-2166 Hospital Affiliation: Coryell Memorial Hospital Clinic Affiliation: Coryell Memorial Hospital-HBP Board Certified Specialties: Family Practice " Hart, Kathryn D, MD Gender: Female PCP # 8DN81904 NPI: 1073876306 1507 River Blvd (512) 509-9550 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice GEORGETOWN Bohmfalk, Thomas C, MD Gender: Male PCP # 8CQ94701 NPI: 1083794077 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: Seton Medical Ctr Williamson, St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: None Georgetown " Paul, Love D, MD Georgetown Gender: Male PCP # 8CC71102 NPI: 1730147018 7600 W Hwy 29 Ste 5 (512) 930-0363 Hospital Affiliation: Detar Hospital Navarro, Detar Hospital North, North Austin Medical Center Clinic Affiliation: Austin Medical Group PLLC Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Family Practice " Calderon, April M, DO Georgetown Gender: Female PCP # 8CL98602 NPI: 1437475191 4945 Williams Dr (512) 819-0500 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Jones, William R, DO Gender: Male PCP # 00MH5601 NPI: 1366464596 3008 Dawn Dr Ste 201 J (512) 863-4596 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Board Certified Specialties: None Georgetown Latta, Tamika D, MD Gender: Female PCP # 8DH72501 NPI: 1386872901 2423 Williams Dr Ste 105 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: None Georgetown Scanlan, Lynne, MD Gender: Female PCP # 8CW16202 NPI: 1285898668 4945 Williams Dr J (512) 819-0500 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Georgetown " Shifley, Jennifer M, MD Georgetown Gender: Female PCP # 8P148902 NPI: 1902867666 4945 Williams Dr (512) 819-0500 Hospital Affiliation: Scott And White Memorial Hospital, Seton Medical Center, Seton Southwest Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Male Jr, Richard C, DO Georgetown " Dewitte, David M, MD Georgetown Gender: Male PCP # 8CY00101 NPI: 1780666388 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: St Davids Hospital, St Davids Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice Gender: Male # PCP # 89M68201 NPI: 1134129596 3721 Williams Dr J (512) 869-7310 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Physicians Center PA Board Certified Specialties: Family Practice " Okunade, Adeyoyin O, MD Georgetown J ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male # PCP # 8P861001 NPI: 1730266420 908 Rockmoor Dr J (512) 868-0901 Hospital Affiliation: Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Family Med Ctr of Georgetown PA Board Certified Specialties: Family Practice Gender: Female PCP # 8CQ95601 NPI: 1265644975 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice Berg, Paul A, MD Gender: Male PCP # 8CQ87204 NPI: 1417037409 1507 Riverly Blvd J (512) 509-9550 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None J " Otto, Richard E, MD Georgetown " In, Kwang Il, MD Georgetown " Sheffield, Jesse D, DO PCP # 8CF92101 NPI: 1710964226 3201 Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Georgetown FAMILY PRACTICE J Gender: Male PCP # 8M008904 NPI: 1811947948 2423 Willimas Dr Ste 105 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Family Practice Georgetown Powell, Justin W, DO Gender: Male PCP # 8DR94101 NPI: 1487663191 1507 W Main St (254) 865-2166 Clinic Affiliation: Coryell Memorial Hospital-HBP Board Certified Specialties: None Gatesville Gender: Male PCP # 8CD03701 NPI: 1265408298 1507 W Main St (254) 865-2166 Hospital Affiliation: Coryell Memorial Hospital, Hillcrest Baptist Medical Center Clinic Affiliation: Coryell Memorial Hospital-HBP Board Certified Specialties: Family Practice J Gatesv ille " Gibby, Mark H, MD Gender: Male PCP # 8CF92102 NPI: 1710964226 2508 Williams Dr Ste 170 (512) 763-4000 " Fiedler, Benjamin P, MD PEDIATRICS Gatesville " Only, Ronald C, DO Georgetown Gender: Female PCP # 8CT52401 NPI: 1215047733 2423 Williams Dr Ste 105 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Georgetown Gender: Female PCP # 8CX44901 NPI: 1902105471 1507 W Main St (254) 865-2166 Hospital Affiliation: Coryell Memorial Hospital Clinic Affiliation: Coryell Memorial Hospital-HBP Board Certified Specialties: Family Practice Fairfield GATESVILLE J Gatesv ille PCP # 8M680601 NPI: 1487694717 734 W Commerce J (903) 389-2181 PCP # 88331Y01 NPI: 1487694717 734 W Commerce St J (903) 389-2181 Hospital Affiliation: East Texas Medical Center Fairfield Clinic Affiliation: Etmc Jewett Health Clinic, First Physicians Board Certified Specialties: None Georgetown Gender: Female PCP # 8CC97702 NPI: 1932186319 227 Memorial Dr (254) 248-6500 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Female PCP # 8DK60701 NPI: 1407967359 2423 Williams Dr Ste 105 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Snook, Murray A, MD Gender: Male # PCP # 84961N01 NPI: 1326125097 908 Rockmoor Dr J (512) 868-0901 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Family Med Ctr of Georgetown PA Board Certified Specialties: None Georgetown J - Wheelchair Access 29 GEORGETOWN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Willis, John G, MD " Farmer, Christopher M, MD Georgetown GEORGETOWN Cont FAMILY PRACTICE Cont " Spitler, Florence C, DO Georgetown Gender: Female PCP # 8CM91301 NPI: 1952381071 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice " Suffridge, Candida D, MD Georgetown Gender: Female PCP # 8EQ63902 NPI: 1407054646 1507 Rivery Blvd (512) 509-9550 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Thompson, James B, MD Gender: Male PCP # 8X787001 NPI: 1447250790 105 Wildwood Dr Ste 105 J (512) 763-3220 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Georgetown Family Health Clinic Board Certified Specialties: None Georgetown " Trevino, Rogelio, MD Georgetown J ! Gender: Male PCP # 8BX17401 NPI: 1477682938 103 Thousand Oaks Blvd (512) 869-4800 PCP # 8DU40801 NPI: 1477682938 103 Thousand Oaks Blvd (512) 869-4800 Hospital Affiliation: Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital Clinic Affiliation: Georgetown Family and Geriatric M, Wellmed Medical Group PA Board Certified Specialties: Family Practice Umstattd, William R, DO Gender: Male PCP # 00MP1901 NPI: 1124046701 3008 Dawn Dr Ste 201 J (512) 863-4596 Hospital Affiliation: St Davids Georgetown Hospital Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Georgetown " Voss, Daniel S, MD Georgetown Gender: Male PCP # 8CQ96501 NPI: 1639259625 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Georgetown Gender: Male PCP # 8CQ98501 NPI: 1730269721 3201 S Austin Ave Ste 210 (512) 763-4000 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice Gender: Male PCP # 8DB47902 NPI: 1619136462 4945 Williams Dr J (512) 819-0500 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Hearne, Christopher B, MD Rashid, Sadia, MD Gender: Female PCP # 8ER17501 NPI: 1124319819 4945 Williams Dr (512) 819-0500 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Georgetown " Sathianathan, Kumar, MD Georgetown Georgetown Gender: Male PCP # 84375F02 NPI: 1134189863 4945 Williams Rd J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine GENERAL PRACTICE Reilly, William G, MD Gender: Male PCP # 8DW30214 NPI: 1447260963 100 River Hills Dr Ste 100 (877) 544-5698 Hospital Affiliation: Basin Healthcare Center, Odessa Regional Medical Center Clinic Affiliation: Low-T Physicians Professional Mbr Board Certified Specialties: None Georgetown J " Hudgins, John R, MD Georgetown Gender: Male # PCP # 8CT53001 NPI: 1679560551 2423 Williams Dr Ste 105 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Internal Medicine INTERNAL MEDICINE " Carlson, John E, MD Georgetown Gender: Male PCP # 8DK36502 NPI: 1659352680 4945 Williams Dr J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Shallin, Anthony, MD Georgetown J " Jose, Manuel C, MD Georgetown Gender: Male PCP # 88884K02 NPI: 1427018001 4945 Williams Dr J (512) 819-0500 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Clark, Jennifer L, MD Georgetown Gender: Female PCP # 8J987302 NPI: 1003876095 4945 Williams Dr J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Lawlis, Stephen R, MD Georgetown Gender: Male PCP # 87434Y02 NPI: 1710948955 4945 Williams Rd J (512) 509-0200 Hospital Affiliation: Covenant Medical Center Lakeside, Hereford Regional Medical Center, Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Corak, Ksenija, MD Georgetown Gender: Female PCP # 8DQ48101 NPI: 1336135862 2423 Williams Dr Ste 113 J (877) 800-5722 Hospital Affiliation: Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, St Davids Medical Center Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Internal Medicine Miller, Gwendolyn B, MD Gender: Female PCP # 8CQ79002 NPI: 1700812716 4945 Williams Dr J (512) 819-0500 Hospital Affiliation: Doctors Hospital, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " D Mello, Anita M, MD Gender: Female PCP # 8CC71002 NPI: 1043236581 4945 Williams Dr J (512) 509-0200 Hospital Affiliation: Tx Hlth Presbyterian Hosp Dallas Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Nacol, Michael E, MD Georgetown Gender: Male PCP # 00GX2301 NPI: 1114915030 3201 S Austin Ave Ste 130 J (512) 863-7440 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Internal Medicine Dayalan, Sangeetha, MD Gender: Female PCP # 8EF48302 NPI: 1982880902 603 W University Ave (512) 509-9550 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Georgetown Gender: Male PCP # 8AJ88201 NPI: 1891734968 3613 Williams Dr Ste 404 (512) 930-4275 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Tony Shallin MD Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Internal Medicine PEDIATRICS " Day, Baraka L, MD Georgetown Gender: Female # PCP # 8BR92901 NPI: 1023209202 2423 Williams Dr (512) 930-5437 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Duble, Shannon L, MD Georgetown Gender: Female PCP # 8DK11901 NPI: 1457428609 600 High Tech Dr (512) 930-4776 Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Georgetown Georgetown Gender: Male PCP # 8AJ88301 NPI: 1831144161 3613 Williams Dr Ste 404 (512) 930-4275 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Dr Kumar Sathianathan MD Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Internal Medicine " Flachs, Lisa S, MD Georgetown Gender: Female # PCP # 8CR36101 NPI: 1366751133 600 High Tech Dr (512) 930-4776 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics " Pickens, Steven G, MD Georgetown Gender: Male # PCP # 8R749201 NPI: 1932293016 600 High Tech Dr J (512) 930-4776 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Board Certified Specialties: Pediatrics J - Wheelchair Access 30 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp HARKER HEIGHTS Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. GEORGETOWN Cont PEDIATRICS Cont Ramsey, David A, MD Gender: Male # PCP # 88280Y01 NPI: 1861586943 600 High Tech Dr J (512) 930-4776 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, St Davids Georgetown Hospital Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Board Certified Specialties: None Georgetown GIDDINGS FAMILY PRACTICE " Hughes, Larry C, DO Groesbeck Gender: Male PCP # 8DS23701 NPI: 1619062734 801 McClintic Dr (254) 729-3411 Hospital Affiliation: Limestone Medical Center Clinic Affiliation: South Limestone Hospital District Board Certified Specialties: Family Practice " Rettig, Jeffrey D, DO Groesbeck FAMILY PRACTICE " Birnbaum, Laura M, MD Giddings Gender: Female PCP # 8S710001 NPI: 1053309088 219 A E Railroad Row J (979) 542-9000 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Laura Birnbaum MD Practice Information: No Obstetrics Board Certified Specialties: Family Practice " Blackwell, Wess J, MD Giddings Gender: Male PCP # 8F094203 NPI: 1780679662 185 Decker Dr (979) 542-7400 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Board Certified Specialties: Family Practice " Borgstedte, Thomas O, DO Giddings Gender: Male PCP # 8K172003 NPI: 1295877264 185 Decker Dr J (979) 542-7400 PCP # 8K172004 NPI: 1295877264 843 E Industry St J (979) 542-7400 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Practice Information: No Obstetrics Board Certified Specialties: Family Practice " McBroom, William M, MD Giddings Gender: Male PCP # 8F094003 NPI: 1407998461 185 Decker Dr J (979) 542-7400 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Board Certified Specialties: Family Practice " Lee, James R, MD GROESBECK J Gender: Male PCP # 80790G01 NPI: 1528005550 204 W Trinity St (254) 729-3740 Hospital Affiliation: Limestone Medical Center, Parkview Regional Hospital Clinic Affiliation: Rettig Family Health Care Board Certified Specialties: Family Practice HAMILTON FAMILY PRACTICE " Craig, William S, MD Hamilton Gender: Male # PCP # 8R983501 NPI: 1417132192 400 N Brown St Bldg 2 J (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Horne, Monte H, MD Hamilton Gender: Male # PCP # 8R983201 NPI: 1184613473 400 N Brown St Bldg 2 J (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Johnson, Charles F, MD Hamilton " Jatzlau, Amy J, MD Giddings Gender: Female PCP # 0096LP01 NPI: 1235198706 219B E Railroad J (979) 542-0710 Hospital Affiliation: St Marks Medical Center Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8DH84201 NPI: 1235151192 800 W Central Texas Expwy Ste 125 J (254) 618-1050 Clinic Affiliation: Lhp Texas MD Services Inc Board Certified Specialties: Family Practice " Lengefeld, Robbye K, MD Hamilton Gender: Female # PCP # 8R983101 NPI: 1659360949 400 N Brown St (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Rudolph, Timothy N, MD Hamilton Gender: Male # PCP # 8R983401 NPI: 1982777975 400 N Brown St Bldg 2 J (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Stegemoller, Kristen L, MD " Killian, Luke M, MD Gender: Male # PCP # 8R983001 NPI: 1417946708 400 N Brown St (254) 386-1700 Hospital Affiliation: College Station Medical Center, Hamilton General Hospital, St Joseph Regional Health Center Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Hubert, Jeffrey K, DO Hark er Heights Gender: Male PCP # 8AP83403 NPI: 1821139221 5702 E Central Texas Expwy (254) 680-7300 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Kindle, Kenneth R, MD Hark er Heights Gender: Male PCP # 86J23001 NPI: 1467412395 907 Mountain Lion Cir J (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Nichols, Steven L, MD Hamilton Hark er Heights Gender: Female # PCP # 8DE02102 NPI: 1992038400 400 N Brown St Bldg 2 J (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Gender: Male PCP # 8B045501 NPI: 1972575249 907 Mountain Lion Circle J (254) 953-7700 Hospital Affiliation: Coryell Memorial Hospital, Hillcrest Baptist Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Tan, Ping N, MD Gender: Male PCP # 8DK00301 NPI: 1528173754 302 N Brown St (254) 386-8136 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Ping N Tan MD Inc Board Certified Specialties: None Hamilton INTERNAL MEDICINE Tan, Ping N, MD Gender: Male PCP # 00HK1101 NPI: 1528173754 302 N Brown J (254) 386-8136 Hospital Affiliation: Hamilton General Hospital Board Certified Specialties: None HARKER HEIGHTS FAMILY PRACTICE Hamilton PEDIATRICS Hark er Heights Gender: Male # PCP # 82X02301 NPI: 1982695797 400 N Brown St Bldg 2 J (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Hamilton Gender: Male # PCP # 8CW35201 NPI: 1902132988 400 N Brown St Bldg 2 (254) 386-1700 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Eneli, Kenechukwu O, MD Hamilton " Perry, Robert R, MD Hark er Heights Gender: Male PCP # 8CV07901 NPI: 1841272481 880 Prospector Trl Ste 200 (254) 690-1475 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Metroplex Clinic Physicians Inc Board Certified Specialties: Family Practice " Polkowski, Cheryl A, MD Hark er Heights Gender: Female PCP # 8X405201 NPI: 1194882241 880 Prospector Trl Ste 200 J (254) 690-1475 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Marsh III William S DO Board Certified Specialties: Family Practice " Swain, Jeremy L, DO Hark er Heights " Elemuren, Iyabo A, MD Harker Heights J Gender: Female PCP # 8G887001 NPI: 1326113218 740 S Amy Ln (254) 699-8521 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Family Medicine Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 8DE48801 NPI: 1417160417 300 W Central Texas Expwy Ste 117 (254) 340-0042 Clinic Affiliation: Modoc Family Medicine PLLC Board Certified Specialties: Family Practice J - Wheelchair Access 31 HARKER HEIGHTS Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Whitman, Christine M, MD Harker Heights HARKER HEIGHTS Cont INTERNAL MEDICINE Marchessault, Michelle E, MD Gender: Female PCP # 8DV39901 NPI: 1598909657 800 W Central Texas Expwy Ste 390 (254) 915-1152 Clinic Affiliation: Lhp Texas MD Services Inc Board Certified Specialties: None Harker Heights Zegarra, Nancy G, MD Gender: Female PCP # 8DW02301 NPI: 1366768715 800 W Central Texas Expwy Ste 390 (254) 618-4330 Clinic Affiliation: Lhp Texas MD Services Inc Board Certified Specialties: None Harker Heights PEDIATRICS " Ali, Yasmeen, MD Harker Heights Gender: Female PCP # 8DA15201 NPI: 1356359814 200 Nola Ruth Blvd (254) 698-6629 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics " Habib, Ramla A, MD Harker Heights J Gender: Female PCP # 8CD76402 NPI: 1720166291 581 Pan American Dr Ste 1 (254) 213-4052 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J " Van Benthuysen, Suzanne L, MD Harker Heights Gender: Female # PCP # 8CQ17202 NPI: 1962673301 775 Indian Trl Ste 200 J (877) 800-5722 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Craig, William S, MD Hico Gender: Male # PCP # 8R983502 NPI: 1417132192 104 S Walnut St J (254) 796-4424 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice HEARNE " Nurnberg, Jason T, DO Hearne " Horne, Monte H, MD Hico Gender: Male PCP # 8W698702 NPI: 1013955533 104 S Magnolia St J (979) 280-0022 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice Gender: Male # PCP # 8R983202 NPI: 1184613473 104 S Walnut St J (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice HEWITT FAMILY PRACTICE " Johnson, Charles F, MD Hico " Cooney, Edward, MD Gender: Male PCP # 82466K02 NPI: 1568422400 510 N Hewitt Dr J (254) 420-5000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Killian, Luke M, MD Hico Gender: Male # PCP # 8R983002 NPI: 1417946708 104 S Walnut St (254) 796-4224 Hospital Affiliation: College Station Medical Center, Hamilton General Hospital, St Joseph Regional Health Center Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice " Kitson, Sandra, MD Hewitt Gender: Female PCP # 8S190602 NPI: 1720048614 510 N Hewitt Dr (254) 420-5000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice HILLSBORO FAMILY PRACTICE " Ebert Blackburn, Didi E, DO Hillsboro " Truong, Thao M, MD Hillsboro Gender: Male PCP # 8DC83101 NPI: 1740202910 117 Jane Ln (254) 582-8006 Hospital Affiliation: Kimble Hospital Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Family Practice HORSESHOE BAY INTERNAL MEDICINE Jones, Shirley F, MD Gender: Female PCP # 8CS30202 NPI: 1750304200 201 Bay W Blvd (830) 598-5968 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Horseshoe Bay " Lee, James R, MD Gender: Male # PCP # 82X02302 NPI: 1982695797 104 S Walnut St J (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Gender: Male PCP # 82463K02 NPI: 1194787598 510 N Hewitt Dr J (254) 420-5000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice HUTTO FAMILY PRACTICE Hutto " Lengefeld, Robbye K, MD Hico " Vo, Thu P, DO Hewitt Gender: Female # PCP # 8R983102 NPI: 1659360949 104 S Walnut St (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Gender: Female PCP # 8CC97703 NPI: 1932186319 510 N Hewitt Dr J (254) 420-5000 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Chang, Franklin, MD " Rudolph, Timothy N, MD Gender: Male # PCP # 8R983402 NPI: 1982777975 104 S Walnut St J (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Castillo, Cathy A, MD Gender: Female PCP # 8U684901 NPI: 1295787778 151 Exchange Blvd Ste 500 (512) 846-1244 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Hutto Hico Vathada, Murali, MD Gender: Male PCP # 8EC40201 NPI: 1639121072 200 Nola Ruth (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Gender: Female PCP # 8CU82201 NPI: 1649596305 1323 E Franklin St Ste 105 (254) 582-7481 Hospital Affiliation: Plaza Medical Center Fort Worth Clinic Affiliation: Family Diagnostic Medical Center LLP Board Certified Specialties: Family Practice J Hico " Sharp, James, MD Hewitt Harker Heights ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female # PCP # 8DE02101 NPI: 1992038400 104 S Walnut St J (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Gender: Male # PCP # 8CW35203 NPI: 1902132988 104 S Walnut St (254) 796-4224 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Hamilton General Hospital Board Certified Specialties: Family Practice Hewitt " Homsi, Omar, MD Gender: Male PCP # 8A329102 NPI: 1912945551 581 Pan American Dr Ste 1 (254) 213-4052 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics FAMILY PRACTICE FAMILY PRACTICE Harker Heights " Stegemoller, Kristen L, MD Hico HICO Gender: Female PCP # 8DZ80001 NPI: 1821295783 200 Nola Ruth (877) 800-5722 Hospital Affiliation: Seton Medical Ctr Harker Heights Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics J Gender: Male PCP # 80439K04 NPI: 1285694265 120 Ed Schmidt Blvd Ste B (512) 509-9500 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J - Wheelchair Access 32 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp KILLEEN Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Griffin, Violeta V, MD " Elemuren, Iyabo A, MD Hutto HUTTO Cont FAMILY PRACTICE Cont " Fiedler, Benjamin P, MD Hutto Gender: Male PCP # 8M008901 NPI: 1811947948 123 Ed Schmidt Blvd Ste 140 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Family Practice " Luttrell, Brady L, MD " Mathew, Asha, MD J " Morgan, Jessica A, MD Gender: Female PCP # 8CV71901 NPI: 1972794162 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 Certified Specialties: Pediatrics " Mahale, Radha S, MD Hutto Nguyen, Chau H, DO Gender: Male PCP # 8BS42404 NPI: 1619041407 120 Ed Schmidt Blvd (512) 509-9500 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None PEDIATRICS Killeen Gender: Female PCP # 8EH12801 NPI: 1407174063 123 Ed Schmidt Blvd Ste 140 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics Hutto Hutto Gender: Female PCP # 8BR13302 NPI: 1053372193 120 County Rd 119 J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Female # PCP # 8G887002 NPI: 1326113218 4200 W Stan Schlueter Loop Bldg C J (254) 699-8521 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Family Medicine Clinic Board Certified Specialties: Family Practice Hutto Hutto Gender: Male PCP # 8AH35101 NPI: 1790814481 151 Exchange Blvd Ste 500 (877) 846-1244 Hospital Affiliation: Metroplex Hospital, Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Killeen Gender: Female PCP # 8DW84701 NPI: 1962622159 151 Exchange Blvd Ste 500 (512) 846-1244 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Fritz, Jed S, MD Killeen J " Van Benthuysen, Suzanne L, MD Hutto Gender: Female # PCP # 8CQ17201 NPI: 1962673301 123 Ed Schmidt Ste 140 J (877) 800-5722 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Butler, Kathleen V, MD Gender: Female # PCP # 8BR92001 NPI: 1962490870 123 Ed Schmidt Blvd Ste 140 (877) 800-5722 Hospital Affiliation: Mother Frances Hospital Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J KILLEEN " Ferrell, Angelle M, MD Hutto Gender: Female PCP # 8W525401 NPI: 1124051800 151 Exchange Blvd Ste 500 (512) 846-1244 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Guajardo, Arturo, MD Gender: Male PCP # 8P096001 NPI: 1376564153 3800 S W S Young Dr Ste 103 (254) 415-7598 Hospital Affiliation: Doctors Hospital Of Laredo Clinic Affiliation: Arturo Guajardo MD Board Certified Specialties: Family Practice " Flores-Perkins, Silvia P, MD Gender: Female PCP # 8EE98701 NPI: 1639289135 123 Ed Schmidt Blvd Ste 140 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 86J26001 NPI: 1033179304 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Joseph II, John A, MD Killeen Blancarte, Gilbert, MD Gender: Male PCP # 8DS12901 NPI: 1265410773 3106 S W S Young Dr Bldg D Ste 402 (512) 323-6900 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Greentree Health Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None J " Kadhim, Thikra J, MD " Cantu, Cesar E, MD J Gender: Male PCP # 8J987603 NPI: 1275598187 5702 E Central Texas Expwy (254) 780-7300 Hospital Affiliation: Metroplex Hospital, Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Gender: Male PCP # 80761901 NPI: 1558321083 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Killeen Killeen Hutto Gender: Male PCP # 80761801 NPI: 1972562395 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Killeen " Averitt, William M, DO Killeen Gender: Male PCP # 87G88301 NPI: 1730140120 1002 Wales Dr Ste 8 J (254) 501-6400 PCP # 87G88302 NPI: 1730140120 4501 S Clear Creek Rd J (254) 501-6400 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Lejawa, Robert J, DO Killeen Gender: Male PCP # 8X405301 NPI: 1265592596 2301 S Clear Creek Rd Ste 208 (254) 519-1900 Hospital Affiliation: Shannon Medical Center Clinic Affiliation: Marsh III William S DO Board Certified Specialties: Family Practice " Gerdes, Paul, MD FAMILY PRACTICE J Gender: Male PCP # 84W33801 NPI: 1639138035 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Kirkpatrick, Michael, MD Killeen Killeen Killeen Hutto Fowler, Ryan C, MD Gender: Male PCP # 8DV30401 NPI: 1417959925 401 W Jasper Dr (254) 298-2400 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: None Kim, Cheung K, MD Gender: Male PCP # 00R75F01 NPI: 1437132255 3106 S W S Young Dr Ste B203 J (254) 554-8668 Hospital Affiliation: Metroplex Hospital Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Killeen J Gender: Female PCP # 8U748001 NPI: 1477507077 4520 E Central Texas Expwy Ste 101 (254) 200-9355 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Killeen Family Health and Urgent Board Certified Specialties: Family Practice Lincoln, Katherine A, DO Gender: Female PCP # 8BQ42001 NPI: 1669538963 2300 S Clear Creek Rd Ste 101 J (855) 963-4325 Hospital Affiliation: Baptist Health System Clinic Affiliation: Family Care and Minor Emergency Ctr PA Board Certified Specialties: None Killeen Malave, Ernesto, MD Gender: Male # PCP # 00N96L01 NPI: 1609985852 2301 S Clear Creek Rd 108 J (254) 432-5735 Hospital Affiliation: Metroplex Hospital Board Certified Specialties: None Killeen Martens, Thomas E, DO Gender: Male PCP # 8AK60905 NPI: 1144333055 2206 E Central Texas Expwy J (254) 213-5111 Clinic Affiliation: Union Treatment Centers Board Certified Specialties: None Killeen " Maxwell, Shane R, MD Killeen PCP # 80373F01 NPI: 1689635740 3801 Scott and White Dr J (254) 680-1100 PCP # 80373F02 NPI: 1689635740 5702 E Central Texas Expwy J (254) 780-7300 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J - Wheelchair Access 33 KILLEEN Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Whited, Everest A, MD Gender: Male PCP # 8BP55001 NPI: 1902899636 1002 Wales Dr J (254) 501-6400 Enwemnwa, Nneamaka, MD Gender: Female PCP # 8EL85801 NPI: 1801026448 2201 S Clear Creek Rd J (254) 526-7523 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Killeen KILLEEN Cont FAMILY PRACTICE Cont Killeen Mayabb, Trevin B, MD Gender: Male PCP # 8EJ61601 NPI: 1508157330 5702 E Central Texas Expwy (254) 680-7300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " ONeal, Michael A, DO Killeen J Gender: Male PCP # 80755201 NPI: 1861453631 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Reddy, Rajesh, MD Killeen J Gender: Male PCP # 8DL29601 NPI: 1205029287 2207 S Clear Creek Rd Ste 203 (254) 519-8885 Hospital Affiliation: Metroplex Hospital, Scott And White Memorial Hospital Clinic Affiliation: Metroplex Clinic Physicians Inc Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Sanchez, Ernesto H, MD Killeen PCP # 8BP55002 NPI: 1902899636 4501 S Clear Creek Rd J (254) 501-6400 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Gruschkus, Gerhard F, MD Gender: Male PCP # 0009NA01 NPI: 1154415883 502 W Jasper (254) 526-6300 Hospital Affiliation: Metroplex Hospital Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Wilson, Elena V, MD Gender: Female PCP # 8CX17901 NPI: 1841424389 1002 Wales Dr J (254) 501-6400 PCP # 8CX17902 NPI: 1841424389 4501 S Clear Crek Rd J (254) 501-6400 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Mirkes, Curtis R, DO Killeen Gender: Male PCP # 8W064902 NPI: 1932123429 2201 S Clear Creek Rd (254) 519-8513 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Wooldrige, Alicia L, MD Killeen Gender: Female PCP # 8DT21901 NPI: 1437383387 3801 Scott and White Dr J (254) 680-1100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Raju, Bindu, MD Gender: Female PCP # 8M799601 NPI: 1326031303 2201 S Clear Creek Rd J (254) 519-8132 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Killeen J " Smith, Steven L, MD Killeen J Gender: Male PCP # 80746701 NPI: 1477515799 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Webster, Dave E, DO Gender: Male # PCP # 00593G01 NPI: 1992808018 5610 E Central Texas Expwy Ste 1 J (254) 690-8887 Hospital Affiliation: Metroplex Hospital Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Thomas Jacob, Jenny, MD Gender: Female PCP # 8EQ48801 NPI: 1538427349 2201 S Clear Creek Rd J (254) 526-7523 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " White, Heath D, DO Killeen J " Ralph, Stephen, MD Gender: Male # PCP # 8K623401 NPI: 1386726735 3816 S Clear Creek Rd Ste E J (254) 554-8773 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Stillhouse Emergency Physicians Inc Board Certified Specialties: Internal Medicine " Blancarte, Gilbert, MD " Sheth, Minesh P, MD Killeen Gender: Male PCP # 8DS74401 NPI: 1265410773 3106 S WS Young Dr Bldg D Ste 402 (512) 323-6900 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Union Treatment Centers Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Gender: Male PCP # 8CF28901 NPI: 1053421602 2201 S Clear Creek Rd J (254) 519-8132 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Wood, Adam S, MD J Day Jr, Cedric T, MD Gender: Male PCP # 8DU67601 NPI: 1790929610 3801 Scott and White Dr J (254) 680-1100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Killeen PEDIATRICS " Avila, Jamie, MD Killeen Gender: Female PCP # 8DR31802 NPI: 1295023653 2201 S Clear Creek Rd (254) 680-1100 " Sukumar, Latha, MD " Cheema, Yasir I, MD Killeen Gender: Male PCP # 8CW96801 NPI: 1952515876 2201 S Clear Creek Rd J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine Gender: Male PCP # 8CA35002 NPI: 1225296494 2201 S Clear Creek Rd (254) 519-8513 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine OBSTETRICS-GYNECOLOGY Killeen Gender: Female PCP # 8B937201 NPI: 1114908662 2301 S Clear Creek Rd Ste 112 (254) 519-3131 Hospital Affiliation: Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Sukumar Sundaram MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine Gender: Male PCP # 8CW55704 NPI: 1134392582 2201 S Clear Creek Rd (254) 519-8513 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Killeen Killeen Killeen Killeen ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Adiele, Jacquelene M, MD Gender: Female PCP # 8DL09701 NPI: 1609896497 3816 S Clear Creek Rd Ste A (254) 200-2748 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Jacquelene M Adiele MD Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Gender: Male PCP # 8B937101 NPI: 1336120880 2301 S Clear Creek Rd Ste 112 (254) 519-3131 Hospital Affiliation: Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Sukumar Sundaram MD Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Killeen Killeen INTERNAL MEDICINE Killeen J Killeen Killeen Gender: Male PCP # 8368NC01 NPI: 1407840259 5702 E Central Texas Expwy (254) 680-7300 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Sukumar, Sundaram, MD Killeen PCP # 8DR31801 NPI: 1295023653 3801 Scott and White Dr (254) 680-1100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Baca, Katrina M, MD Killeen J Gender: Female PCP # 8F557601 NPI: 1346209616 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J - Wheelchair Access 34 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp KYLE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Friday, Renee Y, MD " Nickel, Susan P, MD Killeen KILLEEN Cont PEDIATRICS Cont " Blankenship, Lilian V, MD Killeen Gender: Female # PCP # 00NT7001 NPI: 1891787248 3004 S W S Young Dr J (254) 634-7337 Hospital Affiliation: Metroplex Hospital Practice Information: No Patients Over 16 yrs old Board Certified Specialties: Pediatrics Brown, Marilyn A, MD Gender: Female PCP # 8CX96101 NPI: 1396736823 2405 S Clear Creek Rd J (254) 519-5250 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Killeen " Chan, Soi Yu, MD Killeen Gender: Female PCP # 8DM88804 NPI: 1700064094 2201 S Clear Creek Rd J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics Guptha, Sushma N, MD Gender: Female PCP # 8DU83401 NPI: 1710064357 3801 Scott and White Dr J (254) 680-1100 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Coles, Stuart, MD ! Killeen Killeen ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Gender: Male PCP # 8DT15101 NPI: 1366425365 4100 Everett Ste 400 (512) 295-1333 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Arhelger, Erik J, MD Kyle Gender: Male PCP # 8DC75301 NPI: 1821291162 177 Kirkham Cir (512) 405-0077 PCP # 8DH15201 NPI: 1518077205 4102 S Clear Creek Rd Ste 107 (254) 526-8300 Hospital Affiliation: Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None PCP # 8BW45301 NPI: 1821291162 177 Kirkham Circle J (512) 405-0077 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Central Texas Medical Assoc, Live Oak Health Partners Board Certified Specialties: Family Practice " Clampitt, David M, MD Kyle Gender: Male PCP # 8CN87901 NPI: 1043430325 5103 Kyle Center Dr Ste 104 (512) 504-0855 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice FAMILY PRACTICE " Miller, Grady F, DO Kingsland Gender: Male PCP # 8CS21004 NPI: 1154303725 105 FM 2342 (325) 388-9400 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice Mirkes, Curtis R, DO Gender: Male PCP # 8W064902 NPI: 1932123429 2201 S Clear Creek Rd (254) 519-8513 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Russell, Kimberly A, MD Kingsland Gender: Female PCP # 8CS22503 NPI: 1174505796 105 FM 2342 (325) 388-9422 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Mitchell, Ricky D, MD " Farooqi, Manzoor S, MD " Amadi, Fidelis E, MD Kyle KINGSLAND Gender: Male PCP # 8A329101 NPI: 1912945551 4102 S Clear Creek Rd Ste 107 (254) 526-8300 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Killeen Killeen Gender: Male # PCP # 0038AC01 NPI: 1821098534 3004 S WS Young Dr J (254) 634-7337 Hospital Affiliation: Metroplex Hospital Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J " Homsi, Omar, MD Killeen Drigalla, Jessica W, MD Gender: Female PCP # 8X205103 NPI: 1770641706 3801 Scott and White Dr J (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Gender: Female PCP # 8CD76401 NPI: 1720166291 4102 S Clear Creek Rd Ste 107 (254) 526-8300 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Killeen J Ward, Erica L, MD Gender: Female PCP # 8W232001 NPI: 1992711956 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Wright, Daphne G, MD Gender: Female PCP # 8DH15202 NPI: 1518077205 2301 S Clear Creek Rd Ste 226 J (254) 526-8300 " Habib, Ramla A, MD " Coleman Jr, Ronald, DO Gender: Male PCP # 87G89101 NPI: 1326007964 3801 Scott and White Dr J (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Killeen KYLE FAMILY PRACTICE Killeen Killeen J Gender: Female PCP # 80752802 NPI: 1821058215 3801 Scott and White Dr (254) 680-1100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J Killeen Killeen Gender: Male PCP # 8DA15301 NPI: 1841304540 2300 S Clear Creek Rd Ste 105 (254) 554-3494 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Pediatrics Killeen Gender: Female PCP # 8DZ48201 NPI: 1275531394 4102 S Clear Creek Rd Ste 107 (254) 526-8300 Hospital Affiliation: Clear Lake Regional Medical Center, Doctors Hospital Of Laredo, Houston Methodist St John Hosp, Mem Hermann Southeast Hosp, Texas Childrens Hospital Clinic Affiliation: Killeen Pediatric Care Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8K623301 NPI: 1144286980 3816 S Clear Creek Rd Ste E (254) 554-8773 Hospital Affiliation: Metroplex Hospital Clinic Affiliation: Stillhouse Emergency Physicians Inc Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Pediatrics " Gamble, Maryann C, MD Kyle Gender: Female PCP # 8CY15701 NPI: 1295995439 4100 Everett Ste 400 (512) 295-1333 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Gilcrease, Gary L, MD Kyle Gender: Male PCP # 0090KA01 PCP # 8AJ37701 NPI: 1427090893 135 Bunton Creek Rd Ste 102 J (512) 268-2091 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Gary L Gilcrease MD Board Certified Specialties: Family Practice Kyle INTERNAL MEDICINE " Johns, Ronald W, MD Kingsland J Gender: Male PCP # 8U427202 NPI: 1750376703 3947 Hwy 1431 W Ste 1 and 2 (830) 693-2005 Hospital Affiliation: Seton Highland Lakes Clinic Affiliation: Amy Van Dorfy MD Board Certified Specialties: Internal Medicine Hamilton, Kaleb M, MD Gender: Male PCP # 8AM79601 NPI: 1508895996 4100 Everett Ste 400 (512) 295-1333 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None J - Wheelchair Access 35 KYLE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Flinn, Jeanne E, DO Gender: Female # PCP # 8J046002 NPI: 1629009469 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center, Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Edison, Flora, MD Kyle KYLE Cont FAMILY PRACTICE Cont ! " Smith, Theodore D, DO Kyle J Gender: Male PCP # 82415S01 NPI: 1114933470 4100 Everett St Ste 400 (512) 295-1333 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Kyle " Vazquez, Miguel A, MD Kyle Gender: Male PCP # 8DT93704 NPI: 1750388450 2810 Dacy Ln (210) 233-7000 Hospital Affiliation: Christus Santa Rosa Hosp City Ctr, Methodist Hospital, Metropolitan Methodist Hospital Clinic Affiliation: Communicare Health Centers Board Certified Specialties: Family Practice " Viscardi, Marjorie E, MD Kyle J Gender: Female PCP # 8BN26004 NPI: 1710046206 135 Bunton Creek Rd Ste 102 (512) 295-2121 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Gary L Gilcrease MD Board Certified Specialties: Family Practice " Worrell, Sandra L, MD Kyle Gender: Female PCP # 8BS97001 NPI: 1285841775 4100 Everett Dr Ste 400 (512) 295-1333 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice GENERAL PRACTICE Vasquez, Hector H, MD Gender: Male !# PCP # 8DN63201 NPI: 1518075894 2810 Dacy Ln (512) 268-8900 Hospital Affiliation: Christus Santa Rosa Hsp Med Ctr, Val Verde Regional Medical Center Clinic Affiliation: Communicare Health Centers Board Certified Specialties: None " Chanda Kim, Mousumi, MD Kyle J Gender: Female PCP # 8CN81801 NPI: 1982772901 5301 Kyle Center Dr Ste 104 (512) 791-1224 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Kyle Garcia, Patrick, MD Gender: Male PCP # 8CN81901 NPI: 1326112889 5103 Kyle Center Dr Ste 104 (512) 791-1224 Hospital Affiliation: 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 Certified Specialties: None Fournier, Jacqueline F, MD Gender: Female PCP # 8BX88501 NPI: 1972693471 4100 Everett Dr Ste 400 (512) 295-1333 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Grady, Michael J, MD Kyle Gender: Male PCP # 8A264002 NPI: 1376574111 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Goman, Elizabeth J, MD Kyle Gender: Female PCP # 8CX15001 NPI: 1114952744 5103 Kyle Center Dr Ste 104 J (512) 791-1224 Hospital Affiliation: Seton Medical Center Hays Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Internal Medicine " Hagen, Conor O, MD Kyle Gender: Male PCP # 8DU79701 NPI: 1790006708 4100 Everett Ste 400 (512) 295-1333 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRICS " Black, Angela P, MD Kyle Gender: Female PCP # 8CG16302 NPI: 1972671733 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Seton Edgar B Davis, University Med Ctr Brackenridge Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Pediatrics Harrison, Sue A, MD Gender: Female PCP # 83Y52202 NPI: 1558392399 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Miller, Michelle E, MD Kyle Gender: Female PCP # 8CA72102 NPI: 1346395217 181A Kirkham Cir (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Pediatrics J Kyle Salkar, Amit D, MD Gender: Male PCP # 8EL30101 NPI: 1366768376 4100 Everett Ste 400 (512) 295-1333 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Velasquez, Theresa S, MD Gender: Female # PCP # 8CN27601 NPI: 1275519456 2810 Dacy Ln (512) 268-8900 Hospital Affiliation: Central Texas Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Communicare Health Centers Board Certified Specialties: None Kyle LA GRANGE FAMILY PRACTICE " Blackwell, Wess J, MD La Grange Gender: Male PCP # 8F094201 NPI: 1780679662 1253 N Von Minden (979) 968-8493 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Board Certified Specialties: Family Practice Kyle " Deschner, Rhonda W, MD Kyle Gender: Female PCP # 8CB12002 NPI: 1639316698 181A Kirkham Cir (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Kyle INTERNAL MEDICINE Kyle Gender: Female PCP # 8DS75501 NPI: 1134192974 902 Rebel Dr (512) 268-2613 Hospital Affiliation: Fisher County Hospital District, Seton Edgar B Davis, University Med Ctr Brackenridge Clinic Affiliation: Wellmed Medical Group PA Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Humphrey, Jill S, MD Gender: Female PCP # 8J046302 NPI: 1790874402 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Borgstedte, Thomas O, DO La Grange J Kyle Edwards, Kimberly C, MD Gender: Female ! PCP # 8F707602 NPI: 1831297514 4100 Everett Ste 400 J (512) 295-1333 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Kyle " Messinger, Ivri K, MD Kyle Gender: Female PCP # 8BN25802 NPI: 1114975711 181A Kirkham Cir J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8K172001 NPI: 1295877264 1253 N Von Minden (979) 968-8493 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Practice Information: No Obstetrics Board Certified Specialties: Family Practice Irwin, Debra S, MD Gender: Female PCP # 8CD26201 NPI: 1659386712 753 E Travis St J (979) 968-2000 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Marks Medical Center Clinic Affiliation: Tejas Health Care Board Certified Specialties: None La Grange " McBroom, William M, MD La Grange J Gender: Male PCP # 8F094001 NPI: 1407998461 1253 N Von Minden (979) 968-8493 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: McBroom Clinic PA Board Certified Specialties: Family Practice J - Wheelchair Access 36 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp LEANDER Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Cain, Robin G, MD Lampasas LA GRANGE Cont FAMILY PRACTICE Cont " Nolen, Bill D, DO La Grange Gender: Male PCP # 81Y32101 NPI: 1184626913 2 Saint Marks Pl Ste 112 J (979) 242-5878 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Nolen Clinic Board Certified Specialties: Family Practice OBSTETRICS-GYNECOLOGY Diclemente, Michael J, MD Gender: Male PCP # 8DT57201 NPI: 1639160088 753 E Travis St (979) 968-2000 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Tejas Health Care Board Certified Specialties: None LAKEWAY FAMILY PRACTICE " Freeland, Daniel V, DO Lak eway J Gender: Male PCP # 8BF00401 NPI: 1336258847 1008 Ranch Rd 620 S Ste 200 (512) 263-9072 Hospital Affiliation: Lakeway Regional Medical Ctr Llc, St Davids Medical Center Clinic Affiliation: Daniel Freeland DO PA Board Certified Specialties: Family Practice # PCP # 84951G03 NPI: 1740262377 905 N Key Ave J (512) 556-3621 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice " Chikkala, Subha, MD Lampasas INTERNAL MEDICINE La Grange " Bennett, Brent L, MD Lak eway J PEDIATRICS " Jamil, Samina, MD La Grange Gender: Female PCP # 8DV15701 NPI: 1134249972 753 E Travis St (979) 968-2000 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Tejas Health Care Board Certified Specialties: Pediatrics Kostur, Gregory D, MD Gender: Male # PCP # 8DH33001 NPI: 1447316799 Two Saint Marks Pl Ste 104 J (979) 242-2883 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: St Marks Medical Center Board Certified Specialties: None LAGO VISTA FAMILY PRACTICE " Kyte, Paul D, MD Lago Vista Gender: Male PCP # 8DP41304 NPI: 1356352967 6502 Lohmans Ford Rd (512) 267-3213 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Northwest Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Neal, Elizabeth S, MD Gender: Female PCP # 8DR13701 NPI: 1356455265 7708 Lohman Ford Rd Ste 101 Bldg A (512) 267-1877 Clinic Affiliation: Timberland Medical Group Board Certified Specialties: None J " Franz, Charles M, DO Gender: Male PCP # 8EC66501 NPI: 1053320069 200 Medical Pkwy Ste 310 (512) 654-3000 Hospital Affiliation: Lakeway Regional Medical Ctr Llc Clinic Affiliation: Lrmc Physician Services Inc Board Certified Specialties: Internal Medicine J Gender: Male PCP # 8J562304 NPI: 1912978206 1205 Central Texas Expwy (512) 556-5362 Hospital Affiliation: Seton Highland Lakes, The Medical Ctr Of Southeast Tx Lp Clinic Affiliation: Seton Healthcare Practice Information: No Obstetrics, No Patients Under 1 yrs old Board Certified Specialties: Family Practice Hay, Georgia C, MD Gender: Female PCP # 8DH19301 NPI: 1801024054 187 Pr 4060 J (512) 556-3621 Hospital Affiliation: John Peter Smith Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: None Lampasas " Reddy, Shobha D, MD Lak eway Gender: Female # PCP # 0090NS01 NPI: 1235151523 317 Ranch Rd 620 S Ste 100 J (512) 263-5225 Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine PEDIATRICS " Adeni, Shubha, MD Lak eway J Gender: Female PCP # 8DV94402 NPI: 1245505254 207 W Ave E (512) 556-3621 Hospital Affiliation: Metroplex Hospital, Valley Baptist Medical Center Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice Lampasas " Ondash, Robert J, MD Lago Vista ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8K964001 NPI: 1871561035 2300 Lohmans Spur Ste 106 (512) 263-7133 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Bennett Brent MD Board Certified Specialties: Internal Medicine Lak eway La Grange " Perry, Robert R, MD Lampasas Gender: Female # PCP # 84951G01 NPI: 1740262377 187 Pr 4060 J (512) 556-3621 Gender: Female PCP # 0061JG01 NPI: 1578661468 900 S FM 620 Rd Ste C201 (512) 328-2266 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male # PCP # 89Y90001 NPI: 1174505176 187 Pr 4060 J (512) 556-3621 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice Gender: Male # PCP # 89Y90101 NPI: 1609858232 187 Pr 4060 J (512) 556-3621 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice " Cain, James E, MD Lampas as Gender: Male # PCP # 84950G01 NPI: 1467434464 187 Pr 4060 J (512) 556-3621 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Family Medicine Rural Health Board Certified Specialties: Family Practice " Deng, Yue, MD Lampasas Gender: Female PCP # 8AK93606 NPI: 1821292483 1205 Central Texas Expwy J (512) 556-5362 Hospital Affiliation: Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Healthcare Board Certified Specialties: Internal Medicine LEANDER FAMILY PRACTICE " Burnell, Elizabeth E, MD Leander Gender: Female PCP # 8A890101 NPI: 1255325429 902 Crystal Falls Pkwy J (512) 259-2222 Hospital Affiliation: River Oaks Endoscopy Center Llp, West Houston Medical Center Clinic Affiliation: Mansolo Ron MD Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice Egelsee Jr, Luis, MD Gender: Male PCP # 8CJ29501 NPI: 1407969140 651 N Hwy 183 Ste 110 (512) 528-0432 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: None Leander " Lane, Mark S, MD " Patteson Jr, Morris K, MD LAMPASAS INTERNAL MEDICINE Lampasas Lampasas FAMILY PRACTICE Gender: Male PCP # 8CV07902 NPI: 1841272481 608 N Key Ave (512) 564-0722 Hospital Affiliation: Metroplex Hospital, Rollins Brook Community Hospital Clinic Affiliation: Metroplex Clinic Physicians Inc Board Certified Specialties: Family Practice Granato, Alison C, MD Gender: Female PCP # 8EA72902 NPI: 1861710063 1007 S US Hwy 183 J (512) 260-4900 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Leander " Mansolo, Ron M, MD Leander Gender: Male PCP # 8A890001 NPI: 1871586933 902 Crystal Falls Pkwy J (512) 259-2222 Hospital Affiliation: River Oaks Endoscopy Center Llp, Round Rock Medical Center, Seton Northwest Hospital, West Houston Medical Center Clinic Affiliation: Mansolo Ron MD Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice ! J - Wheelchair Access 37 LEANDER Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. LEANDER Cont PEDIATRICS " Craig, Clark W, MD Llano Gender: Male PCP # 8BP55602 NPI: 1356323935 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Azadi, Sohail B, MD Leander FAMILY PRACTICE Cont Manthena, Swapna, MD Gender: Female ! PCP # 8EJ93401 NPI: 1225365208 901 Crystal Falls Pkwy Ste 150 (512) 231-5548 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Leander Mauldin, Allen L, MD Gender: Male PCP # 8DD49901 PCP # 8DL91501 NPI: 1437167095 2701 S Hwy 183 Ste B (512) 259-5111 Hospital Affiliation: Round Rock Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Leander Healthcare Center LLC, Wellmed Medical Group PA Board Certified Specialties: None Gender: Male PCP # 8AX41001 NPI: 1154414688 709 N Bagdad Rd J (512) 260-0101 Hospital Affiliation: St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Avecinna Medical Center Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics " Forrister, Skylar S, MD Llano Gender: Male PCP # 8BE77702 NPI: 1497737969 200 W Ollie St (254) 724-2111 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Leander ! ! LIBERTY HILL FAMILY PRACTICE " Overstreet, Haley C, MD Liberty Hill Gender: Female PCP # 8ED05702 NPI: 1700107323 14365 Hwy 29 W (512) 778-5160 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Family Practice " Patel, Smita C, MD Leander Gender: Female PCP # 8AB53305 NPI: 1235166786 1007 S Hwy 183 (512) 260-4900 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice J Scanlan, Lynne, MD Gender: Female PCP # 8CW16203 NPI: 1285898668 1007 S US Hwy 183 J (512) 260-4900 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Leander Gender: Male PCP # 8EN65101 NPI: 1831129139 14365 W State Hwy 29 Ste 10 (512) 778-5160 Clinic Affiliation: Timberland Medical Group Board Certified Specialties: Internal Medicine INTERNAL MEDICINE " Azadi, Roya A, MD Leander Gender: Female !# PCP # 8AX41101 NPI: 1912180084 709 N Bagdad Rd J (512) 260-0101 Hospital Affiliation: 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 Certified Specialties: Internal Medicine LLANO FAMILY PRACTICE Llano OBSTETRICS-GYNECOLOGY Montemayor, Patricia C, MD Gender: Female PCP # 8DR02702 NPI: 1255332037 1007 S Hwy 183 (512) 260-4900 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Leander ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8CS20203 NPI: 1467434936 102 E Young (325) 247-4131 PCP # 8CS20202 NPI: 1467434936 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Berkley, William G, MD " Wolf, Paul M, MD Llano Carstens, Paul A, MD Gender: Male PCP # 8CS19702 NPI: 1144328766 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Gender: Male # PCP # 8CS20603 NPI: 1508848052 102 E Young (325) 247-4131 PCP # 8CS20602 NPI: 1508848052 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Horne, Monte H, MD Llano J " Franklin Jr, Jack P, MD Llano Gender: Male PCP # 8BE77102 PCP # 8CS20302 NPI: 1366426595 200 W Ollie St J (254) 724-2111 (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Clinic, Scott and White Hospital Llano Board Certified Specialties: Family Practice " Meiser, William J, DO Gender: Male PCP # 8CS20902 NPI: 1962428482 200 W Ollie St (325) 247-5040 Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Miller, Grady F, DO Llano Gender: Male PCP # 8BE77802 PCP # 8CS21002 NPI: 1154303725 200 W Ollie St (254) 724-2111 (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Clinic, Scott and White Hospital Llano Board Certified Specialties: Family Practice " Gray, Chad E, MD Gender: Male PCP # 8DV17902 NPI: 1134191760 200 W Ollie St J (325) 247-5040 Hospital Affiliation: Lamb Healthcare Center, University Medical Center Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Grimshaw, Randall, MD Gender: Male PCP # 8CS20502 NPI: 1316929961 200 W Ollie St (325) 247-5040 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice Gender: Male PCP # 8ER59601 NPI: 1184613473 102 E Young (325) 247-4131 Hospital Affiliation: Hamilton General Hospital Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Llano Llano Llano Copeland, Curtis R, MD Gender: Male PCP # 8DV74402 NPI: 1457646259 200 W Ollie St (325) 247-5040 Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None " Hoerster, Dan D, MD Llano " Forrister, Sonja L, MD Liberty Hill Liberty Hill Gender: Male PCP # 8CS30003 NPI: 1568646545 102 E Young (325) 247-4131 Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice Llano INTERNAL MEDICINE Gender: Male PCP # 8DD45601 NPI: 1457368730 14365 W State Hwy 29 J (512) 778-5160 Hospital Affiliation: Cedar Park Regional Medical Ctr Clinic Affiliation: Timberland Medical Group Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Internal Medicine " Hays Jr, Robert F, MD Llano " Tucker, Kelly R, MD Llano Gender: Male PCP # 8CS22703 NPI: 1033192166 102 E Young (325) 247-4131 PCP # 8CS22702 NPI: 1033192166 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice J - Wheelchair Access 38 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp MANOR Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Russell, Terri A, MD Gender: Female # PCP # 8BF00501 NPI: 1700985553 1105 S Medina St J (512) 376-9700 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Terri Anne Russell MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Roopireddy, Sreekanth R, MD Loc khart LLANO Cont INTERNAL MEDICINE Llano Llano Jones, Shirley F, MD Gender: Female PCP # 8CS30203 NPI: 1750304200 200 W Ollie (325) 247-5040 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Turner, Terry L, MD Gender: Male PCP # 8CS22802 NPI: 1982686481 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Lockhart Gender: Male # PCP # 8BW50901 NPI: 1053535567 300 S Colorado St Ste A J (512) 376-9690 Hospital Affiliation: Seton Edgar B Davis Clinic Affiliation: Seton Healthcare Board Certified Specialties: Family Practice " Wheeler, Kimberly M, MD Loc khart J Gender: Female PCP # 8W620101 NPI: 1679527147 1009 W San Antonio St (512) 376-5247 Hospital Affiliation: Central Texas Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Lockhart Family Medicine PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Llano Carstens, Paul A, MD Gender: Male PCP # 8CS19702 NPI: 1144328766 200 W Ollie St (325) 247-5040 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None LOCKHART " Jesudass, Samson W, MD Gender: Male # PCP # 8DC18501 NPI: 1619911385 300 S Colorado St Ste A J (512) 376-9690 Hospital Affiliation: Seton Edgar B Davis, Seton Medical Center, Seton Smithville Reg Hospital Clinic Affiliation: Seton Healthcare Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Internal Medicine " Mohandas, Arjun, MD Loc khart Gender: Male PCP # 8CM95701 NPI: 1639123573 209 S Church St Ste B (512) 791-1224 Hospital Affiliation: Seton Edgar B Davis, Warm Springs Spec Hosp Luling Llc Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine FAMILY PRACTICE " Kirtley, Randall W, MD Lockhart Gender: Male PCP # 8CM95601 NPI: 1457374621 300 S Commerce St Ste B (512) 791-1224 Hospital Affiliation: Central Texas Medical Center, Seton Edgar B Davis, Seton Smithville Reg Hospital, St Davids Medical Center Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice " Mohandas, Renu, MD Loc khart Gender: Female PCP # 8CM95801 NPI: 1205949112 209 S Church St Ste B (512) 376-2999 Hospital Affiliation: Seton Edgar B Davis, Warm Springs Spec Hosp Luling Llc Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Laurence, Charles E, MD Gender: Male PCP # 00SC2001 NPI: 1285641001 1301 S Medina J (512) 398-3464 Hospital Affiliation: Central Texas Medical Center Board Certified Specialties: None Lockhart Romanek, Barton J, MD Gender: Male PCP # 8W620001 NPI: 1417901513 1009 W San Antonio St J (512) 376-5247 Hospital Affiliation: Central Texas Medical Center, St Davids Medical Center Clinic Affiliation: Lockhart Family Medicine PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Lockhart ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours FAMILY PRACTICE Bilir, Sule P, MD Gender: Female # PCP # 8CR95401 NPI: 1326112715 111 S Laurel Ave J (830) 875-6399 Clinic Affiliation: Community Health Ctrs So Central TX Inc Board Certified Specialties: None Luling Medellin, Roland A, MD Gender: Male PCP # 8W715802 NPI: 1184626871 111 S Laurel Ave J (830) 875-6399 Hospital Affiliation: Memorial Hospital, Memorial Hospital Home Health Clinic Affiliation: Community Health Ctrs So Central TX Inc Board Certified Specialties: None Luling INTERNAL MEDICINE Loc khart PEDIATRICS LULING Rider, James A, DO Gender: Male # PCP # 8DM05703 NPI: 1154640993 111 S Laurel Ave J (830) 875-6399 Clinic Affiliation: Community Health Ctrs So Central TX Inc Board Certified Specialties: None " Kim, Rebecca, MD J Wray, Mary J, MD Gender: Female # PCP # 8CA04101 NPI: 1588633499 111 S Laurel St (830) 875-6399 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, University Med Ctr Brackenridge Clinic Affiliation: Community Health Ctrs So Central TX Inc Board Certified Specialties: None Luling MADISONVILLE FAMILY PRACTICE Hubley Jr, Grover C, MD Gender: Male PCP # 8W731001 NPI: 1720197437 813 S State St Ste 100 (936) 348-3515 Hospital Affiliation: Madison St Joseph Health Center, St Joseph Regional Health Center Clinic Affiliation: St Joseph Regional Health Center Practice Information: No Obstetrics Board Certified Specialties: None Madisonv ille " Tuck White, Melissa S, MD Madisonv ille Gender: Female PCP # 8EA21002 NPI: 1306973979 1613 E Main St (936) 349-0350 Clinic Affiliation: Hmh Medical Clinic Board Certified Specialties: Family Practice " Stone, Jamilla C, MD Luling Gender: Female PCP # 8DY74501 NPI: 1932337029 130 Hays Ste D (830) 875-7074 Hospital Affiliation: Seton Edgar B Davis Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice INTERNAL MEDICINE " Edison, Flora, MD Luling Gender: Female PCP # 8CB72501 NPI: 1134192974 130 Hays St Ste D (830) 875-3445 Hospital Affiliation: Fisher County Hospital District, Seton Edgar B Davis, University Med Ctr Brackenridge Clinic Affiliation: Seton Healthcare Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Luling Gender: Female PCP # 8CF70701 NPI: 1467656033 300 S Colorado St Ste B (512) 376-9690 Hospital Affiliation: Seton Edgar B Davis Clinic Affiliation: Seton Healthcare Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRICS Luling PEDIATRICS Loc khart Price, Allan E, MD Gender: Male PCP # 8DM08701 NPI: 1578678298 130 Hays St Ste D J (830) 875-3445 Hospital Affiliation: Seton Edgar B Davis Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None Luling Nepustil, Ivan R, MD Gender: Male PCP # 8EA74401 NPI: 1407879463 130 Hays St Ste D (830) 875-3445 Hospital Affiliation: Seton Edgar B Davis Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: None MANOR FAMILY PRACTICE " Escamilla, David F, MD Manor Gender: Male PCP # 8CY95106 NPI: 1427093434 600 W Carrie Manor St J (512) 978-9780 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Ruiz, Marilyn, MD Manor Gender: Female PCP # 8DW80401 NPI: 1528273281 14001 Shadow Glen Blvd Ste G (512) 272-4451 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Manor Family Practice PLLC Board Certified Specialties: Family Practice J - Wheelchair Access 39 MANOR Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Davenport, Peter, MD " Offutt, Amy L, MD Marble F alls MANOR Cont INTERNAL MEDICINE " Katkuri, Rajani R, MD Manor Gender: Female PCP # 8CY97801 NPI: 1871607911 600 W Carrie Manor St (512) 978-9780 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Communitycare Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine " Ramos, Alina M, MD Manor Gender: Female PCP # 8CY98802 NPI: 1689606857 600 W Carrie Manor St (512) 978-9780 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine PEDIATRICS Manor Lama Briseno, Tracy R, DO Gender: Female PCP # 8CY93607 NPI: 1558520544 600 W Carrie Manor St (512) 978-9780 Clinic Affiliation: Communitycare Board Certified Specialties: None MARBLE FALLS FAMILY PRACTICE Carstens, Paul A, MD Gender: Male PCP # 8CS19703 NPI: 1144328766 706 Ave G (830) 693-2834 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Marble Falls " Craig, Clark W, MD Marble Falls Gender: Male PCP # 8CS19802 NPI: 1356323935 706 Ave G (830) 693-8234 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Cravey, Bruce M, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Shinkawa, Sidney M, MD Gender: Female PCP # 8CE71501 NPI: 1689656266 700 US Hwy 281 (830) 693-2600 Hospital Affiliation: Scott & White Hospital Llano, Seton Highland Lakes Clinic Affiliation: Seton Healthcare Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Marble Falls Gender: Female PCP # 8X868001 NPI: 1891777314 707 Third St J (830) 693-7546 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Amy L Offutt MD Board Certified Specialties: Family Practice " Duperval-Brownlee, Tamarah, MD Marble F alls " Spaw, Raymond G, MD Marble Falls Gender: Female PCP # 8CT52402 NPI: 1215047733 2510 N U S Hwy 281 Ste 120 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Gender: Male PCP # 8CP17301 NPI: 1174503163 700 US Hwy 281 (830) 693-2600 Hospital Affiliation: Round Rock Medical Center, Seton Highland Lakes, St Davids Georgetown Hospital Clinic Affiliation: Seton Healthcare Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Family Practice " Franz, Charles M, DO Marble F alls Gender: Male PCP # 8J562303 NPI: 1912978206 700 Hwy 281 N J (830) 693-2600 Hospital Affiliation: Seton Highland Lakes, The Medical Ctr Of Southeast Tx Lp Clinic Affiliation: Seton Healthcare Practice Information: No Obstetrics, No Patients Under 1 yrs old Board Certified Specialties: Family Practice Stedman Jr, Horis T, MD Gender: Male PCP # 87Z00101 NPI: 1285629220 2300 Hwy 281 N J (830) 693-3621 Hospital Affiliation: Seton Highland Lakes Clinic Affiliation: Family Wellness Center PA Practice Information: No Obstetrics Board Certified Specialties: None " Sidwani Chawla, Seema L, DO Marble Falls Gender: Female PCP # 8EC46802 NPI: 1003849282 800 W Hwy 71 (830) 201-7100 Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J OBSTETRICS-GYNECOLOGY Marble Falls Gosselink, Peter G, MD Gender: Male PCP # 8U427101 NPI: 1770503658 608 Gateway Central Ste 100 J (830) 693-2005 Hospital Affiliation: Seton Highland Lakes Clinic Affiliation: Amy Van Dorfy MD Board Certified Specialties: None Marble F alls " Van Dorfy, Amy E, MD Marble Falls Gender: Female PCP # 8U427001 NPI: 1578535787 608 Gateway Central Ste 100 J (830) 693-2005 Hospital Affiliation: Seton Highland Lakes, University Med Ctr Brackenridge Clinic Affiliation: Amy Van Dorfy MD Board Certified Specialties: Family Practice " Gray, Chad E, MD Marble F alls Gender: Male PCP # 8DV17903 NPI: 1134191760 706 Ave G J (830) 693-8234 Hospital Affiliation: Lamb Healthcare Center, University Medical Center Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Cook, Paul A, MD Gender: Male PCP # 8DP42303 NPI: 1568455004 800 W Hwy 71 J (830) 201-7100 Clinic Affiliation: Scott and White Hospital Llano Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Marble Falls PEDIATRICS Carstens, Paul A, MD Gender: Male PCP # 8CS19703 NPI: 1144328766 706 Ave G (830) 693-2834 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Marble Falls INTERNAL MEDICINE " Cheema, Yasir I, MD Marble Falls " Cramer, Andrea E, MD Marble Falls Gender: Female PCP # 8CZ32201 NPI: 1639129562 1123 Hwy 1431 (830) 693-3988 Hospital Affiliation: Medical Center Of Plano, Medical City Dallas Hospital, Tx Hlth Presbyterian Hosp Dallas, Tx Hlth Presbyterian Hosp Plano Clinic Affiliation: Childrens Health Center PA Practice Information: No Patients Over 22 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8CW96804 NPI: 1952515876 8001 W Hwy 71 J (830) 201-7100 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Hays Jr, Robert F, MD Marble F alls Gender: Male PCP # 8CS30002 NPI: 1568646545 706 Ave G (830) 693-8234 Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice Marble Falls Gender: Male PCP # 8CS19902 NPI: 1487636064 706 Ave G (830) 693-8234 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice Marble Falls Gender: Male PCP # 8CS20002 NPI: 1134395973 706 Ave G (830) 693-8234 Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Deng, Yue, MD Marble Falls Gender: Female PCP # 8AK93604 NPI: 1821292483 700 US Hwy 281 J (830) 693-2600 Hospital Affiliation: Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Healthcare Board Certified Specialties: Internal Medicine Liggett, Scott P, MD Gender: Male PCP # 8CS20702 NPI: 1336121953 706 Ave G (830) 693-8234 Hospital Affiliation: Scott & White Hospital Llano, Seton Highland Lakes Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Marble F alls Offutt, Kelly A, MD Gender: Female PCP # 8CS22402 NPI: 1154303709 706 Ave G (830) 693-8234 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: None Marble Falls " Johns, Ronald W, MD Marble Falls Gender: Male PCP # 8U427201 NPI: 1750376703 608 Gateway Central 100 Ste 100 J (830) 693-2005 Hospital Affiliation: Seton Highland Lakes Clinic Affiliation: Amy Van Dorfy MD Board Certified Specialties: Internal Medicine " Tannous, Jeanet N, MD Marble Falls J Gender: Female PCP # 8CZ31901 NPI: 1689874240 1123 Hwy 1431 (830) 693-3988 Hospital Affiliation: Cook Childrens Medical Center, Scott & White Hospital Llano Clinic Affiliation: Childrens Health Center PA Board Certified Specialties: Pediatrics J - Wheelchair Access 40 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp PFLUGERVILLE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Hart, Steven B, MD Gender: Male PCP # 88878S01 NPI: 1952317208 15803 Windermere Dr Ste 103 J (512) 989-2680 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Pflugerville MARBLE FALLS Cont PEDIATRICS Cont Thomas, Sandra K, MD Gender: Female PCP # 8CZ31801 NPI: 1932152709 1123 Hwy 1431 J (830) 693-3988 Hospital Affiliation: Scott & White Hospital Llano, Seton Highland Lakes Clinic Affiliation: Childrens Health Center PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Marble Falls " Thompson, Tanna M, MD Marble Falls Gender: Female PCP # 8CE71601 NPI: 1528135860 700 US Hwy 281 J (830) 693-2600 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Seton Healthcare Board Certified Specialties: Pediatrics OGLESBY FAMILY PRACTICE Weed III, John M, MD Gender: Male PCP # 8W695702 NPI: 1134161359 1700 Brazos J (512) 446-4500 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: None Oglesby Gender: Female PCP # 8CZ32001 NPI: 1902968126 1123 Hwy 1431 J (830) 693-3988 Clinic Affiliation: Childrens Health Center PA Board Certified Specialties: Pediatrics McGregor FAMILY PRACTICE PCP # 8U497002 NPI: 1194768911 18900 Limestone Commercial Dr Ste 600 (512) 252-1505 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Shane Edward Keller MD Board Certified Specialties: Family Practice J Khan, Afreen, DO Gender: Female PCP # 8EM14901 NPI: 1942404751 15803 Windermere Dr Ste 103 (512) 989-2680 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Pflugerville " Chang, Franklin, MD FAMILY PRACTICE MEXIA Gender: Male PCP # 0016GG01 NPI: 1174522296 200 N Heatherwilde Blvd (512) 989-7400 Hospital Affiliation: Round Rock Medical Center, St Davids Medical Center Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Family Practice Pflugerville J Gender: Male # PCP # 8AR80401 NPI: 1710946561 500 S Johnson Dr J (254) 313-5200 Hospital Affiliation: North Runnels Hospital, Scott And White Memorial Hospital Clinic Affiliation: Family Practice Center Board Certified Specialties: Family Practice J " Boyd, John R, MD MCGREGOR " Boles, Keith A, MD Gender: Male PCP # 8U497001 NPI: 1194768911 1615 Grand Ave Pkwy Ste 112 (512) 252-1505 Pflugerville " Valmiki, Himabindu A, MD Gender: Male PCP # 80439K05 NPI: 1285694265 1701 Pflugerville Pkwy (512) 260-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Kyte, Paul D, MD Pflugerville Gender: Male PCP # 8DP41303 NPI: 1356352967 1701 Pfluderville Pkwy (512) 260-6000 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Northwest Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Escamilla, David F, MD Pflugerville J Gender: Male PCP # 8CY95109 NPI: 1427093434 15822 Foothill Farms Loop (512) 978-9840 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Family Practice " Madabhushi, Madhuri, MD Pflugerville Gender: Female PCP # 8CS42301 NPI: 1780841817 15803 Windemere Dr Ste 103 (512) 989-2680 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Gerdelman, Brenna K, MD Pflugerville Gender: Female PCP # 8U684601 NPI: 1033125380 15803 Windermere Dr Ste 103 (512) 989-2680 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, The Hosp At Westlake Med Ctr Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Yerger, Nathan K, MD Mexia Gender: Male PCP # 8DA44501 NPI: 1609011444 514 S Bonham Ste D (254) 562-9321 Clinic Affiliation: Texas Specialty Physicians Board Certified Specialties: Family Practice " Medrano, William, MD Pflugerville " Haji, Amina K, MD Pflugerville MOODY FAMILY PRACTICE " Hong, May C, MD Moody Gender: Female PCP # 8CM39402 NPI: 1811933690 498 Ave E J (254) 853-2162 Hospital Affiliation: Scott & White Hospital Taylor Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Gender: Female PCP # 83N83801 NPI: 1326143090 1512 Town Center Dr Ste 100 (512) 791-1224 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice " Keller, Shane E, MD FAMILY PRACTICE Marble Falls " Parthasarathy, Urmila, DO Pflugerv ille Pflugerville PFLUGERVILLE J Nguyen, Chau H, DO Gender: Male PCP # 8BS42405 NPI: 1619041407 1701 Pflugerville (512) 260-6000 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Pflugerv ille Gender: Female PCP # 8DY82502 NPI: 1235140153 1701 Pflugerville Pkwy (512) 260-6000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice J Gender: Male PCP # 84G10801 NPI: 1619083342 15803 Windermere Dr Ste 103 (512) 989-2680 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Meshew, Catherine L, MD Pflugerville J Gender: Female PCP # 8DJ15004 NPI: 1033346382 1701 Pflugerville Pkwy (512) 260-6000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Philip, Tina J, DO Pflugerv ille Gender: Female # PCP # 8U497101 NPI: 1174793970 1615 Grand Ave Pkwy Ste 112 J (512) 252-1505 PCP # 8U497102 NPI: 1174793970 18900 Limestone Commercial Dr Ste 600 J (512) 252-1505 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Shane Edward Keller MD Board Certified Specialties: Family Practice " Pruitt, Enas L, MD Pflugerv ille Gender: Male PCP # 8CN86601 NPI: 1073682472 1512 Town Center Dr Ste 100 J (512) 791-1224 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice Russo, Anthony R, MD Gender: Male # PCP # 00B91R01 NPI: 1700860400 2401 Peacan St W Ste 103 J (512) 251-5586 Hospital Affiliation: St Davids Medical Center Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None Pflugerv ille " Sherrill, Julia C, MD Pflugerv ille Gender: Female PCP # 8CX72404 NPI: 1699938159 1701 Pflugerville Pkwy J (512) 260-6000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Stewart, Christopher A, MD Pflugerv ille Gender: Male PCP # 86774K04 NPI: 1184686230 1701 E Pflugerville Pkwy J (512) 259-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J - Wheelchair Access 41 PFLUGERVILLE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Enders, Judith W, MD Gender: Female PCP # 8F707801 NPI: 1992711261 15803 Windermere Dr Ste A J (512) 989-2680 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Burugu, Sukanya, MD Pflugerville PFLUGERVILLE Cont FAMILY PRACTICE Cont " Stone, Mark A, MD Pflugerville Gender: Male PCP # 82702N04 NPI: 1326000852 1701 Pflugerville Pkwy (512) 260-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J Vega, Katherine M, MD Gender: Female PCP # 8ED91302 NPI: 1134377849 1701 E Pflugerville Pkwy (512) 259-6000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Pflugerville " Verma, Ashu, DO Pflugerville J Gender: Female PCP # 8DQ56503 NPI: 1548420011 1701 Pflugerville Pkwy (512) 260-6000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Gender: Female PCP # 8CN84201 NPI: 1770579203 1512 Town Center Dr Ste 100 (512) 324-4875 Hospital Affiliation: Cornerstone Hosp Of Austin, Seton Medical Center, Seton Medical Ctr Williamson, St Davids Hospital Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Internal Medicine J Gender: Female PCP # 80317N05 NPI: 1609046804 1701 Pflugerville Pkwy (512) 260-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice INTERNAL MEDICINE " Brister, Susan C, MD Pflugerville ! Gender: Female PCP # 8DX39201 NPI: 1033178751 1501 Pecan St W Ste 102 (512) 421-3750 Hospital Affiliation: Scott & White Hlthcare Round Rock, Scott And White Memorial Hospital Clinic Affiliation: Wellmed Medical Group PA Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours PCP # 8DU64904 NPI: 1669468039 1700 Brazos Ave Ste B (512) 446-4545 PCP # 8DU64902 NPI: 1669468039 602 N Main St (512) 446-4555 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice " Holliman, Anna E, MD Gender: Female PCP # 8G934701 NPI: 1619983954 15803 Windermere Dr Ste A J (512) 989-2680 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Mambapoor, Viswajyothi, MD Gender: Female PCP # 0001HA01 PCP # 8CG28401 NPI: 1972609162 200 N Heatherwilde Blvd Ste B J (512) 251-7007 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Viswajyothi Mambapoor Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine ! ! Lama Briseno, Tracy R, DO Gender: Female PCP # 8CY93611 NPI: 1558520544 15822 Foothill Farms Loop (512) 978-9840 Clinic Affiliation: Communitycare Board Certified Specialties: None " Firer, Daniel J, MD Rockdale J Pflugerv ille " Ramos, Alina M, MD Pflugerville Gender: Female PCP # 8CY98801 NPI: 1689606857 15822 Foothill Farms Loop (512) 978-9840 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine " Via, Lara T, MD Gender: Male PCP # 8DU64903 NPI: 1669468039 1700 Brazos Ave Ste A (512) 446-4545 Pflugerv ille Pflugerville Pflugerville " Barkis, Leslie A, DO Rockdale Golden, Alma L, MD Gender: Female PCP # 8W265802 NPI: 1841370772 1701 Pflugerville J (512) 259-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Dao, Yen K, DO " Ven Huizen, Vanessa, DO ROCKDALE FAMILY PRACTICE Pflugerv ille Pflugerville Pflugerville Gender: Female PCP # 8DC79601 NPI: 1215113519 15803 Windermere Dr Ste 103 (512) 989-2680 Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Family Practice Pflugerv ille Gender: Female PCP # 8CQ17804 NPI: 1992710040 104 Rex Kerwin Ct J (512) 251-3915 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Adult Primary Care Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine " Nguyen, Ky Q, MD " House, Janelle K, DO Rockdale Pflugerv ille Gender: Male PCP # 8AX34401 NPI: 1710903257 15803 Windermere Dr Ste 103 (512) 989-2680 Hospital Affiliation: 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: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRICS " Azuma, Lynn M, MD Pflugerville Gender: Female PCP # 8AB53605 NPI: 1295782043 1701 Pflugerville J (512) 260-6000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Singh, Shaili M, MD Gender: Female PCP # 8EA46401 NPI: 1740260785 15803 Windermere Dr Ste 103 (512) 989-2680 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Pflugerv ille " Cavanagh, Andrew T, MD Pflugerville Gender: Male PCP # 8R680301 NPI: 1891701173 15803 Windermere Dr Ste A (512) 989-2680 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Pediatrics Gender: Male PCP # 8DJ43901 NPI: 1093944134 1700 Brazos (512) 446-4545 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice J Gender: Female PCP # 8BB69101 NPI: 1356480594 1700 Brazos (512) 446-4545 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice Molina, Martin C, MD Gender: Male PCP # 8DN56501 NPI: 1700830338 1700 Brazos Ave Ste B J (512) 446-4506 Hospital Affiliation: Little River Healthcare, North Austin Medical Center, Round Rock Medical Center, Seton Smithville Reg Hospital, The Hosp At Westlake Med Ctr Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: None Rockdale " Nurnberg, Jason T, DO Rockdale J Gender: Male PCP # 8W698701 NPI: 1013955533 1700 Brazos (512) 446-4500 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice J - Wheelchair Access 42 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp ROUND ROCK Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Baker, Dan R, MD Round Rock ROCKDALE Cont FAMILY PRACTICE Cont ! " Oneill, Larissa K, MD Roc kdale Gender: Female PCP # 8CZ73001 NPI: 1003890963 602 N Main (512) 446-4555 Hospital Affiliation: Little River Healthcare, Round Rock Medical Center Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice " Pettit, James C, DO J Roc kdale Gender: Male PCP # 8EJ30001 NPI: 1265450175 1700 Brazos Ave (512) 446-4545 Hospital Affiliation: Burleson St Joseph Health Center, Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice Thompson, Peyton L, MD Gender: Male PCP # 8W699001 NPI: 1861439069 1700 Brazos (512) 430-6486 Roc kdale PCP # 8BR44001 NPI: 1861439069 725 W Cameron Ave (512) 522-2299 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Fallen Tree Corp, Little River Healthcare Family Ca Board Certified Specialties: None Weed III, John M, MD Gender: Male PCP # 8W695701 NPI: 1134161359 602 N Main J (512) 446-4555 Hospital Affiliation: Little River Healthcare Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: None David, Elbert R, MD Gender: Male ! PCP # 86V63001 NPI: 1861494924 7200 Wyoming Spgs Ste 600 J (512) 244-1995 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Family Medicine Assoc of Round Rock PA Board Certified Specialties: None Round Rock Gender: Male PCP # 8A345001 NPI: 1073613212 1 Chisholm Trl Ste 4100 (512) 310-8883 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Baker Dan R MD Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Family Practice " Beach, Gary J, MD " Deshazo, Flint K, MD Round Rock ! Round Rock J J Gender: Male PCP # 89C02901 NPI: 1700892049 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Diaz, David A, MD Round Rock " Bodapati, Rajeswari K, MD J Gender: Female PCP # 8CY06804 NPI: 1528171196 425 University Blvd Ste 200 (512) 509-4038 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice J " Boyd, James A, MD J Esparza, Sandra A, MD Gender: Female # PCP # 8J843101 NPI: 1609871938 1750 Red Bud Ln J (512) 310-9700 Hospital Affiliation: Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: ABC Medical Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Gender: Male PCP # 81342S01 NPI: 1629073929 7200 Wyoming Spgs Ste 600 (512) 244-1995 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Family Medicine Assoc of Round Rock PA Board Certified Specialties: Family Practice Ezekoye, Olufunke E, MD Gender: Female PCP # 8BG94801 NPI: 1164515631 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Round Rock " Calderon, April M, DO FAMILY PRACTICE " Anderson, Norma E, MD Gender: Female PCP # 8X124101 NPI: 1013953736 7700 Cat Hollow Dr Ste 205 J (512) 218-4900 Hospital Affiliation: Mission Regional Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Matsubara and Assoc PA Board Certified Specialties: Family Practice J Gender: Female PCP # 8CL98605 NPI: 1437475191 16420 RR 620 Ste 104 (512) 250-7000 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Hardy, Julie C, MD Round Roc k Gender: Female PCP # 8964M701 NPI: 1043226392 940 Hesters Crossing J (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Hines, Terrance S, MD Round Roc k Gender: Male PCP # 8CA01403 NPI: 1588855266 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Hutto, Steven B, MD Round Roc k Gender: Male PCP # 8DR90601 NPI: 1356588529 940 Hesters Crossing (512) 244-9024 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Cooney, Edward, MD " Irvin, Bryan, MD Round Roc k Gender: Male PCP # 85071S01 NPI: 1831104991 940 Hesters Crossing J (512) 244-9024 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 6 yrs old Board Certified Specialties: Family Practice " Isaac, Dominique J, MD Round Roc k Gender: Female PCP # 8U684101 NPI: 1497761761 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Round Rock J " Franklin Jr, Jack P, MD Round Rock Gender: Male PCP # 82466K03 NPI: 1568422400 302 University Blvd (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J " Daniel, Steven, DO Gender: Male PCP # 8BE77103 NPI: 1366426595 302 University Blvd (512) 509-0200 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Round Rock " Goode, Joel D, MD Round Rock Gender: Male PCP # 8CX46801 NPI: 1245420108 7200 Wyoming Spgs Ste 600 (512) 244-1995 Clinic Affiliation: Family Medicine Assoc of Round Rock PA Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8CE84801 NPI: 1346264561 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Round Rock Round Rock Round Rock Round Rock Gender: Male PCP # 8M181001 NPI: 1033106380 15930 S Great Oaks Dr Ste A200 (512) 246-3338 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center Clinic Affiliation: Great Oaks Family Practice PA Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Family Practice Round Rock Roc kdale ROUND ROCK Gender: Male PCP # 86V63201 NPI: 1669474623 7200 Wyoming Spgs Ste 600 (512) 244-1995 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Family Medicine Assoc of Round Rock PA Board Certified Specialties: Family Practice " Haas, Tracey A, DO Round Roc k Gender: Male PCP # 8DB70601 NPI: 1649247198 4112 Links Ln Ste 201 (512) 672-8933 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice " Jadhav, Swati, MD Round Roc k Gender: Female PCP # 8B074001 NPI: 1215943584 940 Hesters Crossing J (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J - Wheelchair Access 43 ROUND ROCK Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Neitsch, Deborah K, MD " Pruitt, Enas L, MD Round Rock ROUND ROCK Cont FAMILY PRACTICE Cont " Kurunthottical, Raju Z, DO Round Rock Gender: Female PCP # 8CS46701 NPI: 1184602393 301 Seton Pkwy Ste 401 (512) 324-4818 Hospital Affiliation: Round Rock Medical Center, Seton Medical Ctr Williamson, St Davids Georgetown Hospital Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice Lewis, Christopher A, MD Gender: Male PCP # 8DB70701 NPI: 1871570895 4112 Links Ln Ste 201 (512) 672-8933 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: None Round Rock " Lopez Gutierrez, Patricia, MD Round Rock J Gender: Female PCP # 8EK59002 NPI: 1659570208 1800 S A W Grimes Blvd (512) 244-5700 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Magdamo Jr, Willie B, MD Round Rock ! Gender: Male PCP # 8DD48801 NPI: 1093725384 940 Hesters Crossing Rd (512) 244-9024 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice J " Meshew, Catherine L, MD Round Rock J Gender: Female PCP # 8DJ15003 NPI: 1033346382 2000 S IH 35 Ste N 5 (512) 244-3822 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Mills, Shane B, DO Round Rock J Gender: Male PCP # 84804K02 NPI: 1730176231 16420 R R 620 Ste 104 (512) 252-7000 Hospital Affiliation: Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Putney, Christopher G, MD Gender: Male PCP # 81341S01 NPI: 1295737245 7200 Wyoming Spgs Ste 600 J (512) 244-1995 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Family Medicine Assoc of Round Rock PA Board Certified Specialties: None Gender: Female PCP # 8AH81001 NPI: 1134174881 3000 Joe Dimaggio Blvd Ste 65 (512) 733-6464 Hospital Affiliation: Round Rock Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Legends Medical Clinic PLLC Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Family Practice Round Rock " Nguyen, Joe T, MD Gender: Male PCP # 83045Y01 NPI: 1447266705 940 Hesters Crossing Rd J (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 6 yrs old Board Certified Specialties: Family Practice " Uriegas, Rodolfo, MD Round Rock J " Rangarajan, Anuradha R, MD Round Rock Gender: Female # PCP # 83N83901 NPI: 1225057516 301 Seton Pkwy Ste 401 J (512) 791-1224 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Family Practice " Oliver, Paul B, MD Round Rock Gender: Male PCP # 8A346001 NPI: 1326059635 2000 S IH 35 Ste E1 J (512) 244-1978 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital Clinic Affiliation: Dragon Family Medicine PA Practice Information: No Obstetrics Board Certified Specialties: Family Practice " Virani, Anisha, MD Gender: Female PCP # 8EQ17801 NPI: 1073803730 894 Summit Dr Ste 108 (512) 244-5100 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Rogers, James W, DO Gender: Male PCP # 8DP87701 NPI: 1942208434 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Memorial Medical Center Of East Texas, Woodland Heights Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Parthasarathy, Urmila, DO Gender: Female PCP # 8EL97301 NPI: 1326143090 894 Summit St (512) 272-4636 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Wettermark III, Alfred B, MD Round Rock Gender: Male PCP # 8DB47301 NPI: 1720288053 940 Hesters Crossing Rd (512) 244-9024 Hospital Affiliation: John Peter Smith Hospital Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice " Sharma, Anuj, MD Round Rock Gender: Female PCP # 8DX72902 NPI: 1407872740 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Pena, Jacobo, MD Round Rock Gender: Male PCP # 8DL34802 NPI: 1467688622 120 Ed Schmidt Blvd Ste B E F J (512) 509-9503 " Williams II, Clarence E, MD Round Rock J " Strawser, Richard T, MD Round Rock Gender: Male PCP # 8DB71001 NPI: 1891762357 7200 Wyoming Spgs Dr Ste 1500 (512) 218-8696 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice PCP # 8DL34803 NPI: 1467688622 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Pendleton, Solomon A, MD Round Rock Gender: Male PCP # 8CW07202 NPI: 1134329600 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Tariq, Zarlish, MD Gender: Female PCP # 8EC54302 NPI: 1336347723 16420 R R 620 J (512) 250-7000 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Rock Gender: Male PCP # 89C01501 NPI: 1295740363 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Round Rock Round Rock Round Rock " Matsubara, Atsushi, MD " Tran, Xuan K, MD Round Rock Gender: Male PCP # 8EK52601 NPI: 1073682472 894 Summit St (512) 272-4636 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Family Practice Round Rock Round Rock Gender: Male PCP # 8X124001 NPI: 1871535195 7700 Cat Hollow Dr Ste 205 (512) 218-4900 Hospital Affiliation: Round Rock Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital Clinic Affiliation: Matsubara and Assoc PA Board Certified Specialties: Family Practice Round Rock Gender: Female PCP # 8DB70801 NPI: 1881658482 4112 Links Ln Ste 201 (512) 672-8933 Hospital Affiliation: Round Rock Medical Center, St Davids Hospital, St Davids Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Family Practice Gender: Male PCP # 8CY86501 NPI: 1154514842 2000 S IH 35 (512) 244-3822 Hospital Affiliation: Scott & White Hlthcare Round Rock Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice INTERNAL MEDICINE " Chou, Yi Chun, MD Round Rock Gender: Female PCP # 8ER17701 NPI: 1952535890 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J - Wheelchair Access 44 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp ROUND ROCK Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Miller, Gwendolyn B, MD Gender: Female PCP # 8CQ79004 PCP # 8ED17302 NPI: 1700812716 302 University Blvd J (512) 509-0200 Hospital Affiliation: Doctors Hospital, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Scott & White Hospital Taylor, Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Rock ROUND ROCK Cont INTERNAL MEDICINE Cont " Coughlin, Sean J, MD Round Rock Gender: Male PCP # 8CW98702 NPI: 1912911009 425 University Blvd (512) 509-0200 Hospital Affiliation: Baptist Health System, Christus Santa Rosa Hosp City Ctr, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 8P911402 NPI: 1386605368 302 University Blvd (512) 509-0200 Hospital Affiliation: Glen Rose Medical Center, Lake Granbury Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs, No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine J " McKenzie, Trina D, MD Gender: Female PCP # 8BX83702 NPI: 1326104183 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8CW55702 NPI: 1134392582 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J OBSTETRICS-GYNECOLOGY " Edmondson, Steven R, MD Round Rock Gender: Male PCP # 8DX59701 NPI: 1164429890 3950 N A W Grimes Blvd Ste N103 (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Obstetrics-Gynecology Rao, Sharon N, MD Gender: Female PCP # 8EA36302 NPI: 1811218902 425 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Rock Montemayor, Patricia C, MD Gender: Female PCP # 8DR02703 NPI: 1255332037 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Rock " Slavcheva, Evgenia G, MD Round Rock Gender: Female PCP # 8EC46502 NPI: 1477508448 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J " Marks, Lianne, MD Round Rock " White, Heath D, DO Round Rock Gender: Female PCP # 80768701 NPI: 1740245414 425 University Blvd (512) 509-0200 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine Round Rock Gender: Female PCP # 8AH51503 NPI: 1114918349 302 University Blvd J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J " Nye, Diana Del D, MD " Dluzniewski, Holly D, MD Gender: Male PCP # 8CL39902 NPI: 1073582029 302 University Blvd J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 8CA34902 NPI: 1568615243 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Round Rock Round Rock " Ladogana, Michael, MD " Vazquez, Jacobo A, MD Round Rock Norton, Christine H, DO Gender: Female PCP # 8EM13001 NPI: 1487659157 940 Hesters Crossing (512) 244-9024 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Dayal, Vivek H, MD Round Rock Gender: Male PCP # 8DB71201 NPI: 1063489102 7200 Wyoming Spgs Dr Ste 1500 (512) 218-0896 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine Round Rock Round Rock Gender: Female PCP # 8DB70501 NPI: 1932176492 7200 Wyoming Spgs Dr Ste 150 (512) 218-8696 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine " Turner, Trevor H, MD Osterman Boswell, Kathleen M, MD Gender: Female PCP # 8EK81402 NPI: 1497070858 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Rock Spellings, Veronica A, MD Gender: Female PCP # 8DB70901 NPI: 1477531978 7200 Wyoming Spgs Dr Ste 1500 (512) 218-8696 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: None Round Rock PEDIATRICS " Abreu Macomber, Martha B, MD Round Roc k Gender: Female PCP # 8AP83803 NPI: 1609847235 425 University Blvd (512) 509-0200 Hospital Affiliation: Scott & White Hlthcare Round Rock, Seton Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Round Rock " Moffitt, Michael J, MD " Dasgupta, Nilanjana S, MD Gender: Male PCP # 8M525001 NPI: 1922173137 7215 Wyoming Spgs Ste 700 Bldg 3 J (512) 246-3344 Hospital Affiliation: Central Texas Medical Center, North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: North Star Family Medicine PA Board Certified Specialties: Internal Medicine Gender: Female PCP # 8DB71101 NPI: 1700812112 4112 Links Ln Ste 201 (512) 672-8933 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine Round Rock Round Rock Gender: Female PCP # 8CV70601 NPI: 1598703084 3950 N Aw Grimes Blvd Ste N104 J (877) 800-5722 Hospital Affiliation: Round Rock Medical Center, Seton Medical Ctr Williamson Clinic Affiliation: Lone Star Circle of Care Practice Information: No patients under 50 years old Board Certified Specialties: Internal Medicine " Sypniewski, Stephanie A, MD Round Rock " Addy, Debaroti M, MD Round Roc k Gender: Female # PCP # 8P286001 NPI: 1023016235 15930 S Great Oaks Bldg B J (512) 255-8868 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Addy and Unite MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Agadi, Satish, MD Round Roc k Gender: Male PCP # 8EB57803 NPI: 1275724585 425 University Blvd J (512) 509-0200 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Atkuri, Lakshmi V, MD Gender: Female PCP # 8CC83701 NPI: 1558397950 302 University Blvd J (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Round Roc k " Azuma, Lynn M, MD Round Roc k Gender: Female PCP # 8AB53606 NPI: 1295782043 302 University Blvd J (512) 509-0200 PCP # 8AB53607 NPI: 1295782043 425 University Blvd J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Bacares, Edgar, MD Round Roc k Gender: Male # PCP # 8AT50701 NPI: 1225021256 2120 N Mays St Ste 430 J (877) 800-5722 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics Berg, Bradley R, MD Gender: Male PCP # 8DY17002 NPI: 1871589929 302 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Round Roc k J - Wheelchair Access 45 ROUND ROCK Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. ROUND ROCK Cont PEDIATRICS Cont " Berhane, Rahel, MD Round Rock J Gender: Female PCP # 83501X02 NPI: 1740246743 1000 Hesters Crossing Rd (512) 628-1810 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Deharo, Rafael A, MD Round Rock Gender: Male PCP # 8K665001 NPI: 1083727259 7200 Wyoming Spgs Ste 200 J (512) 244-5959 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Wyoming Springs Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male PCP # 8B074701 NPI: 1124033287 940 Hesters Crossing J (512) 244-9024 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Brown, Bernadette M, MD Round Rock J Gender: Female PCP # 00TK5401 NPI: 1396859435 1050 Meadows Rd Ste 307 (512) 255-6033 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Medical Center Board Certified Specialties: Pediatrics " Casey, Erin M, MD Round Rock Dluzniewski, Holly D, MD Gender: Female PCP # 8DB70501 NPI: 1932176492 7200 Wyoming Spgs Dr Ste 150 (512) 218-8696 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine Round Rock " Chan, Soi Yu, MD J Gender: Female PCP # 8DM88803 NPI: 1700064094 302 University Blvd (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Chang, Ting Chuan, MD Round Rock J Gender: Male PCP # 8P286201 NPI: 1194810903 15930 S Great Oaks Dr Ste B (512) 255-8868 Hospital Affiliation: Round Rock Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Addy and Unite MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Dayal, Vivek H, MD Gender: Male PCP # 8M525001 NPI: 1922173137 7215 Wyoming Spgs Ste 700 Bldg 3 J (512) 246-3344 Hospital Affiliation: Central Texas Medical Center, North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: North Star Family Medicine PA Board Certified Specialties: Internal Medicine Gender: Female PCP # 8AU93703 NPI: 1497933428 425 University Blvd J (512) 509-0200 Hospital Affiliation: Scott & White Hlthcare Round Rock Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Jacomides, Jenny R, MD Round Rock " Duble, Shannon L, MD Gender: Female # PCP # 8F298501 NPI: 1760526099 7700 Cat Hollow Dr Ste 104 J (512) 733-5437 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Center of Round Rock Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female PCP # 8DK11902 NPI: 1457428609 4112 Links Ln Ste 102 (512) 436-9455 Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Esparza, Ramon, MD Gender: Male PCP # 8J843001 NPI: 1245235647 1750 Red Bud Ln J (512) 310-9700 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: ABC Medical Center Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Round Rock Lal, Arti, MD Gender: Female PCP # 8CS29803 NPI: 1417047077 425 University Blvd (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Round Rock " Katalenas, Marta M, MD " Lawrence, Glenn L, MD Round Rock J Gender: Female # PCP # 8F298001 NPI: 1386741171 7700 Cat Hollow Dr Ste 104 J (512) 733-5437 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Flachs, Lisa S, MD Gender: Female PCP # 8CR36102 NPI: 1366751133 4112 Links Ln Ste 102 (512) 930-4776 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics Kovaric, Kelly L, MD Gender: Female # PCP # 8DC59801 NPI: 1962623454 7700 Cat Hollow Dr Ste 104 J (512) 733-5437 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: Pediatric Center of Round Rock Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Round Rock " Foster, D M, MD Round Rock Gender: Male PCP # 84E40703 NPI: 1104886571 302 University Blvd J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Gender: Male PCP # 81X06503 NPI: 1073574216 302 University Dr (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Marroquin, Jaclyn T, MD Round Rock J Gender: Female PCP # 8V904801 NPI: 1912102583 2120 N Mays St Ste 430 (512) 255-5120 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Marshall, Erin E, MD Round Rock J Round Rock Round Rock Round Rock ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Helmcamp, Jennifer M, MD Round Rock Round Rock Gender: Female PCP # 8V911601 NPI: 1346358108 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Pediatrics Round Rock Gender: Female PCP # 87J39401 NPI: 1861408114 940 Hesters Crossing J (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Female PCP # 8AB76502 NPI: 1043437940 302 University Blvd (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Gender: Male PCP # 89775101 NPI: 1356357693 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J " Harvey, Kristi, MD " Dieterich, Samantha E, MD " Bhatti, Meenu S, MD " Kuhl, Walter B, MD Round Rock Round Rock Round Rock Round Rock Gender: Female # PCP # 8CA95201 NPI: 1093786394 3950 N Aw Grimes Blvd Ste N201 J (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics " Gritzka, Boris A, MD Round Rock Gender: Female PCP # 8K665201 NPI: 1982717179 7200 Wyoming Spgs Ste 200 (512) 244-5959 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Wyoming Springs Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Millar, Jose Gabriel C, MD Round Rock J Gender: Male PCP # 0086KL03 NPI: 1386732675 16010 Park Valley Dr Ste 300 (512) 255-7337 # PCP # 0086KL01 NPI: 1386732675 16040 Park Valley Dr Ste 227 J (512) 255-7337 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Owens, Nancy E, MD Round Rock J Gender: Female PCP # 83047Y01 NPI: 1821004185 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J - Wheelchair Access 46 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp SAN MARCOS Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Scranton, Maria C, MD Round Rock ROUND ROCK Cont PEDIATRICS Cont " Pankratz, Natacha R, MD Round Rock Gender: Female # PCP # 8M008701 NPI: 1710936307 2120 N Mays St Ste 430 J (877) 800-5722 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, St Davids Georgetown Hospital Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Pautler, Denise L, MD Round Rock Gender: Female PCP # 8BR92701 NPI: 1447489547 3950 N Aw Grimes Blvd Ste 201 J (512) 524-9282 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics " Piatt, Guadalupe R, MD Round Rock Gender: Female PCP # 8EF20801 NPI: 1952397077 2120 N Mays St Ste 430 (877) 800-5722 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Pediatrics " Pickens, Steven G, MD Round Rock Gender: Male PCP # 8R749202 NPI: 1932293016 4112 Links Ln Ste 102 J (512) 436-9455 Hospital Affiliation: St Davids Georgetown Hospital Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Board Certified Specialties: Pediatrics Ramsey, David A, MD Gender: Male PCP # 88280Y02 NPI: 1861586943 4112 Links Ln Ste 102 J (512) 436-9455 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, St Davids Georgetown Hospital Clinic Affiliation: Chisholm Trail Pediatrics Inc PA Board Certified Specialties: None J Shah, Amy H, MD Gender: Female PCP # 8DX72301 NPI: 1225022734 940 Hesters Crossing (512) 244-9024 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Rashid, Alan, MD Gender: Male PCP # 8EK40901 NPI: 1922059948 940 Hesters Crossing (512) 244-9024 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Salinas, Crystal M, MD Round Rock Gender: Female PCP # 8DW24101 NPI: 1740417872 7700 Cat Hollow Dr Ste 104 (512) 733-5437 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Pediatric Center of Round Rock Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " White, Alan, MD Round Rock Round Rock J Spellings, Veronica A, MD Gender: Female PCP # 8DB70901 NPI: 1477531978 7200 Wyoming Spgs Dr Ste 1500 (512) 218-8696 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: None Round Rock Sypniewski, Stephanie A, MD Gender: Female PCP # 8DB71101 NPI: 1700812112 4112 Links Ln Ste 201 (512) 672-8933 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine " Tomkins, Amy C, DO Round Rock Gender: Female PCP # 8S554701 NPI: 1134135494 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Pediatrics Gender: Male PCP # 87J44801 NPI: 1861408122 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Zibdeh Lough, Hana I, DO Round Rock Gender: Female PCP # 8EM55501 NPI: 1326294257 940 Hesters Crossing Rd (512) 244-9024 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Children Board Certified Specialties: Pediatrics Round Rock Round Rock Round Rock Unite III, Anselmo G, MD Gender: Male # PCP # 8P286101 NPI: 1366440646 15930 B Great Oaks Dr J (512) 255-8868 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: Addy and Unite MD Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Round Rock Gender: Female PCP # 83036Y01 NPI: 1285640540 940 Hesters Crossing (512) 244-9024 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics SALADO FAMILY PRACTICE Warren, Cheryl L, MD Gender: Female PCP # 8CD06801 NPI: 1770549172 3525 FM 2484 J (254) 947-7500 Hospital Affiliation: Tx Hlth Presbyterian Hosp Wnj, University Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Salado SAN MARCOS FAMILY PRACTICE Anderson, Charles P, MD Gender: Male # PCP # 00SH4601 NPI: 1992735500 1400 N Hwy 123 J (512) 396-3663 Hospital Affiliation: Central Texas Medical Center Board Certified Specialties: None San Marcos " Travis, Wade R, MD Round Rock Gender: Male # PCP # 8P286301 NPI: 1558452961 15930 S Great Oaks Dr J (512) 255-8868 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Georgetown Hospital, St Marks Medical Center Clinic Affiliation: Addy and Unite MD Board Certified Specialties: Pediatrics " Castoldi, Thomas A, DO San Marcos Turner, Trevor H, MD Gender: Male PCP # 8DB71201 NPI: 1063489102 7200 Wyoming Spgs Dr Ste 1500 (512) 218-0896 Hospital Affiliation: Round Rock Medical Center, West Houston Medical Center Clinic Affiliation: Capital Area Primary Care PLLC Board Certified Specialties: Internal Medicine Round Rock ! ! J Gender: Male PCP # 00K07501 PCP # 8CR64101 NPI: 1073605093 310 Stagecoach Trl Ste 200B (512) 396-5300 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Dr Thomas A Castoldi and Assocs Practice Information: No Obstetrics, No Patients Under 2 yrs old Board Certified Specialties: Family Practice Clogston, Curtis P, MD Gender: Male # PCP # 8P232001 NPI: 1174543524 1348 Hwy 123 Ste A J (512) 392-5556 Hospital Affiliation: Seton Medical Center, Southwest General Hospital Clinic Affiliation: Curtis P Clogston MD Board Certified Specialties: None San Marc os " Garrett, James S, MD San Marc os Gender: Male PCP # 00A97Q01 NPI: 1538166491 1601-B Redwood Rd J (512) 754-6622 Hospital Affiliation: Central Texas Medical Center, Seton Medical Center, St Davids S Austin Medical Center Practice Information: No Obstetrics Board Certified Specialties: Family Practice ! " Kowalik, Jenifer R, MD San Marc os Gender: Female PCP # 8AJ26801 NPI: 1679507180 1999 Medical Pkwy Ste A J (512) 351-4541 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Jenifer Kowalik MD Board Certified Specialties: Family Practice Laue, Richard R, MD Gender: Male # PCP # 8J935001 NPI: 1154353548 2406 Hunter Rd Ste 106 J (512) 396-7686 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Family Medicine Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None San Marc os Lee, Alan L, MD Gender: Male # PCP # 87860X01 NPI: 1336164425 2406 Hunter Rd Ste 106 J (512) 396-7686 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Family Medicine Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None San Marc os Mangalick, Vip, MD Gender: Male # PCP # 8J935301 NPI: 1437347697 2406 Hunter Rd Ste 106 J (512) 396-7686 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Family Medicine Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None San Marc os J - Wheelchair Access 47 SAN MARCOS Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Smith, Grayson, MD Gender: Male PCP # 8R596001 NPI: 1740224567 1305 Wonder World Dr Ste 206 J (512) 353-8666 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Diagnostics PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Vanshaar, Jason R, MD San Marcos SAN MARCOS Cont FAMILY PRACTICE Cont Mossburg, Patricia T, MD Gender: Female # PCP # 8J935101 NPI: 1477578565 2406 Hunter Rd Ste 106 J (512) 396-7686 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Family Medicine Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None San Marcos " Vazquez, Miguel A, MD San Marcos Gender: Male PCP # 8DT93705 NPI: 1750388450 1340 Wonder World Dr Ste 4201 (210) 233-7000 Hospital Affiliation: Christus Santa Rosa Hosp City Ctr, Methodist Hospital, Metropolitan Methodist Hospital Clinic Affiliation: Communicare Health Centers Board Certified Specialties: Family Practice " Richardson, Stephen G, MD San Marcos J Gender: Male PCP # 8EM91401 NPI: 1992020440 401 Broadway St Ste A (512) 393-5018 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Live Oak Health Partners Board Certified Specialties: Family Practice Rodriguez, Michelle C, MD Gender: Female PCP # 8DL35501 NPI: 1710115274 1320 Wonder World Dr Ste 101 J (512) 396-3911 Hospital Affiliation: Central Texas Medical Center, Mem Hermann Southwest Hospital Clinic Affiliation: Live Oak Health Partners Board Certified Specialties: None " Rogers, William R, DO J Gender: Male PCP # 00AF5601 NPI: 1619041415 310 Stagecoach Trl Ste 200 (512) 396-4700 Hospital Affiliation: Central Texas Medical Center Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Family Practice " Symon, Julia B, MD San Marcos Gender: Female PCP # 8EG06801 NPI: 1821035171 1320 Wonder World Dr Ste 101 (512) 396-3911 PCP # 8AJ99101 NPI: 1821035171 1601 Redwood Rd Ste C J (512) 754-8500 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Julia B Symon MD, Live Oak Health Partners Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine " Willborn, Myriah G, DO San Marcos Gender: Female PCP # 8DN05801 NPI: 1740557552 2406 Hunter Rd Ste 206 (512) 396-7686 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: San Marcos Family Medicine Board Certified Specialties: Family Practice San Marcos San Marcos San Marcos Gender: Male PCP # 8DL35601 NPI: 1497983076 1320 Wonder World Dr Ste 101 J (512) 396-3911 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Live Oak Health Partners Board Certified Specialties: Family Practice Weng, Gladys C, DO Gender: Female PCP # 8AT88401 NPI: 1225094121 1320 Wonder World Dr Ste 101 (512) 396-3911 San Marcos INTERNAL MEDICINE " Depagter, Lenore C, DO San Marcos PCP # 8U814101 NPI: 1225094121 2007 A Medical Pkwy J (512) 396-3911 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Central Texas Medical Assoc, Live Oak Health Partners Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Gender: Female # PCP # 8DG07101 NPI: 1932214921 1320 Wonder World Dr Ste 101 J (512) 396-3911 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Live Oak Health Partners Board Certified Specialties: Internal Medicine PEDIATRICS " Dolan, Donna J, MD San Marcos " Sanderlin, Brent W, DO San Marcos J Gender: Male PCP # 8EM90601 NPI: 1609837210 1320 Wonder World Dr Ste 101 (512) 396-3911 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Live Oak Health Partners Board Certified Specialties: Family Practice " Schneider, David L, MD San Marcos Gender: Male PCP # 8EL77401 NPI: 1871542936 1601 Redwood Rd Ste B (512) 754-6622 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Resolute Health Physicians Networ Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Black, Angela P, MD Gender: Female PCP # 8726M001 NPI: 1831134824 1305 Wonder World Dr Ste 206 J (512) 396-1525 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Dolan Donna J MD Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine San Marcos Gender: Female # PCP # 8CG16301 NPI: 1972671733 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Seton Edgar B Davis, University Med Ctr Brackenridge Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Pediatrics " Deschner, Rhonda W, MD San Marcos " Moore, Gregory K, MD San Marcos Gender: Female # PCP # 8CB12001 NPI: 1639316698 601 Leah Ave (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male # PCP # 83Y52001 NPI: 1417958760 601 Leah Ave J (512) 396-1000 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Board Certified Specialties: Internal Medicine Flinn, Jeanne E, DO Gender: Female # PCP # 8J046001 NPI: 1629009469 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center, Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None San Marcos " Grady, Michael J, MD San Marcos Gender: Male # PCP # 8A264001 NPI: 1376574111 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Harrison, Sue A, MD Gender: Female # PCP # 83Y52201 NPI: 1558392399 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None San Marcos Humphrey, Jill S, MD Gender: Female # PCP # 8J046301 NPI: 1790874402 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None San Marcos " Messinger, Ivri K, MD San Marcos Gender: Female # PCP # 8BN25801 NPI: 1114975711 601 Leah Ave J (512) 392-1700 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Corridor Primary Care PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Velasquez, Theresa S, MD Gender: Female # PCP # 8CN27602 NPI: 1275519456 1340 Wonder World Dr Ste 4201 (512) 392-1718 Hospital Affiliation: Central Texas Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Communicare Health Centers Board Certified Specialties: None San Marcos SCHULENBURG FAMILY PRACTICE Kocurek, Donald J, MD Gender: Male # PCP # 8CF14001 NPI: 1932125622 40 E Ave (979) 743-3520 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Kocurek and James Clinic PLLC Board Certified Specialties: None Schulenburg J - Wheelchair Access 48 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp TEMPLE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. OBSTETRICS-GYNECOLOGY " Cohen, Dinna O, MD Taylor SCHULENBURG Cont FAMILY PRACTICE Cont " Tijerina, Lindsey E, MD Schulenburg Gender: Female # PCP # 8DT85701 NPI: 1225359235 40 E Ave (979) 743-3520 Hospital Affiliation: St Marks Medical Center Clinic Affiliation: Kocurek and James Clinic PLLC Board Certified Specialties: Family Practice J " Gutierrez-Macias, Rodolfo G, MD SMITHVILLE J " Stone, Mark A, MD Smithville ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J Gender: Male PCP # 82702N02 NPI: 1326000852 403 Mallard Ln (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Barkis, Leslie A, DO Gender: Male PCP # 8DU64901 NPI: 1669468039 1905 Southwest Hk Dodgen Loop (254) 298-2400 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice " Cohen, Nathan R, MD Taylor J PCP # 83X69602 NPI: 1497715700 7556 Honeysuckle (254) 742-7400 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple INTERNAL MEDICINE TAYLOR Gender: Male PCP # 80439K02 NPI: 1285694265 403 Mallard Ln J (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Barber, Sharon L, MD Gender: Female PCP # 83X69601 NPI: 1497715700 1402 W Ave H J (254) 771-8411 Taylor J Gender: Male PCP # 8CA00801 NPI: 1912983362 2401 S 31st St (254) 724-8800 Hospital Affiliation: Heart Of Texas Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Temple Gender: Male PCP # 8BG56802 NPI: 1720259328 403 Mallard Ln (512) 509-0200 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice PEDIATRICS " Chang, Franklin, MD J " Smalley, Franklin J, MD ! Taylor " Allen Jr, James H, MD Temple Gender: Male PCP # 8A336102 NPI: 1992765192 403 Mallard Ln (512) 352-5251 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Taylor " Yens, Diana A, MD FAMILY PRACTICE TEMPLE FAMILY PRACTICE " Holdampf, Barry J, MD Smithville Spears, Neal M, MD Gender: Male PCP # 8CV14801 NPI: 1053352294 1501 Dorthy Nichols Ln (512) 791-1224 Hospital Affiliation: Seton Smithville Reg Hospital, Texas Childrens Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Over 17 yrs old Board Certified Specialties: None Gender: Male PCP # 8CA01402 NPI: 1588855266 403 Mallard Ln (512) 352-5251 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Taylor INTERNAL MEDICINE Gender: Female PCP # 8DL44701 NPI: 1255394375 605 NE Ninth St J (512) 791-1224 Hospital Affiliation: Seton Smithville Reg Hospital Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Internal Medicine Gender: Female # PCP # 8CQ17203 NPI: 1962673301 305A Mallard Ln J (877) 800-5722 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Hines, Terrance S, MD PEDIATRICS James, Michele L, MD Gender: Female # PCP # 8CF40501 NPI: 1376557520 40 E Ave (979) 743-3520 Clinic Affiliation: Kocurek and James Clinic PLLC Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Van Benthuysen, Suzanne L, MD Tay lor Taylor J Chumbley II, Clyde M, MD Gender: Male PCP # 8CS34002 NPI: 1417938341 403 Mallard Ln (512) 352-5251 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None PEDIATRICS Gender: Male PCP # 8DU40901 NPI: 1417952003 305 Mallard Ln (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Family Practice Schulenburg Schulenburg Tay lor Taylor INTERNAL MEDICINE Powell, Justin W, DO Gender: Male PCP # 8DC97801 NPI: 1487663191 40 E Ave J (979) 743-3520 Clinic Affiliation: Kocurek and James Clinic PLLC Board Certified Specialties: None Gender: Female PCP # 80438K02 NPI: 1376502906 403 Mallard Ln (512) 509-0200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 80437K02 NPI: 1306806203 403 Mallard Ln (512) 352-5251 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Blazo, Maria A, MD Temple Gender: Female PCP # 8EQ85701 NPI: 1902986334 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Houston Methodist Hospital, Texas Childrens Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Brackman, Marri K, DO Gender: Female PCP # 8EL37101 NPI: 1609168855 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Temple " Calderon, April M, DO Temple Gender: Female PCP # 8CL98601 NPI: 1437475191 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Flory, Jennifer K, MD Temple Gender: Female PCP # 8B470201 NPI: 1295795961 1402 W Ave H J (254) 680-1100 PCP # 8B470202 NPI: 1295795961 7556 Honeysuckle J (254) 742-7400 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Fowler, Ryan C, MD Gender: Male PCP # 8DV30402 NPI: 1417959925 1905 Southwest Hk Dodgen Loop (254) 298-2480 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: None Temple " Franklin Jr, Jack P, MD Temple Gender: Male PCP # 8CS20303 NPI: 1366426595 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott & White Hospital Llano Clinic Affiliation: Scott and White Hospital Llano Board Certified Specialties: Family Practice " Berry, Tiffany J, MD Temple Miller, Gwendolyn B, MD Gender: Female PCP # 8CQ79003 NPI: 1700812716 305 Mallard Ln J (512) 352-7611 Hospital Affiliation: Doctors Hospital, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Taylor J J Gender: Female PCP # 8AB19701 NPI: 1003013343 1402 W Ave H (254) 771-8411 PCP # 8AB19702 NPI: 1003013343 7556 Honeysuckle (254) 742-7400 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Furman, Matthew J, MD Temple Gender: Male PCP # 8DU65101 NPI: 1003802109 1905 Southwest Hk Dodgen Loop (254) 298-2480 Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice J - Wheelchair Access 49 TEMPLE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Kitson, Sandra, MD " Sherrill, Julia C, MD Temple TEMPLE Cont FAMILY PRACTICE Cont " Graham, Loyce H, MD Temple Gender: Female PCP # 8DU65701 NPI: 1265492979 1905 Southwest Hk Dodgen Loop (254) 298-2400 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice " Kylberg, Roger W, MD " Hart, Kathryn D, MD Gender: Female PCP # 8DN81901 NPI: 1073876306 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Henry, Robert A, DO Temple J J Gender: Male PCP # 80762901 NPI: 1740240308 1402 W Ave H (254) 771-8411 PCP # 80762902 NPI: 1740240308 7556 Honeysuckle (254) 742-7400 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Hong, May C, MD Temple J Gender: Female PCP # 8CM39403 NPI: 1811933690 1402 W Ave H (254) 771-8411 Hospital Affiliation: Scott & White Hospital Taylor Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 8DU68901 NPI: 1356338412 1905 Southwest Hk Dodgen Loop (254) 298-2400 Hospital Affiliation: Little River Healthcare, Metroplex Hospital Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J " Aslam, Waqas, MD Temple Gender: Male PCP # 8EL37001 NPI: 1841509320 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine Gender: Female PCP # 8CD84701 NPI: 1811055049 1402 W Ave H J (254) 771-8411 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Via, Lara T, MD Temple Gender: Female PCP # 80317N03 NPI: 1609046804 937 Canyon Creek Dr J (254) 774-7680 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Manning, John L, MD Gender: Male PCP # 83X67101 NPI: 1588625776 1402 W Ave H J (254) 771-8411 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Via, Robert M, MD Temple PCP # 80316N01 NPI: 1629030101 1402 W Ave H J (254) 771-8411 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Mayabb, Trevin B, MD Gender: Male PCP # 8EJ61602 NPI: 1508157330 409 W Adams (254) 742-3700 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Temple " Vo, Thu P, DO " Bhat, Ashwini, MD Temple Gender: Female PCP # 8CZ84901 NPI: 1396901856 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J Bolanos, Karla P, MD Gender: Female PCP # 8CU69601 NPI: 1699766345 2401 S 31st St J (254) 724-2111 Temple PCP # 8CU69602 NPI: 1699766345 600 S 25th St (254) 771-8472 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None J Temple Gender: Female PCP # 8CC97701 NPI: 1932186319 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Mueller, Jessie M, MD Temple Gender: Female PCP # 8CL41501 NPI: 1578721882 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Walton, William J, MD Gender: Male PCP # 8CB44901 NPI: 1255323861 409 W Adams Ave J (254) 742-3700 Hospital Affiliation: Medical City Dallas Hospital, Methodist Richardson Medical Ctr, Tx Hlth Presbyterian Hosp Dallas Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Bowling, John R, MD Temple Gender: Male PCP # 80748401 NPI: 1356301550 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J Temple " Pendleton, Solomon A, MD Temple Gender: Male PCP # 8CW07201 NPI: 1134329600 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Broadnax, Veronica A, MD Gender: Female PCP # 8DY52801 NPI: 1568699718 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Temple INTERNAL MEDICINE " Ramm, Jason D, MD Temple " Aguirre, Roberto I, MD Gender: Male PCP # 8EQ61101 NPI: 1639161631 409 W Adams (254) 742-3700 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice " Hopkins, Donald W, DO Gender: Male PCP # 8CA35301 NPI: 1851559132 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Smith, Janice K, MD Temple Temple " Anderson, Robert L, MD Temple Temple Gender: Male PCP # 8DU69001 NPI: 1245226547 1905 Southwest Hk Dodgen Loop (254) 298-2480 Hospital Affiliation: Little River Healthcare, Metroplex Hospital Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Family Practice " Hall, Jeffrey A, DO Temple Gender: Female PCP # 8CX72402 NPI: 1699938159 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Family Practice Temple Temple Gender: Male PCP # 8U146101 NPI: 1609836311 409 W Adams Ave (254) 742-3700 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Temple Gender: Female PCP # 8S190601 NPI: 1720048614 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Temple Gender: Male PCP # 83X67501 NPI: 1730149014 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital, Tx Hlth Harris Methodist Hosp Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Rascoe, Terry, MD Temple Gender: Male PCP # 87G88501 NPI: 1649231978 409 W Adams Ave J (254) 742-3700 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Alger, Elmer A, MD Gender: Male PCP # 8BS42901 NPI: 1356346563 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple " Brust, Karen B, MD Temple J Gender: Female PCP # 8W894701 NPI: 1558568717 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Byrd, Timothy M, MD Temple J Gender: Male PCP # 8CV42801 NPI: 1972764868 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J - Wheelchair Access 50 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp TEMPLE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Holleman, Vernon D, MD Gender: Male PCP # 80737301 NPI: 1265492896 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Gopalam, Mithula R, MD Temple TEMPLE Cont INTERNAL MEDICINE Cont " Cesani, Jose A, MD Temple Gender: Male PCP # 84809F01 NPI: 1528027299 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Cheema, Yasir I, MD Temple Gender: Male PCP # 8CW96803 NPI: 1952515876 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine J " Goraya, Nimrit, MD Temple J J Fairweather, Morgan G, MD Gender: Male PCP # 8DU67501 NPI: 1215257142 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None J J J J " Jesse, Richard H, MD Gender: Female PCP # 8DG31401 NPI: 1811124365 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J Jimenez, Edgar J, MD Gender: Male PCP # 8EJ09101 NPI: 1912981952 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Care Regional Medical Center, Corpus Christi Medical Center Bay Area Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Havemann, David F, MD J Gender: Male PCP # 80744301 NPI: 1598725053 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Gender: Female PCP # 86J19601 NPI: 1780644492 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple " Ghamande, Shekhar A, MD Gender: Male PCP # 8CW94101 NPI: 1447440912 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple " Hall, Beatriz M, MD Temple Gender: Female PCP # 8DE93101 NPI: 1467614958 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Kimmey, Kathy B, MD Temple Gender: Female PCP # 80769401 NPI: 1649230574 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Lange, Jason K, MD Gender: Male PCP # 8S190301 NPI: 1275593931 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple " Leyva, Astrud L, MD Temple Gender: Male PCP # 8DV48001 NPI: 1275724460 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Issac, Tony, MD Temple J Gender: Female PCP # 8DH47001 NPI: 1669676235 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Kaur, Baljit, MD Temple Temple Gender: Female PCP # 8AD06701 NPI: 1619156056 2401 S 31st St (254) 724-8800 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Haenel, Shannon, DO " Gardner, Angela R, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female PCP # 8AD06301 NPI: 1306851274 2401 S 31st St (254) 724-8800 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Gender: Male PCP # 8CY24901 NPI: 1366412090 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Huynh, Tran C, MD Temple " Guo, Jadie Y, MD " Forrester, Lisa D, MD Gender: Female PCP # 8CG15401 NPI: 1245434802 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 8EH50401 NPI: 1760610182 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine Gender: Female PCP # 8CY79501 NPI: 1932314846 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine Temple Temple Gender: Female PCP # 8CA35601 NPI: 1477712792 1605 S 31st St J (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Hunt, Richmond L, MD " Grillo, Kelly H, MD J Gender: Male PCP # 8CV50401 NPI: 1891956587 1605 S 31st St (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Temple Temple J " Green, Aval Na Ree S, MD " Dave, Bijal P, MD Delmas, Thomas L, MD Gender: Male PCP # 8EH20601 NPI: 1255623492 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Hubble, Levi L, MD Temple Gender: Female PCP # 8CM48701 PCP # 8CN06701 NPI: 1518168723 2401 S 31st St (254) 724-2111 (254) 724-8800 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Gender: Female PCP # 8CS54901 NPI: 1669654133 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Gender: Female PCP # 8CE00301 NPI: 1093931974 1605 S 31st St (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 80740601 NPI: 1508826231 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Karanjeet, Raina, MD Temple J Gender: Female PCP # 8DX94001 NPI: 1336303270 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Lezama, Maybelline V, MD Temple Gender: Female PCP # 8CB44201 NPI: 1467627737 1605 S 31st St J (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Lowe, Darla G, MD Temple Gender: Female PCP # 84W33501 NPI: 1528029709 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Malik, Mudassar M, MD Temple Gender: Male PCP # 8BS02001 NPI: 1710186093 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Mansour, Paul G, MD Temple Gender: Male PCP # 8BG56201 NPI: 1982863122 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J - Wheelchair Access 51 TEMPLE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Rouf, Emran, MD Gender: Male PCP # 8CV57901 NPI: 1275578825 1605 S 31st St J (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Myers II, John D, MD Temple TEMPLE Cont INTERNAL MEDICINE Cont " Martin, Michael P, MD Temple J Gender: Male PCP # 80758301 NPI: 1104887256 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " McKenzie, Trina D, MD Temple Gender: Female PCP # 8BX83701 NPI: 1326104183 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " McNeal, Michael J, MD Temple J Gender: Male PCP # 8DT46001 NPI: 1093033714 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Mirkes, Curtis R, DO Gender: Male PCP # 8W064901 NPI: 1932123429 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Mock, Jonathan D, MD Temple Gender: Male PCP # 8AB53101 NPI: 1578640884 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Moffitt, Michael J, MD Temple Gender: Male PCP # 8P911401 NPI: 1386605368 1605 S 31st St (254) 215-0100 Hospital Affiliation: Glen Rose Medical Center, Lake Granbury Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs, No Patients Under 16 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male PCP # 8CF33901 NPI: 1336107549 2401 S 31st St J (254) 724-2111 Hospital Affiliation: John Peter Smith Hospital, Parkland Health And Hospital Sys Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Patil, Sarla R, MD Gender: Female PCP # 8DU70101 NPI: 1982672192 1905 Southwest Hk Dodgen Loop J (254) 298-2480 Hospital Affiliation: Little River Healthcare, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Internal Medicine J " Sibbitt, Stephen J, MD Gender: Male PCP # 8G841701 NPI: 1780645440 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Plemmons, Robert M, MD Gender: Male PCP # 8BW92501 NPI: 1225144009 2401 S 31st St (254) 724-2111 PCP # 8BW92502 NPI: 1225144009 2601 Thorton Ln (254) 724-6622 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Slavcheva, Evgenia G, MD Temple Gender: Female PCP # 8EC46501 NPI: 1477508448 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Poteet Jr, Herman B, MD Temple Gender: Male PCP # 8DU74601 NPI: 1598751885 1905 Southwest Hk Dodgen Loop J (254) 298-2480 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Internal Medicine " Velasquez Jr, Juvencio, MD J Vincent, Hailey M, MD Gender: Female PCP # 8DU68501 NPI: 1740500818 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Vohra, Sameera, MD Temple Gender: Female PCP # 8BX83801 NPI: 1730370925 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Walker, Stephen C, MD Temple " Smith, Daniel J, MD " Prince, Whitney, MD Temple Gender: Female PCP # 8CW97201 NPI: 1265682181 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Stratton, Noah, DO Gender: Male PCP # 8EK05301 NPI: 1730472713 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None J " Ramirez, Jonathan C, MD Gender: Male PCP # 8CV90101 NPI: 1184883241 1605 S 31st St J (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Tong, Carl W, MD Temple Gender: Male PCP # 8CT45801 NPI: 1992760276 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Reasoner, Brian M, MD Temple Gender: Male PCP # 8BV76101 NPI: 1487663100 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Van Cleave, Holly A, MD " Weinblatt, James S, MD J " Rivera, Cathleen M, MD Temple Gender: Female PCP # 8CE00101 NPI: 1811971484 1605 S 31st St J (254) 215-0100 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 83X67401 NPI: 1659333565 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Weiss, Barbara A, MD Temple J Temple Gender: Female PCP # 81754Y01 NPI: 1629030192 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 80759801 NPI: 1326000357 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Temple Gender: Male PCP # 80434K01 NPI: 1861454878 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Gender: Male PCP # 80744001 NPI: 1235191545 1605 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Male PCP # 8CA34901 NPI: 1568615243 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Temple Temple " McNeal, Tresa M, MD Temple " Schlabach, Michael R, MD " Vazquez, Jacobo A, MD Temple Temple Temple Temple Gender: Female PCP # 8U149501 NPI: 1225057672 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Gender: Male PCP # 8B045601 NPI: 1427019330 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Gender: Female PCP # 86J21801 NPI: 1912969825 1605 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Westwick, Thomas J, MD Temple J Gender: Male PCP # 86J21601 NPI: 1689636508 1605 S 31st St (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J - Wheelchair Access 52 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp TEMPLE Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Armin, Samira, MD " Black, D Bethany, MD Temple TEMPLE Cont J Gender: Female PCP # 8DH66503 NPI: 1306070586 1901 Southwest H K Dodgen Loop Bldg 300 (254) 724-5437 J PCP # 8DH66502 NPI: 1306070586 2112 Southwest Loop 363 Ste 110 (254) 724-2111 INTERNAL MEDICINE Cont " Win, Sonny, MD Temple Gender: Male PCP # 83X68501 NPI: 1588626253 1605 S 31st St J (254) 215-0100 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Wood, Adam S, MD Temple Gender: Male PCP # 8CA35001 NPI: 1225296494 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine J J J PCP # 80738402 NPI: 1093775389 2112 Southwest Loop 363 Ste 110 (254) 724-5437 " Brakemeier, Robert H, MD J Gender: Male PCP # 80741101 NPI: 1760441539 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Obstetrics-Gynecology " Furman, Alisa A, MD Temple Gephart, Laura F, MD Gender: Female PCP # 8EQ67301 NPI: 1568783306 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Agadi, Satish, MD Temple Gender: Male PCP # 8EB57801 NPI: 1275724585 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours PCP # 80738401 NPI: 1093775389 2401 S 31st St (254) 724-5437 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J PCP # 82464K02 NPI: 1275593352 2112 Southwest Loop 363 Ste 110 (254) 724-5437 Bybee, Kristy R, DO Gender: Female PCP # 8CV42601 NPI: 1467774943 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " Chan, Soi Yu, MD Temple J " Beharry, Meera S, MD Temple Gender: Female PCP # 8DK57503 NPI: 1447403340 1901 Southwest H K Dodgen Loop Bldg 300 (254) 724-5437 Gender: Female PCP # 8DM88801 NPI: 1700064094 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Choe, Jessica W, MD Temple Gender: Female PCP # 8BS96801 NPI: 1578722146 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics PCP # 8DK57501 NPI: 1447403340 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott & White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Colbath, Melissa S, MD Temple " Bierwirth, Matthew B, MD Temple J PCP # 82464K01 NPI: 1275593352 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Temple Battle, Soo C, MD Gender: Female PCP # 8CD75201 NPI: 1417281437 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple PEDIATRICS J Gender: Male PCP # 82464K03 NPI: 1275593352 1901 Southwest H K Dodgen Loop Bldg 300 (254) 724-5437 J Temple Gender: Female PCP # 8DW77001 NPI: 1710973102 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Obstetrics-Gynecology " Desai, Manish A, MD Temple Gender: Male PCP # 8CW90401 NPI: 1861515843 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Farris, Amanda C, DO Temple Gender: Female PCP # 8AB76601 NPI: 1467651554 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Burke, Robert E, MD " Asbury, J R, MD Birkholz, Christopher, MD Gender: Male PCP # 8DG31501 NPI: 1598926669 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Gender: Female PCP # 8DU65501 NPI: 1548220718 1905 Southwest Hk Dodgen Loop (254) 298-2400 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Pediatrics Temple Temple OBSTETRICS-GYNECOLOGY Temple J PCP # 8DH66501 NPI: 1306070586 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics Gender: Male PCP # 80738403 NPI: 1093775389 1901 Southwest H K Dodgen Loop Bldg 300 (254) 724-5437 Temple Temple J Gender: Male PCP # 82335B03 NPI: 1750340568 2112 Southwest Loop 363 Ste 110 (254) 724-5437 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J Gender: Female PCP # 8CL98501 NPI: 1255667499 2401 S 31st St (254) 724-2111 PCP # 8CL98502 NPI: 1255667499 6684 W Adams Ave (254) 899-4205 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Davis, Tinku, MD Temple J Gender: Female PCP # 8CB05701 NPI: 1477757037 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Pediatrics " Flippin, Jill M, MD Temple Gender: Female PCP # 8BU45101 NPI: 1871767087 2401 S 31st St (254) 724-8800 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Fuller, Allie M, MD Temple Gender: Female PCP # 8CL62501 NPI: 1942461454 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Gibson, Jeremy, MD Temple Gender: Male PCP # 8B470501 NPI: 1003876798 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Golden, Alma L, MD Gender: Female PCP # 8W265801 NPI: 1841370772 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple " Govande, Vinayak P, MD Temple Gender: Male PCP # 8EA75501 NPI: 1790707826 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics Guptha, Sushma N, MD Gender: Female PCP # 8DU83403 NPI: 1710064357 2401 S 31st St J (254) 680-1100 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple " Hagen, Barbara T, MD Temple Gender: Female PCP # 80766101 NPI: 1972837516 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics J - Wheelchair Access 53 TEMPLE Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " McCormick, Sarah M, DO " Rai, Anuradha, MD Temple TEMPLE Cont PEDIATRICS Cont " Itkin, Philip G, MD Temple J J Gender: Male PCP # 8CY04001 NPI: 1447322490 2401 S 31st St (254) 724-2111 PCP # 8CY04002 NPI: 1447322490 6684 W Adams Ave (254) 899-4200 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Kane, Javier R, MD Temple J J Gender: Male PCP # 8CW38802 NPI: 1700999265 1901 Southwest H K Dodgen Loop Bldg 300 (254) 724-5437 PCP # 8CW38801 NPI: 1700999265 2401 S 31st St (254) 724-2111 Hospital Affiliation: ChildrensHospitalSanAntonio', Christus Santa Rosa Hosp City Ctr, University Health System Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Kastner, Randy R, MD Temple J J Gender: Male PCP # 85Z66001 NPI: 1932169331 2401 S 31st St (254) 724-2111 PCP # 85Z66002 NPI: 1932169331 6684 W Adams Ave (254) 899-4200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Konnur, Neelam, MD Gender: Female PCP # 8CY85202 NPI: 1972646479 1901 Southwest Hk Dodgen Loop Bldg 300 J (254) 724-5437 Temple J PCP # 8CY85201 NPI: 1972646479 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " McAllister, Daniel G, MD Temple J Gender: Male PCP # 8W033501 NPI: 1629079504 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Thompson Jr, John Q, DO Temple Gender: Male PCP # 80744102 NPI: 1275595266 1901 Southwest Hk Dodgen Loop Bldg 300 (254) 724-5437 J PCP # 80744101 NPI: 1275595266 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Riser, Rebecca M, MD Temple Gender: Female PCP # 8DU70801 NPI: 1407817067 1905 Southwest Hk Dodgen Loop J (254) 298-2480 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Scott And White Memorial Hospital Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Pediatrics McNeal, Tresa M, MD Gender: Female PCP # 8U149501 NPI: 1225057672 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Saenz, Paulina A, MD Gender: Female PCP # 8CY24701 NPI: 1184875858 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None J Ward, Erica L, MD Gender: Female PCP # 8W232002 NPI: 1992711956 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple Temple " Meza, Elena I, MD Temple Gender: Female PCP # 8CX80202 NPI: 1710948559 2112 Southwest Loop 363 Ste 110 J (254) 724-2111 PCP # 8CX80201 NPI: 1710948559 2401 S 31st St J (254) 724-2111 Hospital Affiliation: North Central Baptist Hospital, Northeast Baptist Hospital Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Santema, Sharyl J, MD " Williams, Charlie D, MD Temple Temple Gender: Female PCP # 80430K01 NPI: 1972564706 2401 S 31st St J (254) 724-2111 PCP # 80430K02 NPI: 1972564706 6684 W Adams Ave J (254) 899-4200 Hospital Affiliation: Scott And White Memorial Hospital, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Mirkes, Curtis R, DO Gender: Male PCP # 8W064901 NPI: 1932123429 2401 S 31st St (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine Temple Smith, Michael C, MD Gender: Male PCP # 82333B01 NPI: 1033171350 2401 S 31st St J (254) 724-2111 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Temple " Newman, Trichelle A, MD Temple Gender: Female PCP # 8BG56901 NPI: 1164682886 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Kirby Keyser, Linda J, MD J Gender: Female PCP # 8CM48501 NPI: 1093712523 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Temple Temple Gender: Female PCP # 8X629601 NPI: 1417286592 2401 S 31st St (214) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Temple Gender: Female PCP # 8DX74401 NPI: 1093988297 2401 S 31st St (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Sosa, Jacqueline Q, MD Temple Gender: Female PCP # 8DV35201 NPI: 1407021173 1905 Southwest Hk Dodgen Loop J (254) 298-2465 Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Pediatrics " Okogbo, Michael E, MD Temple Gender: Male PCP # 8CL53601 NPI: 1043224132 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics J J FAMILY PRACTICE " Allison, Dale C, MD Waco Gender: Male # PCP # 80Y50101 NPI: 1154393429 7300 Bosque Blvd J (254) 202-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Barry, Lynda J, MD Waco Gender: Female PCP # 8CD50001 NPI: 1043297849 9821 China Springs Hwy (254) 202-7400 Hospital Affiliation: Driscoll ChildrensHospital', Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Sullivan, Lisa S, MD Gender: Female PCP # 8BS42102 NPI: 1922254309 2112 Southwest Loop 363 Ste 110 J (254) 724-2111 " Olufs, Richard D, MD Gender: Male PCP # 8DU74501 NPI: 1467448746 1905 Southwest Hk Dodgen Loop J (254) 298-2480 Hospital Affiliation: Little River Healthcare, Metroplex Hospital, Seton Medical Ctr Harker Heights Clinic Affiliation: Little River Healthcare Family Ca Board Certified Specialties: Pediatrics PCP # 8BS42101 NPI: 1922254309 2401 S 31st St J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics PCP # 86J25602 NPI: 1629030549 6684 W Adams Ave (254) 899-4200 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics WACO Temple Temple Gender: Male PCP # 86J25601 NPI: 1629030549 2401 S 31st St (254) 724-2111 Bull, Brian D, MD Gender: Male # PCP # 80Y49601 NPI: 1023089679 851 N Loop 340 J (254) 202-7500 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: None Waco J - Wheelchair Access 54 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp WACO Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Guerra, Carlos A, MD " NIX, Anastacia J, MD Wac o WACO Cont FAMILY PRACTICE Cont " Carl, Leighton H, MD Waco Gender: Male # PCP # 8AA48201 NPI: 1922075225 7300 Bosque Blvd J (254) 202-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice Waco Delue, Sean D, MD Gender: Male PCP # 8BV76802 NPI: 1477525004 7700 Fish Pond Rd (254) 741-4444 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None " George, Saramma, MD Waco Gender: Female PCP # 8W735501 NPI: 1215035845 2201 MacArthur Dr Ste 2205 (254) 202-6580 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Baptist Medical Ct Board Certified Specialties: Family Practice " Gill, John H, MD Waco Gender: Male # PCP # 8H907401 NPI: 1578540183 1600 Providence Dr J (254) 313-4200 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Family Practice Center Board Certified Specialties: Family Practice " Goebel, Gregg, MD Waco Gender: Male PCP # 80769703 NPI: 1194784439 7700 Fishpond Rd J (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Graham Jr, James T, MD Waco Gender: Male # PCP # 88X54802 NPI: 1508839515 3301 Westminister J (254) 202-7800 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Grant, Christopher R, MD Waco Gender: Male PCP # 84196K02 NPI: 1891755500 7700 Fishpond Rd J (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Waco Gender: Male # PCP # 81514G01 NPI: 1952373227 7300 Bosque Blvd J (254) 202-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice Gender: Female PCP # 8DV41201 NPI: 1508151309 851 N Loop 340 (254) 202-7500 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Hinds, William M, MD " Petty, Michael K, DO Wac o Waco Gender: Male # PCP # 8W096201 NPI: 1932169695 50 Hillcrest Medical Blvd Ste 104 J (254) 202-7300 Hospital Affiliation: Hillcrest Baptist Medical Center, Scott And White Memorial Hospital Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice Gender: Male # PCP # 8A889001 NPI: 1700850682 7300 Bosque Blvd J (254) 202-2600 Hospital Affiliation: Columbus Community Hospital, Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Raley, Stephen P, MD Waco Gender: Male PCP # 8AA48101 NPI: 1649360421 7300 Bosque Blvd (254) 202-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Reis, Michael, MD Waco " Jensen, Randall D, MD Wac o J Gender: Male PCP # 80757102 NPI: 1639139231 7700 Fishpond Rd (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J Waco " Jernigan, Floyd, MD Wac o J Gender: Male PCP # 86J22302 NPI: 1831151166 7700 Fishpond Rd J (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Talbert, Amy L, MD Waco Gender: Female PCP # 8A889601 NPI: 1659399798 9821 China Sprig Rd J (254) 202-7400 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Tipton, Reagan E, DO Waco Gender: Male PCP # 8H367501 NPI: 1487622544 50 Hillcrest Medical Blvd Ste 1 (254) 202-7300 Hospital Affiliation: Coryell Memorial Hospital, Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice Gender: Male # PCP # 80Y49301 NPI: 1336111996 1001 Hewitt Dr J (254) 202-7800 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Hulme, Kyle L, MD Wac o J " Stern, Charles, MD Waco Gender: Male PCP # 84191K02 NPI: 1891755088 7700 Fishpond Rd (254) 761-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Gender: Male PCP # 80765202 NPI: 1568423218 7700 Fishpond Rd (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice Roth, Stephanie D, MD Gender: Female PCP # 8DX37201 NPI: 1528022472 851 N Loop 340 (254) 202-7500 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: None " Ryman, James L, MD Waco " Kirk, Lisa J, DO Wac o Gender: Female PCP # 8CT95201 NPI: 1578562146 318 Richland W Cir Ste B (254) 776-8008 Clinic Affiliation: Brazos Integrative Medicine Board Certified Specialties: Family Practice J Gender: Male PCP # 8CG85203 NPI: 1841352424 7700 Fish Pond Rd (254) 761-4444 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice " Schiller, Timothy W, DO Waco Gender: Male # PCP # 84591X01 NPI: 1063483618 851 N Loop 340 J (254) 202-7500 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Lejawa, Robert J, DO Wac o Gender: Male PCP # 8X405303 NPI: 1265592596 7030 New Sanger Ave (254) 519-1900 Hospital Affiliation: Shannon Medical Center Clinic Affiliation: Marsh III William S DO Board Certified Specialties: Family Practice Waco Trevino, Mandy L, MD Gender: Female PCP # 8EJ61801 NPI: 1861784340 7700 Fish Pond Rd (254) 761-4444 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None " Turnage, Elizabeth B, MD Waco Gender: Female # PCP # 8A889301 NPI: 1154393890 7300 Bosque Blvd J (254) 202-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Wehmeyer, Van A, MD Waco Gender: Male PCP # 8X959203 NPI: 1376617076 7700 Fishpond Dr J (254) 741-4444 PCP # 8X959202 NPI: 1376617076 7700 Fishpond Rd J (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Family Practice J - Wheelchair Access 55 WACO Independent Provider Network (IPN) bmk_pin_pcp OCTOBER 15, 2014 Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. WACO Cont INTERNAL MEDICINE " Bhat, Ashwini, MD Wac o J Gender: Female PCP # 8CZ84902 NPI: 1396901856 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Cheema, Yasir I, MD Wac o J Gender: Male PCP # 8CW96802 NPI: 1952515876 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Gupta, Sandeep S, MD Wac o J Gender: Male PCP # 8CV85001 NPI: 1194990945 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine " Headrick, Jennifer L, MD Wac o J Gender: Female PCP # 8EK81301 NPI: 1336334739 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Internal Medicine " Karan, Shobha, MD Wac o Gender: Female PCP # 8AW76101 NPI: 1720222524 2201 MacArthur Dr (254) 202-6500 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Baptist Medical Ct Board Certified Specialties: Internal Medicine " White, Heath D, DO Wac o J Gender: Male PCP # 8CW55703 NPI: 1134392582 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Internal Medicine PEDIATRICS " Beharry, Meera S, MD Wac o " Bierwirth, Matthew B, MD " Dewbre, Jacquelin D, DO Waco Waco Gender: Male PCP # 82335B04 NPI: 1750340568 2201 MacArthur Dr Ste 103 J (254) 756-6836 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics Gender: Female # PCP # 8H367801 NPI: 1346211893 2201 MacArthur Dr J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Brown, Marilyn A, MD Gender: Female PCP # 8CX96102 NPI: 1396736823 120 Hillcrest Medical Blvd 200 and 201 J (254) 297-0400 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Waco " Ferguson, James W, MD Waco Gender: Male PCP # 00FZ0901 NPI: 1558310839 405 Londonderry Ste 300 J (254) 772-2722 Hospital Affiliation: Hillcrest Baptist Medical Center Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics " Burns, Rebeckah J, MD Waco Gender: Female PCP # 8CY80601 NPI: 1649294851 120 Hillcrest Medical Blvd J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Pediatrics " Gamble, Charles E, MD Waco Gender: Male # PCP # 80Y50401 NPI: 1720059272 2201 MacArthur Dr J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Pediatrics Chakmakjian, Stephen S, MD Gender: Male PCP # 8S052001 NPI: 1770566333 601 W Hwy 6 Ste 102 J (254) 399-8364 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Heart of TX Pediatrics PA Board Certified Specialties: None Waco " Hecox, Celeste D, MD Waco Gender: Female PCP # 8DS17801 NPI: 1306040415 120 Hillcrest Medical Blvd Ste 100 J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics " Chan, Soi Yu, MD Waco Gender: Female PCP # 8DM88802 NPI: 1700064094 100 Hillcrest Medical Blvd J (254) 724-2111 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics " Kemper, Karen C, MD Waco Gender: Female # PCP # 8A889201 NPI: 1689645236 120 Hillcrest Medical Blvd Ste 1 J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Pediatrics Clark, Samuel D, DO Gender: Male PCP # 8CF27102 NPI: 1346391752 120 Hillcrest Medical Blvd Ste 200 201 J (254) 297-0400 Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Waco " Marsellus, Cessley D, MD Waco Gender: Female PCP # 8P237502 NPI: 1285694885 7700 Fishpond Rd (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: Pediatrics " Conner, Catherine S, MD Waco Gender: Female PCP # 8CK51101 NPI: 1669676227 601 W State Hwy 6 Ste 102 (254) 399-8364 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Heart of TX Pediatrics PA Board Certified Specialties: Pediatrics " McDonald, Andrew W, MD Waco Gender: Male # PCP # 84593X01 NPI: 1720050081 2201 MacArthur Dr Pediatric Pavillion J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Practice Information: No Patients Over 16 yrs old Board Certified Specialties: Pediatrics Gender: Female PCP # 8DK57502 NPI: 1447403340 100 Hillcrest Medical Blvd (254) 202-5800 Clinic Affiliation: Scott & White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Waco Myers, Anna C, MD Gender: Female PCP # 8U149002 NPI: 1568422939 7700 Fish Pond Rd (254) 741-4444 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Scott and White Clinic Board Certified Specialties: None Nesmith, William R, MD Gender: Male PCP # 8P629001 NPI: 1962485516 601 W Hwy 6 Ste 102 J (254) 399-8364 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Heart of TX Pediatrics PA Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Waco " Popejoy, Vicki V, MD Waco Gender: Female # PCP # 8W096001 NPI: 1588625990 2201 MacArthur Dr Ste 103 J (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center, Scott And White Memorial Hospital Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Pediatrics " Spark, Harvey, MD Waco J Gender: Male PCP # 8DE84901 NPI: 1992986863 2201 McArthur Dr (254) 730-2600 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs, No Patients Over 18 yrs old, Specialized in Pediatrics Board Certified Specialties: Pediatrics " Srinivasan, Priyadarshini, MD Waco Gender: Female PCP # 8DU01501 NPI: 1083693691 120 Hillcrest Medical Blvd (254) 297-0400 Clinic Affiliation: Scott and White Clinic Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Pediatrics Stanko, Sue E, MD Gender: Female PCP # 0066GQ01 NPI: 1740246909 1201 Hewitt Dr Ste 204 J (254) 741-9933 Board Certified Specialties: None Waco " Thaller, Katherine E, MD Waco Gender: Female PCP # 8EK20801 NPI: 1144632530 120 Hillcrest Medical Blvd Ste 100 (254) 202-6100 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Pediatrics J - Wheelchair Access 56 OCTOBER 15, 2014 Independent Provider Network (IPN) bmki_pn_pcp WOODWAY Primary Care Physicians The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Rasor, Daniel L, MD Gender: Male PCP # 8DN20401 NPI: 1043211329 912 S Capital of Texas Hwy Ste 100 (512) 892-7076 Hospital Affiliation: St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None " Smith, Kristina B, MD Wes t Lake Hills WEST FAMILY PRACTICE " Chudej, Eric, MD West Gender: Male PCP # 8CY15401 NPI: 1053620013 401 Meadow Dr J (254) 826-3073 Clinic Affiliation: Family Diagnostic Medical Center LLP Board Certified Specialties: Family Practice WEST LAKE HILLS " Angerstein, Jacqueline, DO Blair, Stephen, MD Gender: Male PCP # 8DN18601 NPI: 1962404244 912 Capital of Texas Hwy Ste 100 (512) 892-7076 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None Lifshen, Michael S, MD Gender: Male PCP # 8DN19701 NPI: 1982605234 912 Capital of Texas Hwy Ste 100 (512) 892-7076 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None " Patel, Sadhana S, MD Gender: Female PCP # 8DN20301 NPI: 1316948755 912 Capital of Texas Hwy Ste 100 (512) 306-8360 Hospital Affiliation: St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: Family Practice ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Ebert Blackburn, Didi E, DO Whitney J " Christensen, Jennifer C, MD Wes t Lake Hills Gender: Female PCP # 8CU82202 NPI: 1649596305 1314 N Brazos St (254) 694-6997 Hospital Affiliation: Plaza Medical Center Fort Worth Clinic Affiliation: Family Diagnostic Medical Center LLP Board Certified Specialties: Family Practice " Henderson, Randall D, DO Gender: Female # PCP # 8DQ23801 NPI: 1790974632 4201 Bee Caves Rd Ste C100 (512) 327-1155 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Schoolhouse Pediatrics Board Certified Specialties: Pediatrics Whitney Gender: Male PCP # 8EJ36701 NPI: 1700879848 1314 N Brazos St (254) 694-3621 Clinic Affiliation: Whitney Family Medicine Board Certified Specialties: Family Practice " Gallagher, Ava W, MD Wes t Lake Hills WIMBERLEY Gender: Female PCP # 8DS62301 NPI: 1396975397 925 Westbank Dr Ste 100 (512) 327-0411 Hospital Affiliation: Houston Methodist St John Hosp Clinic Affiliation: 411 Pediatrics Board Certified Specialties: Pediatrics West Lake Hills West Lake Hills WHITNEY FAMILY PRACTICE Brown, Ari A, MD Gender: Female PCP # 8DS62201 NPI: 1396850525 925 Westbank Dr Ste 100 (512) 327-0411 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: 411 Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Wes t Lake Hills West Lake Hills West Lake Hills Gender: Female # PCP # 8DS62401 NPI: 1730325754 925 Westbank Dr Ste 100 J (512) 327-0411 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: 411 Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRICS FAMILY PRACTICE Gender: Female PCP # 8AJ08701 NPI: 1750367629 3530 Bee Caves Rd Ste 110 J (512) 328-3311 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: J Angerstein DO Board Certified Specialties: Family Practice West Lake Hills FAMILY PRACTICE " Price, Eric W, MD Wimberley Gender: Male PCP # 8DC74801 NPI: 1558378893 950 FM 2325 Ste B (512) 847-3434 " Hamilton, Elaine L, MD Wes t Lake Hills J Gender: Female PCP # 8A529001 NPI: 1215036173 5656 Bee Caves Rd Ste C 104 (512) 327-1177 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center Clinic Affiliation: Westlake Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Reidy, Elizabeth T, MD Gender: Female # PCP # 8X160001 NPI: 1063483147 4201 Bee Caves Rd Ste C100 J (512) 327-1155 Hospital Affiliation: 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: Schoolhouse Pediatrics Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Wes t Lake Hills J PCP # 8CQ27001 NPI: 1558378893 950 FM 2325 Ste B (512) 847-3434 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Central Texas Medical Assoc, Live Oak Health Partners Board Certified Specialties: Family Practice Ramirez, Juan I, MD Gender: Male PCP # 8AJ05001 NPI: 1205835071 9670 Ranch Rd 12 J (512) 847-6789 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Juan I Ramirez MD Board Certified Specialties: None Wimberley Sebring, Lane, MD Gender: Male PCP # 82246Z01 NPI: 1902833908 16811 Ranch Rd 12 J (512) 847-5618 Hospital Affiliation: Central Texas Medical Center Clinic Affiliation: Sebring Clinic PA Board Certified Specialties: None Wimberley WOODWAY FAMILY PRACTICE " Graham Jr, James T, MD Woodway Gender: Male # PCP # 88X54801 NPI: 1508839515 1001 Hewitt Dr J (254) 202-7800 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Hinson III, Horace G, MD Woodway Gender: Male PCP # 88X54901 NPI: 1699747253 1001 Hewitt Dr J (254) 202-7800 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " James, Kyle D, MD Woodway Gender: Male PCP # 8CV76401 NPI: 1497745426 1001 Hewitt Dr J (254) 202-7800 Hospital Affiliation: East Texas Medical Center, Hillcrest Baptist Medical Center, University Of Texas Health Center At Tyler Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Kosarek, John D, MD Woodway Gender: Male # PCP # 80Y50501 NPI: 1538132840 7702 Central Park Dr J (254) 202-2770 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Myers, David S, MD Woodway Gender: Male # PCP # 8W096101 NPI: 1902961493 7702 Central Park Dr J (254) 202-7800 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice " Salinas, Gerald, MD Woodway Gender: Male # PCP # 80Y50601 NPI: 1821061136 7702 Central Park Dr J (254) 202-7700 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: Family Practice J - Wheelchair Access 57 WOODWAY Independent Provider Network (IPN) bmk_pin_pcp Primary Care Physicians OCTOBER 15, 2014 The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. WOODWAY Cont FAMILY PRACTICE Cont Speckmiear, John W, MD Gender: Male # PCP # 80Y50701 NPI: 1912979659 7702 Central Park Dr J (254) 202-7700 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Hillcrest Family Health Ctrs Board Certified Specialties: None Woodway Trippe, Karl M, MD Gender: Male PCP # 8CX08101 NPI: 1285615674 7100 Old McGregor Rd (254) 399-6545 Hospital Affiliation: Hillcrest Baptist Medical Center Clinic Affiliation: Waco Primary Care PA Board Certified Specialties: None Woodway ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J - Wheelchair Access 58 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. INDEPENDENT October 15, 2014PROVIDER NETWO RK (IPN) Aus tin AUSTIN ACUPUNCTURE " Bangs, Jessie A, LAC Austin # Gender: Female NPI: 1134540438 2111 Dickson Dr Ste 10 (832) 248-4884 Board Certified Specialties: Acupuncture Banuelos, Ronald W, LAC Gender: Male NPI: 1295902864 # 8701 Shoal Creek Blvd Ste 302 J(512) 619-2224 Practice Information: No Patients Under 7 yrs old Board Certified Specialties: None Austin " Cao, Haitao, LAC Austin # Gender: Female NPI: 1720221799 1707 Fortview Rd J(512) 707-8828 Clinic Affiliation: Austin Acupuncture Clinic Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Acupuncture " Cazares, Anna M, LAC Austin # Gender: Female NPI: 1356622526 1000 E Seventh St Ste 203 (512) 228-9158 Board Certified Specialties: Acupuncture " Chang, PO H, LAC Austin Gender: Male NPI: 1194976977 1702 Shag Bark Trl (512) 797-1314 Board Certified Specialties: Acupuncture # # Forcier, Julianne M, LAC Gender: Female NPI: 1750399366 # 1708 Walnut Ave J(512) 296-1541 Board Certified Specialties: None " Foreman, Brooke C, LAC Aus tin # Aus tin " Chu, Yien Long, LAC # Austin Gender: Male NPI: 1346448909 8700 Manchaca Rd Ste 505 J(512) 825-4979 Clinic Affiliation: Dragon Acupuncture Clinic Board Certified Specialties: Acupuncture Gender: Female NPI: 1992097133 411 E 45th St J(512) 451-5726 Board Certified Specialties: Acupuncture NPI: 1659678092 8015 Shoal Creek Blvd Ste 110 J(512) 788-4743 Clinic Affiliation: Hausman Chiropractic and Acupunct, Premier Gynecology Board Certified Specialties: Acupuncture Hsiao, Mu-Fan, LAC Gender: Male NPI: 1548506322 # 127 E Riverside Dr Ste 111 (512) 775-6228 Board Certified Specialties: None Austin Gomes, Elizabete A, LAC Gender: Female NPI: 1679703102 2525 Wallingwood Dr Bldg 12 J(512) 771-0005 Board Certified Specialties: None Hsu, Shing Jane C, LAC Gender: Female NPI: 1295911576 # 1702 Shag Bark Tr (512) 339-9202 Board Certified Specialties: None 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 Certified Specialties: None 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 Certified Specialties: None Huynh, Ann, LAC Gender: Female NPI: 1326293242 # 1221 W Ben White Blvd Ste 210A J(512) 731-3363 Clinic Affiliation: Acuherbia LLC Board Certified Specialties: None Austin Kettering, Yvonne P, LAC Gender: Female NPI: 1629374301 # 8701 Shoal Creek Ste 302 J(512) 801-2453 Board Certified Specialties: None Gu, Jingyu, LAC Gender: Male NPI: 1083702872 # 1502 W Koenig Ln J(512) 452-5757 Clinic Affiliation: Wellspring Acupuncture and Holist Board Certified Specialties: None Duncan, Dianne, LAC Gender: Female NPI: 1811024284 # 5609 Adams Ave Ste B J(512) 374-9800 Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None " Kung, Phyllis, LAC " Fan, Yong Xin, LAC Austin # Gender: Male NPI: 1528236528 2700 W Anderson Ln Ste 512 J(512) 467-0370 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: Acupuncture ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours # Gender: Female NPI: 1427377795 1502 W Sixth St Ste A (512) 650-8880 Board Certified Specialties: Acupuncture Laguna, Jose R, LAC Gender: Male NPI: 1265671713 # 2700 W Anderson Ln Ste 512 J(512) 467-0370 Austin NPI: 1629223268 4701 W Gate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None # " Han, Qiuxia, LAC Aus tin Gender: Female NPI: 1083702468 2500 W William Cannon Dr Ste 201 J(512) 217-3855 Clinic Affiliation: Mother Nature’s Accup & Chin Board Certified Specialties: Acupuncture " Liu, Yuxing, LAC Austin # NPI: 1265671713 4701 W Gate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None 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 Certified Specialties: None " He, Yan, LAC Gender: Female NPI: 1144498148 11651 Jollyville Rd Ste 150 (512) 331-3866 Clinic Affiliation: Acupuncture Healing Art Ctr Inc Board Certified Specialties: Acupuncture 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 Certified Specialties: None Austin Gender: Male NPI: 1982886057 8711 Burnet Rd Ste A18 A20 (512) 374-4988 Clinic Affiliation: Honeysuckle Acupuncture Clinic Board Certified Specialties: Acupuncture Luo, Song, LAC Gender: Male NPI: 1740458645 # 2700 W Anderson Ln Ste 512 J(512) 467-0370 Austin # NPI: 1740458645 4701 W Gate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None " Luo, Wen Chiang K, LAC Austin # Gender: Male NPI: 1740318088 4131 Spicewood Springs I1 J(512) 795-8021 Board Certified Specialties: Acupuncture McCarthy, Moira J, LAC Gender: Female NPI: 1376690123 # 2525 Wallingwood Dr Ste 1500 J(512) 328-5200 (512) 453-6555 Clinic Affiliation: Ulery Chiropractic Health Center PA Practice Information: No Patients Under 10 yrs old Board Certified Specialties: None Austin " Merritt, Marlene A, LAC Austin # Austin Aus tin # Lin, Paul C, LAC Gender: Male NPI: 1578650560 # 1707 Fortview Rd J(512) 445-2222 Clinic Affiliation: Austin Acupuncture Clinic Board Certified Specialties: None Austin Austin Hamilton, Lesley H, LAC Gender: Female NPI: 1629223268 # 2700 W Anderson Ln Ste 512 J(512) 467-0370 Austin Lin, Lisa P, LAC Gender: Female NPI: 1831286392 # 1707 Fortview Rd (512) 707-8828 Clinic Affiliation: Austin Acupuncture Clinic, TX Health and Science University Board Certified Specialties: None Austin Austin Aus tin # Li, Shaozhi, LAC Gender: Male NPI: 1649571886 # 1707 Fortview Rd J(512) 445-2222 Clinic Affiliation: Austin Acupuncture Clinic Board Certified Specialties: None Austin Austin Aus tin # NPI: 1194906198 8303 Shoal Creek Blvd (512) 419-7355 Clinic Affiliation: Acupuncture and Chinese Medical Practice Information: No Patients Under 1 yrs old Board Certified Specialties: Acupuncture " Henderson, Tamara A, LAC Aus tin Austin Gender: Male NPI: 1194906198 10601 Pecan Park Blvd (512) 250-8940 Austin Gender: Female NPI: 1659678092 1010 W Ninth St (512) 459-4405 " Castillo, Laura E, LAC # " He, Yuxin, LAC Austin Aus tin Austin Gender: Female NPI: 1578878997 4220 W William Cannon Dr Ste 130 J(512) 892-3434 Clinic Affiliation: Texas Chiropractic and Therapy Board Certified Specialties: Acupuncture Finnell, John, LAC Gender: Male NPI: 1114172194 4701 Westgate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None Gender: Female NPI: 1073631834 5750 Balcones Dr Ste 106 J(512) 495-9015 Clinic Affiliation: Merritt Acupuncture Wellness Board Certified Specialties: Acupuncture " Moose, Elizabeth S, LAC Austin # Gender: Female NPI: 1255647590 12741 Research Blvd Ste 505 (512) 419-1076 Clinic Affiliation: Balcones Acupuncture Inc Board Certified Specialties: Acupuncture J - Wheelchair Access 59 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Rutkowski, Vanessa M, LAC Gender: Female NPI: 1972719466 # 2111 Dickson Dr Ste 26 J(512) 899-8996 Clinic Affiliation: Tigerlily Wellness & Acupuncture Board Certified Specialties: None " Tan, Shengyan, LAC Austin AUSTIN Cont ACUPUNCTURE Cont Morris, William R, LAC Gender: Male NPI: 1174769491 # 2700 W Anderson Ln Ste 512 J(512) 467-0370 Aus tin # NPI: 1174769491 4701 W Gate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None " Nunley, Karen E, LAC Aus tin # Gender: Female NPI: 1780891952 3933 Spicewood Spgs Rd Ste E400 J(512) 338-8810 Board Certified Specialties: Acupuncture 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 Certified Specialties: None Schutz, Izumi Z, LAC Gender: Female NPI: 1578899100 # 300 Beardsley Ln Ste E J(512) 293-1311 Board Certified Specialties: None Austin # Gender: Female NPI: 1144357260 4131 Spicewood Springs Rd Ste C J(512) 921-7699 NPI: 1144357260 4131 Spicewood Springs Rd Ste C2 J(512) 921-7699 Clinic Affiliation: Acupuncture and Chinese Medicine Board Certified Specialties: Acupuncture " Raymond, Rhonda K, LAC Russell, Pearl C, LAC Gender: Female NPI: 1376987511 # 8009 Nairn Dr (512) 289-6277 Board Certified Specialties: None Gender: Male NPI: 1730402587 7423 Burnet Rd J(512) 450-1595 Board Certified Specialties: Acupuncture Wang, Guoen E, LAC Gender: Male NPI: 1235296757 # 11851 Jollyville Rd Ste 102 (512) 453-5352 Clinic Affiliation: Acupuncture Plus Board Certified Specialties: None Gender: Female NPI: 1447545124 2700 W Anderson Ln Ste 512 J(512) 467-0370 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: Acupuncture Warner Hindman, Rebecca S, LAC Gender: Female NPI: 1740308402 # 2520 Longview St Ste 313 (512) 363-2756 Board Certified Specialties: None Austin Gender: Female NPI: 1992093694 1807 W Slaughter Ln Ste 450 J(512) 522-7450 Rutkowski, Paul D, LAC Gender: Male NPI: 1639385123 # 2111 Dickson Dr Ste 26 J(512) 899-8996 Clinic Affiliation: Tigerlily Wellness & Acupuncture Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Zheng, Guili, LAC Gender: Male NPI: 1558443218 4005 Manchaca Rd (512) 444-8082 # Gender: Female NPI: 1366619934 1518 W Koenig Ln J(512) 431-5576 Board Certified Specialties: Acupuncture " Zhou, Ziyang, LAC # 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 Certified Specialties: None " Zou, Ming, LAC Austin # " Wu, Qian Z, LAC Su, Shiqiang, LAC Gender: Male NPI: 1023190725 # 4207 James Casey St Ste 115 (512) 383-1881 Board Certified Specialties: None # Tachibana, Sachiko, LAC Gender: Female NPI: 1730401076 # 2312 Western Trails Blvd Ste 401 J(512) 796-2997 Board Certified Specialties: None Austin Austin " Tan, Lin Y, LAC Gender: Male NPI: 1508034505 11651 Jollyville Rd Ste 150 (512) 331-3866 Clinic Affiliation: Acupuncture Healing Art Ctr Inc Board Certified Specialties: Acupuncture Xu, Chelsea Q, LAC Gender: Female NPI: 1972724730 4701 W Gate Blvd J(512) 693-4373 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None Zachary, William J, LAC Gender: Male NPI: 1134278260 # 3203 Larry Ln J(512) 825-3305 Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Austin Austin Gender: Female NPI: 1194161968 1707 Fortview Rd (512) 905-5948 Clinic Affiliation: TX Health and Science University Board Certified Specialties: Acupuncture Gender: Male NPI: 1154516821 711 W 38th St Ste G3 J(512) 478-7112 Clinic Affiliation: Pine Mtn Chinese Accup & Herb PC Board Certified Specialties: Acupuncture Austin Austin Austin 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 Certified Specialties: Acupuncture Austin " Welden, Lisa C, LAC NPI: 1992093694 4111 Marathon Blvd Ste 110 J(512) 522-7405 Clinic Affiliation: Body Evolution Acupuncture & Well Board Certified Specialties: Acupuncture Gender: Female NPI: 1790953792 2700 W Anderson Ln Ste 512 J(512) 467-0370 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: Acupuncture Austin Austin Aus tin Aus tin # Austin " Stang, Jennifer L, LAC Aus tin Gender: Female NPI: 1366683278 6836 Bee Cave Rd Ste 262 (512) 348-8943 Board Certified Specialties: Acupuncture Gender: Female NPI: 1790081735 8700 Manchaca Rd Ste 505 J(512) 825-4979 Clinic Affiliation: Dragon Acupuncture Clinic Board Certified Specialties: Acupuncture Austin # " Zhang, Zhong L, LAC " Wang, Chiufen, LAC " Song, Yaoping, LAC # Gender: Female NPI: 1326119686 12335 Hymeadow Dr Ste 300 J(512) 585-3268 Board Certified Specialties: Acupuncture Gender: Female NPI: 1942482005 8711 Burnet Rd Ste A18 A20 (512) 374-4988 Clinic Affiliation: Honeysuckle Acupuncture Clinic Board Certified Specialties: Acupuncture Austin Austin Austin Aus tin # # " Siu, Yen K, LAC # # " Wada, Masako, LAC Austin # " Zeng, Zheng, LAC Austin Austin Shen, Xiaotian, LAC Gender: Male NPI: 1114053675 2700 W Anderson Ln Ste 512 (512) 467-0370 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: None Aus tin " Qin, Shuangzhu, LAC Uppena, Megumi T, LAC Gender: Female NPI: 1275783987 # 4422 Pack Saddle Pass Ste 105 J(512) 431-7997 Clinic Affiliation: Bamboo Field Acupuncture and Herb Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Gender: Female NPI: 1497960322 5828 Balcones Dr Ste 205 (512) 743-6321 Board Certified Specialties: Acupuncture Austin Gender: Female NPI: 1902150808 2700 W Anderson Ln Ste 512 J(512) 467-0370 Clinic Affiliation: Aoma Academy LP Board Certified Specialties: Acupuncture Austin " Schnyer, Rosa N, LAC Pan, Zimei, LAC Gender: Female NPI: 1801077748 # 10601 Pecan Park Blvd J(512) 419-7355 # # Austin Aus tin NPI: 1801077748 8303 Shoal Creek Blvd J(512) 419-7355 Clinic Affiliation: Acupuncture and Chinese Medical Board Certified Specialties: None Austin Gender: Female NPI: 1972672459 2911 Medical Arts St Ste 1B J(512) 476-3505 Clinic Affiliation: Snow Lily Holistic Health Clinic Board Certified Specialties: Acupuncture ALLERGY-IMMUNOLOGY Austin # Albertson, Gary R, DO Gender: Male NPI: 1225063951 3003 Bee Caves Rd Ste 201 (512) 462-3627 NPI: 1225063951 4303 Victory Dr (512) 462-3627 Hospital Affiliation: Round Rock Medical Center, Ward Memorial Hospital Clinic Affiliation: Victory Medical & Family Care Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None J - Wheelchair Access 60 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Gaglani, Binaca, MD " Howland III, William C, MD Aus tin AUSTIN Cont ALLERGY-IMMUNOLOGY Cont " Barstow Jr, Douglas G, MD Austin # Gender: Male NPI: 1326166273 3410 Far West Blvd Ste 146 J(512) 349-0777 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology " Gutierrez, Maria G, MD Gender: Female NPI: 1679678213 720 W 34th St Ste 200 J(512) 454-5821 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Gutierrez Maria G MD Board Certified Specialties: Allergy-Immunology " Cook, Robert D, MD # Gender: Male NPI: 1962404699 11770 Jollyville Rd (512) 732-2774 " Dice, John P, MD Gender: Male NPI: 1437140506 720 W 34th St Ste 200 (512) 454-5821 Hospital Affiliation: Baptist Health System, Seton Medical Center, Southwest General Hospital Clinic Affiliation: John P Dice MD Board Certified Specialties: Allergy-Immunology " Dyer, Philip D, MD Austin # Gender: Male NPI: 1205050267 3303 Northland Dr Ste 301 J(512) 458-9191 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1760420582 11623 Angus Rd Ste 11 J(512) 338-1366 NPI: 1225035363 1927 Lohmans Crossing Rd Ste 200 (512) 610-3110 Hospital Affiliation: Conroe Regional Medical Center, Houston Northwest Medical Center, Mem Hermann The Woodlands Hosp, North Austin Medical Center, Seton Medical Center, St Lukes The Woodlands Hospital, Tomball Regional Hospital Clinic Affiliation: Hill Country Allergy & Asthma Board Certified Specialties: Allergy-Immunology Gender: Male NPI: 1497767420 3410 Far West Blvd Ste 146 J(512) 349-0777 Hospital Affiliation: Scott & White Hlthcare Round Rock Clinic Affiliation: Allergy & Asthma Asso Ciatespllc Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Allergy-Immunology " Miller, Brian T, DO Austin # " Legere III, Henry J, MD Austin Gender: Male NPI: 1669464723 11770 Jollyville Rd J(512) 732-2774 NPI: 1669464723 5656 Bee Caves Rd Ste G201 J(512) 732-2774 " Henry, Anthony R, MD Gender: Male NPI: 1245232487 6600 S Mo Pac Expwy Ste 2180 J(512) 892-3336 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, St Davids Georgetown Hospital Clinic Affiliation: Allergy and Asthma of Central Texas Board Certified Specialties: Allergy-Immunology " Navarro, Maritza, MD Gender: Female NPI: 1346212180 11714 Wilson Parke Ave Ste 150 (512) 272-4636 " Hollander, Seth M, MD Aus tin Gender: Male NPI: 1255451886 11770 Jollyvile Rd (512) 732-2774 NPI: 1255451886 5625 Eiger Rd Ste 200 (512) 892-7076 # NPI: 1669464723 6611 Riverplace Blvd Ste 305 J(512) 732-2774 NPI: 1669464723 7900 FM 1826 Ste 1-260 J(512) 732-2774 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Henry Joseph Legere III MD, Total Mens Physicians Group LLC Board Certified Specialties: Allergy-Immunology Lieberman, Allen K, MD Gender: Male NPI: 1922075787 # 10801 N Mo Pac Expwy Bldg 2 Ste 150 J(512) 345-7635 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Allergy & Asthma Center of Austin Board Certified Specialties: None NPI: 1255451886 7900 FM 1826 Bldg 1 Ste 260 J(512) 732-2774 " Otto, William, MD Gender: Male NPI: 1912913278 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Allergy-Immunology " Reddy, Uday K, MD Austin # Austin NPI: 1255451886 7900 FM 1826 Ste 1-260 (512) 732-2774 Hospital Affiliation: Seton Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Seth M Hollander MD, South Austin Family Practiceclinic LLP Board Certified Specialties: Allergy-Immunology NPI: 1346212180 12414 Alderbrook Dr Ste 201 J(512) 873-7468 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA, Maritza Navarro MD Board Certified Specialties: Allergy-Immunology Austin Austin NPI: 1255451886 6611 Riverplace Blvd Ste 305 (512) 732-2774 Gender: Male NPI: 1790882108 6600 S Mo Pac Expwy Ste 2180 J(512) 892-3336 Hospital Affiliation: Metroplex Hospital, Round Rock Medical Center Clinic Affiliation: Allergy and Asthma of Central Texas Board Certified Specialties: Allergy-Immunology Austin NPI: 1669464723 12717 Shops Pkwy Ste 500 (512) 222-8667 Aus tin NPI: 1962404699 7900 FM 1826 Ste 1-260 (512) 732-2774 Hospital Affiliation: Little River Healthcare, Scott & White Hlthcare Round Rock, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Ronald L Cox MD Inc Board Certified Specialties: Allergy-Immunology Austin # NPI: 1760420582 4207 James Casey St Ste 306 J(512) 338-1366 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology " Cox, Ronald L, MD Gender: Male NPI: 1225035363 10815 RR 2222 Bldg 3A Ste 202 (512) 610-3110 " Leath, Thomas M, MD " Harden, Roger A, MD # " Mery, Amin G, MD Austin Gender: Male NPI: 1770550535 10801 N Mo Pac Expwy Ste 150 Bldg 2 J(512) 345-7635 Hospital Affiliation: 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 Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Allergy-Immunology Austin Aus tin Austin NPI: 1962404699 6611 Riverplace Blvd Ste 305 (512) 732-2774 # Aus tin Austin Gender: Male NPI: 1407813645 4150 N Lamar J(512) 467-0978 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology Austin Gender: Female NPI: 1831194240 2312 Western Trails Blvd Ste A101 J(512) 804-0000 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology Gender: Male NPI: 1730185711 6600 S Mo Pac Expwy Ste 2180 J(512) 892-3336 Hospital Affiliation: Houston Methodist Hospital, Round Rock Medical Center, Seton Southwest, St Davids S Austin Medical Center, Texas Childrens Hospital Clinic Affiliation: Allergy and Asthma of Central Texas Board Certified Specialties: Allergy-Immunology Reshamwala, Neha, MD Gender: Female NPI: 1780874578 11770 Jollyville Rd (512) 732-2774 NPI: 1780874578 6611 Riverplace Blvd Ste 305 (512) 732-2774 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Neha Reshamwala MD Board Certified Specialties: None J - Wheelchair Access 61 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont ALLERGY-IMMUNOLOGY Cont " Rodriguez Ramos, Juan L, MD Aus tin Gender: Male NPI: 1891801528 3816 S First St (512) 443-1311 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Allergy-Immunology Aus tin Schultz, Eric D, DO Gender: Male NPI: 1578774980 5625 Eiger Rd Ste 200 (512) 892-7076 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Ctr Williamson, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: South Austin Family Practiceclinic LLP Board Certified Specialties: None Austin Austin Austin " Smith, Thomas F, MD Aus tin Gender: Male NPI: 1346207917 11770 Jollyville Rd J(512) 732-2774 NPI: 1346207917 7900 FM 1826 Ste 1-260 J(512) 732-2774 Hospital Affiliation: 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 Certified Specialties: Allergy-Immunology # Gender: Female NPI: 1528311297 2559 Western Trails Blvd Ste 200 (512) 899-2028 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Allen, Thresia J, APN Gender: Female NPI: 1245422203 6811 Austin Center Blvd (512) 346-8888 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Bane, Ginger R, APN Gender: Female NPI: 1801076948 1221 W Ben White Blvd Ste B100 300 J(877) 800-5722 " Calais, Laura, APN Austin Gender: Female NPI: 1952618704 1301 W 38th St Ste 705 (512) 791-1224 Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Gender: Female NPI: 1144652751 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp Austin " Booth, Heidi, APN Austin Gender: Female NPI: 1144512070 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Austin NPI: 1245241066 3706 S First St (512) 324-4930 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None Austin Gender: Female NPI: 1013102599 1600 W 38th St Ste 308 (512) 324-3540 Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Anp/Cert/Clnp " Bonsall, Diane P, APN Barry, Shanna B, APN Gender: Female NPI: 1245241066 # 2811 E Second St (512) 324-4930 " Adams, Rhonda, APN " Butrum, Kimberly C, APN Austin # Borgstrand, Stephanie M, APN Gender: Female NPI: 1659529931 2200 Park Bend Dr Ste 201 Bldg 1 J(512) 416-7246 Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Borich, Karen L, APN Gender: Female NPI: 1154651636 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Burg, Brianna L, APN Austin Gender: Female NPI: 1629203476 1301 Barbara Jordan Blvd Ste 4 J(512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Bayliss, Lawrence S, APN Gender: Male NPI: 1316164163 928 Blackson Ave (512) 978-9740 Clinic Affiliation: Communitycare Board Certified Specialties: None Cardenas, Jo Ann, APN Gender: Female NPI: 1518997121 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None " Carper, Elise, APN Gender: Female NPI: 1699835009 4544 S Lamar Ste 700 J(512) 834-4141 Clinic Affiliation: Balcones Pain Consultants Board Certified Specialties: Anp/Cert/Clnp Austin Carr, Amy J, APN Gender: Female NPI: 1720293012 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Casey, Karen E, APN Austin Gender: Female NPI: 1609877042 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Brown, Rebecca E, APN Gender: Female NPI: 1154619344 13435 N US Hwy 183 Ste 302 (512) 250-5300 Clinic Affiliation: Ageless Mens Health Holding Inc Board Certified Specialties: Anp/Cert/Clnp Calloway, Susan K, APN Gender: Female NPI: 1043236383 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Austin Batista, Edwin A, APN Gender: Male NPI: 1871788018 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Burr, Lisa L, APN Gender: Female NPI: 1962413716 3706 S First St J(512) 324-4930 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None Austin " Bollock, Heidi A, APN Austin Austin Austin Austin Gender: Male NPI: 1558601211 7610 Hwy 71 W Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Allegretti, Christina M, APN Gender: Female NPI: 1992901961 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Banks, Christopher, APN ANP/CERT/CLNP Gender: Female NPI: 1336321876 7610 Hwy 71 W Ste F (515) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1619201134 5508 Parkcrest Dr Ste 310 J(512) 420-9900 Clinic Affiliation: Sleep Medicine Consultants, Sleep Medicine Consultants of Cen Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin " Vaughan, Thurman R, MD Gender: Male NPI: 1083838015 3303 Northland Dr Ste 301 J(512) 458-9191 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Allergy Assoc Board Certified Specialties: Allergy-Immunology " Blakley, Karen H, APN NPI: 1801076948 2802 Webberville Rd (512) 978-9500 Clinic Affiliation: Communitycare, Lone Star Circle of Care Board Certified Specialties: None Aus tin Blackburn, Mary Z, APN Gender: Female NPI: 1699930628 6811 Austin Ctr Blvd Ste 300 (512) 346-8888 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Alexander, Christopher H, APN Gender: Male NPI: 1013149954 ! 3801 N Lamar Blvd (512) 447-2211 Clinic Affiliation: Capitol Emergency Assoc PA Board Certified Specialties: None " Scibielski, Paul, MD NPI: 1346207917 6611 Riverplace Blvd Ste 305 J(512) 732-2774 Austin Austin Aus tin Gender: Male NPI: 1609070291 11770 Jollyville Rd (512) 732-2774 Hospital Affiliation: Christus Spohn Hospital-South, Coryell Memorial Hospital, Hillcrest Baptist Medical Center Clinic Affiliation: Paul Scibielski MD Board Certified Specialties: Allergy-Immunology Albert, Suzanne S, APN Gender: Female NPI: 1104994607 3705 Medical Pkwy Ste 540 J(512) 452-8888 Clinic Affiliation: Balcones Obstetrics and Gynecolog Board Certified Specialties: None Austin Casey, Sarah B, APN Gender: Female NPI: 1780960401 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1820 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None J - Wheelchair Access 62 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont ANP/CERT/CLNP Cont " Chapman, Allison W, APN Austin Gender: Female NPI: 1316218423 4007 James Casey Ste B200 J(512) 441-9799 Clinic Affiliation: Austin Pulmonary Consultants PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Austin Chedville, Judith J, APN Gender: Female NPI: 1336497650 10401 Anderson Mill Rd Ste 110-B (512) 250-5571 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Cheung Gan, Meng Lan, APN Gender: Female NPI: 1366686362 800 W Fifth St Apt 201 J(901) 261-4848 Clinic Affiliation: Texas Phs Professional Assoc Board Certified Specialties: None 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 Certified Specialties: None " Coffey, Michelle, APN 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 Certified Specialties: Anp/Cert/Clnp " Concepcion, Shane C, APN Gender: Female NPI: 1962510248 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Aus tin # Austin Dach, Brandi M, APN Gender: Female NPI: 1417162025 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None 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 Certified Specialties: Anp/Cert/Clnp # Donaghey, Heather D, APN Gender: Female NPI: 1871896258 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Clinic Affiliation: Specially For Children Board Certified Specialties: None Ebo, Paula Y, APN Gender: Female NPI: 1831489947 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Gender: Female NPI: 1992077127 11111 Research Blvd Ste 310 (877) 800-5722 Gender: Female NPI: 1356423842 5301 Duval Rd Ste A500 (512) 222-0000 Clinic Affiliation: Austin Adult Primary Care Board Certified Specialties: Anp/Cert/Clnp Austin " Dayal, Melani I, APN Aus tin Farley, Jennifer G, APN Gender: Female NPI: 1427331842 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None " Fauth, Jaime, APN Austin Gender: Female NPI: 1396098455 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 Certified Specialties: Anp/Cert/Clnp Flesher, Shannon J, APN Gender: Female NPI: 1174802169 12319 N Mopac Expwy Ste 200 J(512) 973-8276 Clinic Affiliation: Austin Urology Institue PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Frank, Jill R, APN Gender: Female NPI: 1982905758 # 2811 E Second St (512) 324-4930 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None " Gann, Amy J, APN Austin Gender: Female NPI: 1730380700 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Garcia, Cordelia A, APN Austin Gender: Female NPI: 1831523158 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Clinic Affiliation: Specially For Children Board Certified Specialties: Anp/Cert/Clnp Austin Austin " Fagner, Karin S, APN NPI: 1992077127 1313 Red River Ste 320 (512) 978-8870 Clinic Affiliation: Communitycare, Lone Star Circle of Care Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1659687416 4007 James Casey St Ste B200 J(512) 441-9799 Clinic Affiliation: Austin Pulmonary Consultants PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1417231069 1600 W 38th St Ste 420 (512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: Anp/Cert/Clnp Fisher, Latronica T, APN Gender: Female NPI: 1821190539 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Austin Austin " Davenport, Abigail B, APN " Croce, Emily A, APN NPI: 1285756734 2909 N IH 35 J(512) 478-4939 Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: None Austin " Eichler, Edna E, APN Aus tin Austin Austin Austin " Daniel, Melinda G, APN Aus tin Gender: Female NPI: 1982943015 4100 Duval Rd Bldg 3 Ste 200 J(512) 485-7200 Clinic Affiliation: Central Texas Pain Institute PA Board Certified Specialties: Anp/Cert/Clnp ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Cruz, Victoria L, APN Gender: Female NPI: 1174715775 3755 S Capital of Texas Hwy Ste 160 J(512) 439-1105 Divin-Cosgrove, Christine A, APN Gender: Female NPI: 1285756734 # 1515 Grove Blvd J(512) 267-7233 Austin NPI: 1174715775 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Austin Gender: Female NPI: 1871792317 1301 Barbara Jordan Blvd Ste 200 (512) 628-1920 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1316957582 1600 W 38th St Ste 304 (512) 324-3540 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Anp/Cert/Clnp " Cross Anuar, Carissa A, APN Austin # " Dietz, Maryetta, APN Aus tin Aus tin Diaz, Oralia, APN Gender: Female NPI: 1205122892 3307 Northland Dr Ste 300 J(866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None Austin Cross, Holly S, APN Gender: Female NPI: 1811292212 ! 601 E 15th St (972) 791-1224 Clinic Affiliation: University Physicians Group Board Certified Specialties: None " Clendennen, Kristi R, APN Austin Austin Aus tin Austin Gender: Female NPI: 1811170269 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Cross, Elizabeth M, APN Gender: Female NPI: 1215217906 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None Garrison, Rachel D, APN Gender: Female NPI: 1710284849 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Geller, Barbara L, APN Gender: Female NPI: 1235395344 1010 W 40th St (512) 459-8753 Clinic Affiliation: Cardiothoracic and Vascular Surge Board Certified Specialties: None " Gilluly, Debra T, APN Austin Gender: Female NPI: 1972935195 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Goldshtrom, Sarah B, APN Austin Gender: Female NPI: 1730414673 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp J - Wheelchair Access 63 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Hodgkiss, Christina M, APN Austin AUSTIN Cont ANP/CERT/CLNP Cont " Granger, Sarah N, APN Aus tin Gender: Female NPI: 1023388725 711 F W 38th St J(512) 458-6121 Clinic Affiliation: Austin Neurological Clinic Board Certified Specialties: Anp/Cert/Clnp Aus tin Austin Grimes, Darla A, APN Gender: Female NPI: 1164737961 1807 Slaughter Ln Ste 490 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Guerra, Maria, APN Gender: Female NPI: 1417235623 # 2811 E Second St (512) 324-4930 Aus tin Austin Hamilton, Maura, APN Gender: Female NPI: 1396932893 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None 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 Certified Specialties: None Aus tin Haydon, Sybil M, APN Gender: Female NPI: 1023023181 ! 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Aus tin Aus tin Aus tin Hemmen, Margaret L, APN Gender: Female NPI: 1285909739 6835 Austin Center Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Hicks, Linda A, APN NPI: 1871549956 1210 W Braker Ln (512) 978-9300 NPI: 1871549956 2901 N IH 35 Ste 101 (512) 232-3900 Clinic Affiliation: Communitycare Board Certified Specialties: None Aus tin Higginbotham, Nicole H, APN Gender: Female NPI: 1902828759 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Holub, Kate L, APN Gender: Female NPI: 1366698995 4007 James Casey St (512) 451-5800 Austin Jordan, Annaliese M, APN Gender: Female NPI: 1760674246 1301 W 38th St Ste 514 J(512) 791-1224 Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin Austin " Kacerguis, Teresa A, APN Gender: Female NPI: 1043575806 3000 N IH 35 Ste 635 (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Board Certified Specialties: Anp/Cert/Clnp " Keefe, Marcy L, APN Austin # Hull, Thomas N, APN Gender: Male NPI: 1881634897 3828 S First (512) 443-1311 Gender: Female NPI: 1245230234 408 W 23rd St Ste 300 J(512) 735-2300 Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1326134024 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1830 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Hurt, Lori L, APN Gender: Female NPI: 1679848394 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Kreifels, Erika L, APN Gender: Female NPI: 1104152057 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin " Kelner, Margaret M, APN Austin " Hurtado, Cheryl L, APN Gender: Female NPI: 1790786044 3801 N Lamar Blvd 300 J(512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Jatinen, Ellen B, APN NPI: 1003821166 1301 W 38th St Ste 205 J(512) 451-0161 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Gender: Female NPI: 1366786394 1600 W 38th St Ste 420 (512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: Anp/Cert/Clnp Kennedy, Christine E, APN Gender: Female NPI: 1073883781 1301 Barbara Jordan Ste 302 J(512) 472-6134 Clinic Affiliation: Pediatric Urology of Central Texas Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Koneski, Rose M, APN Gender: Female NPI: 1275530123 3307 Northland Dr Ste 300 (866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None Austin Austin # Koelker, Gail, APN Gender: Female NPI: 1902801756 6801 S IH 35 Ste 1 E (512) 978-9960 Clinic Affiliation: Communitycare Board Certified Specialties: None Kraft, Kathleen L, APN Gender: Female NPI: 1447482161 ! 3816 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Keeler, Claire, APN NPI: 1881634897 4614 N IH 35 (512) 978-9100 Clinic Affiliation: Austin Regional Clinic PA, Communitycare Board Certified Specialties: None Kirorei, Seleina, APN Gender: Female NPI: 1427390442 7610 Hwy 71 W Ste F J(512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Austin Austin Austin Austin Austin Austin Hopper, Emily S, APN Gender: Female NPI: 1841342078 1301 Barbara Jordan Blvd Ste 307 (512) 324-0907 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None # Kirkland, Stephanie A, APN Gender: Female NPI: 1083813661 ! 3801 N Lamar Blvd (512) 476-7111 Clinic Affiliation: Capitol Emergency Assoc PA Board Certified Specialties: None Austin Austin NPI: 1366698995 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin Johnson, Kimberly R, APN Gender: Female NPI: 1689830804 12701 FM 620 (713) 285-1730 Clinic Affiliation: Baylor Internal Medicine Consultants Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Jones, Anita A, APN Gender: Female NPI: 1225210958 # 1515 Grove Blvd J(512) 267-7233 Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: None Hoffman, Kelly D, APN Gender: Female NPI: 1437426327 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None NPI: 1417235623 3706 S First St (512) 324-4930 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None Aus tin Austin Gender: Female NPI: 1528389558 3801 N Lamar Blvd Ste 300 (512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Kubaney, Holly R, APN Gender: Female NPI: 1083679419 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Kuehn, Morganna L, APN Gender: Female NPI: 1659503969 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None King, Rebecca A, APN Gender: Female NPI: 1255648259 3307 Northland Dr Ste 300 (866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None J - Wheelchair Access 64 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont ANP/CERT/CLNP Cont " Kypke, Patricia J, APN Austin ! ! Gender: Female NPI: 1326088287 12221 N Mopac Expwy (512) 901-1000 Aus tin NPI: 1326088287 3801 N Lamar Blvd (512) 901-1000 NPI: 1326088287 3801 N Lamar Blvd Ste 300 (512) 206-3600 Malicoat, Deanna, APN Gender: Female NPI: 1699944124 3307 Northland Dr Ste 300 J(866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None Austin Austin Manakatt, Bushra M, APN Gender: Female NPI: 1245661958 800 W Fifth St Ste 201 (877) 260-4747 Clinic Affiliation: Texas Phs Professional Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None 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 Certified Specialties: None Austin Aus tin ! NPI: 1326088287 919 E 32nd St (512) 476-7111 Clinic Affiliation: Austin Heart PLLC, Capitol Emergency Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Leitera, James F, APN Austin Gender: Male NPI: 1386939452 4316 James Casey Blvd Bldg B Ste 200 (512) 498-1029 Clinic Affiliation: Eric J Miller MD Board Certified Specialties: Anp/Cert/Clnp Liu, Haiyan, APN Gender: Female NPI: 1144481003 # 11211 Taylor Draper Ln Ste 202 (512) 477-4088 Clinic Affiliation: Austin Geriatric Spec Board Certified Specialties: None " Marroquin, Belissa Z, APN Aus tin Gender: Female NPI: 1194819326 3000 N Interstate 35 Ste 700 (512) 807-3180 Clinic Affiliation: Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Austin Austin 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 Certified Specialties: None Mabe, Melanie E, APN Gender: Female NPI: 1861614513 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 NPI: 1861614513 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Pediatric Surgical Subspecialists, Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Maclaurin, Valerie G, APN Gender: Female NPI: 1003054735 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Clinic Affiliation: Specially For Children Board Certified Specialties: None " Macpherson, Jill N, APN Austin Gender: Female NPI: 1568502078 901 W Ben White Blvd J(512) 447-2211 Clinic Affiliation: Methodist Physician Practices PLL Board Certified Specialties: Anp/Cert/Clnp ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Aus tin McCray, Sarah M, APN Gender: Female NPI: 1073764494 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: None Mellard, Tandy A, APN Gender: Female NPI: 1427138833 4900 Mueller Blvd J(512) 324-0197 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None ! ! Austin Gender: Female NPI: 1124014089 800 W Fifth St Apt 201 (800) 260-4747 Clinic Affiliation: Texas Phs Professional Assoc Practice Information: No patients under 50 years old Board Certified Specialties: Anp/Cert/Clnp # Austin Austin " Nash, Lorin C, APN Austin Gender: Female NPI: 1922311810 1301 W 38th St Ste 400 (512) 791-1224 Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Anp/Cert/Clnp " Neal, Erin E, APN Austin Gender: Female NPI: 1083615132 2559 Western Trails Blvd Ste 100 (512) 899-2028 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1437424306 1600 W 38th St Ste 420 J(512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: Anp/Cert/Clnp Mishra, Amanda L, APN Gender: Female NPI: 1497828693 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Moczygemba, Daryl R, APN Gender: Male NPI: 1780730770 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1900 Clinic Affiliation: Specially For Children Board Certified Specialties: None Austin Austin " Morgan, Nancy S, APN Austin " McKeon, Toshia M, APN Aus tin Gender: Female NPI: 1568677052 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp 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 Certified Specialties: None Murillo, Miriam E, APN Gender: Female NPI: 1588905541 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Specially For Children Board Certified Specialties: None Gender: Female NPI: 1932304540 3801 N Lamar Blvd Ste 300 J(512) 206-3601 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Miller, Kellie, APN McGwier, Sarah E, APN Gender: Female NPI: 1578994950 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Clinic Affiliation: Specially For Children Board Certified Specialties: None NPI: 1710085063 6012 W William Cannon Dr Ste D102 J(512) 440-5757 Clinic Affiliation: Texas Sleep Medicine Board Certified Specialties: Anp/Cert/Clnp " Murphy, Meghan M, APN Austin Gender: Female NPI: 1528371234 1301 Barbara Jordan Blve Ste 200 (512) 628-1850 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1710085063 1301 W 38th St Ste 605 J(512) 440-5757 Austin Meredith, Linda A, APN NPI: 1093798167 1108 Lavaca St Ste 110-320 (512) 477-4088 Clinic Affiliation: Russell Peggy M DO Board Certified Specialties: None " Michael, Sara C, APN " McElvain, Dawn K, APN Aus tin Medina, Maria S, APN Gender: Female NPI: 1346278199 2529 S First St (512) 978-9500 Clinic Affiliation: Communitycare Board Certified Specialties: None " Mulvany, Monique D, APN Austin Austin Aus tin Aus tin Meadows, Robin C, APN NPI: 1528253739 10401 Anderson Mills Rd Ste 110-B (512) 250-5571 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Gender: Female NPI: 1568465581 2501 W William Cannon Dr Ste 401 J(512) 416-7246 Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Norris, Patricia J, APN Gender: Female NPI: 1871512483 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Odozynski, Sharon T, APN Gender: Female NPI: 1780854000 1301 Barbara Jordan Blvd Ste 402 (512) 628-1900 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None " Omori, Caroline K, APN Austin Gender: Female NPI: 1699022061 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp Austin Oneill, Shannon K, APN Gender: Female NPI: 1588960819 2200 Park Bend Dr Ste 201 Bldg 1 J(512) 416-7246 Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None J - Wheelchair Access 65 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Phillips, Suzanne N, APN Austin AUSTIN Cont ANP/CERT/CLNP Cont " Papermaster, Amy E, APN Aus tin Gender: Female NPI: 1417200429 911 W 38th St Ste 202 J(512) 324-9650 Clinic Affiliation: University Physicians Group Board Certified Specialties: Anp/Cert/Clnp Paskiewicz, Kate, APN Gender: Female NPI: 1194155689 ! 5339 IH 35 N (877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: None Gender: Female NPI: 1225030489 1301 Barbara Jordan Ste 302 J(512) 472-6134 Clinic Affiliation: Pediatric Urology of Central Texas Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin " Pena, Angela M, APN Perez, Suzanne B, APN Gender: Female NPI: 1780904862 1034 Liberty Park Dr (512) 452-2100 Clinic Affiliation: Chudleigh PA Board Certified Specialties: None Austin Austin " Perkins, Ryleigh R, APN Aus tin Gender: Female NPI: 1861783946 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Aus tin Peschon, Shana S, APN Gender: Female NPI: 1093903270 7610 W Hwy 71 Ste F J(512) 288-0859 Clinic Affiliation: National House Call Practitioners Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Peterson, Dawn E, APN Gender: Female NPI: 1235570888 3307 Northland Dr (512) 323-1633 NPI: 1235570888 3307 Northland Dr Ste 300 (866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Retz, Polly A, APN Gender: Female NPI: 1023130911 6835 Austin Center Blvd J(512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Gender: Female NPI: 1629093067 1301 W 38th St Ste 400 J(512) 324-3440 Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Anp/Cert/Clnp " Solnek, Barbara L, APN Austin Gender: Female NPI: 1699706481 3801 N Lamar Blvd Ste 300 (512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Sondgeroth, Jordan M, APN Austin Gender: Female NPI: 1417211970 1108 Lavaca St Ste 110-320 (512) 482-0390 " Samoson, Deborah A, APN Austin Gender: Female NPI: 1801804430 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Richards, Roberta J, APN Gender: Female NPI: 1891796967 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None NPI: 1417211970 11211 Taylor Draper Ln Ste 202 (512) 477-4088 Clinic Affiliation: Russell Peggy M DO Board Certified Specialties: Anp/Cert/Clnp " Saulsgiver, Lindsay T, APN Austin Gender: Female NPI: 1184055410 11851 Jollyville Rd Ste 202 (512) 249-5583 Clinic Affiliation: Physical Medicne and Neurotoxin Board Certified Specialties: Anp/Cert/Clnp Ringer, Patricia R, APN Gender: Female NPI: 1821247990 2200 Park Bend Dr Bldg 1 Ste 201 (512) 416-7246 Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin " Rodriguez, Ruth M, APN Gender: Female NPI: 1417210840 4007 James Casey St Ste A230 (512) 451-5800 Schindler Wooley, Beverly A, APN Gender: Female NPI: 1518291137 3307 Northland Dr Ste 300 (866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None " Seoanes, Esther M, APN Austin # NPI: 1417210840 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA, Central Texas Kidney Assoc PA Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1730498213 1600 W 38th St Ste 420 J(512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: Anp/Cert/Clnp Austin # Gender: Female NPI: 1073806287 1301 Barbara Jordan Blvd Ste 4 (512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1144452129 3801 N Lamar Blvd Ste 300 J(512) 458-1006 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin " Rohlich, Elizabeth M, APN Austin Gender: Female NPI: 1942531348 1313 Red River Ste 200 (512) 391-1751 Sharp, Kendall L, APN Gender: Female NPI: 1952639650 7020 Easy Wind Dr Ste 130 Bldg V J(512) 628-1898 Clinic Affiliation: Specially For Children Board Certified Specialties: None " Shirley, Kathryn R, APN Austin Gender: Female NPI: 1639500465 11111 Research Blvd Ste 450 (512) 505-5500 NPI: 1942531348 1313 Red River St Ste 200 (512) 391-1751 Clinic Affiliation: Austin Skeletal Trauma Specialists, Institute of Reconstructive Plast Board Certified Specialties: Anp/Cert/Clnp NPI: 1639500465 12221 N Mopac Expwy (512) 505-5500 Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: Anp/Cert/Clnp NPI: 1992716724 8913 Collinfield Dr (512) 324-5801 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None " Stegic, Jasenka, APN # Austin " Seris, Laura A, APN " Roesler, Emlyn P, APN Steffano, Catherine E, APN Gender: Female NPI: 1992716724 2811 E Second St (512) 324-4930 Austin Austin Austin " Peters, Josephine C, APN Aus tin Rush, Barbara S, APN Gender: Female NPI: 1154661239 ! 901 W Ben White Blvd (512) 447-2211 Clinic Affiliation: Methodist Physician Practices PLL Board Certified Specialties: None " Smith, Marcy L, APN Austin Austin Austin Aus tin Gender: Female NPI: 1861835613 7610 Hwy 71 W Ste F J(512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp NPI: 1174577126 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: None " Ramos-Hodge, Amanda, APN Aus tin Aus tin Rohlich, Gloria A, APN Gender: Female NPI: 1174577126 1210 W Braker Ln (512) 978-9300 Austin Aus tin Gender: Female NPI: 1528309739 11111 Research Blvd Ste 450 (512) 343-2103 Clinic Affiliation: Austin Cancer Centers Georgetown Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Gender: Female NPI: 1245532084 3307 Northland Dr J(512) 323-1633 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1932346434 1600 W 38th St Ste 420 (512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: Anp/Cert/Clnp Stellitano, Emily H, APN Gender: Female NPI: 1245679893 14101 Hwy 290 W Ste 200A J(512) 301-6400 Clinic Affiliation: Lewis Family Medicine Board Certified Specialties: None " Stiriss, Sarah S, APN Austin Gender: Female NPI: 1467756940 12319 N Mopac Expwy Ste 200 Bldg C J(512) 973-8276 Clinic Affiliation: Austin Urogynecology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Strother, Sara J, APN Gender: Female NPI: 1154634970 711 W 38th St Ste F3 J(512) 416-7246 Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None J - Wheelchair Access 66 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Vanderveen, Kristen K, APN Aus tin AUSTIN Cont ANP/CERT/CLNP Cont # " Sullivan, Jennifer N, APN Austin Gender: Female NPI: 1992130272 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Specially For Children Board Certified Specialties: Anp/Cert/Clnp Austin Austin Austin Austin Thomas, Jenilea K, APN Gender: Female NPI: 1811122526 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Pediatric Surgical Subspecialists Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Thomas, Valerie B, APN Gender: Female NPI: 1093713505 1301 W 38th St Ste 400 (512) 791-1224 Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Thompson, Emily C, APN Gender: Female NPI: 1689015216 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Specially For Children Board Certified Specialties: None Turner, Jacki L, APN Gender: Female NPI: 1700897550 2811 E Second St (512) 324-4930 " Watkins, April, APN Vadakkan, Litty R, APN Gender: Female NPI: 1477807774 5301 Duval Rd Ste A500 J(512) 222-0000 Clinic Affiliation: Austin Adult Primary Care Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female NPI: 1720422504 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Clinic Affiliation: Specially For Children Board Certified Specialties: Anp/Cert/Clnp Austin Aus tin Gender: Female NPI: 1659689941 1301 W 38th St Ste 400 (512) 324-3440 Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Weaver, Vanessa R, APN Gender: Female NPI: 1194005173 7610 Hwy 71 W Ste F J(512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: None Wynn, Sara S, APN Gender: Female NPI: 1225207913 2200 Park Bend Dr Bldg 2-202 (512) 836-0900 Clinic Affiliation: Austin Neurosurgical Institute Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Yeager, Kristin M, APN Gender: Female NPI: 1831189281 # 1600 W 38th St Ste 420 J(512) 261-4800 Clinic Affiliation: Innovative Infusions LLC Board Certified Specialties: None Austin Austin " Wedberg, Elizabeth A, APN Gender: Female NPI: 1497056113 1600 W 38th St Ste 308 (512) 324-3540 Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Anp/Cert/Clnp Austin Bowers, Norah S, AUDIO Gender: Female NPI: 1053530485 # 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Practice Information: No Patients Under 3 yrs old Board Certified Specialties: None Austin Austin Austin " Youngwith, Mary E, APN Gender: Female NPI: 1396719282 5508 Parkcrest Dr Ste 310 J(512) 420-9900 Clinic Affiliation: Sleep Medicine Consultants, Sleep Medicine Consultants of Cen Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Anp/Cert/Clnp " Wells, Adonica B, APN Gender: Female NPI: 1093099525 7610 W Hwy 71 Ste F (512) 288-0859 Clinic Affiliation: National House Call Practitioners Board Certified Specialties: Anp/Cert/Clnp Aus tin " Zaydel, Kimberly A, APN NPI: 1457352569 900 W 38th St Ste 420 J(512) 206-3653 Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Anp/Cert/Clnp " Wilson, Paula C, APN Aus tin Gender: Female NPI: 1205140977 711 F W 35th St J(512) 458-6121 Clinic Affiliation: Austin Neurological Clinic Board Certified Specialties: Anp/Cert/Clnp Gender: Female NPI: 1669737268 4544 N Lamar Blvd Ste 700 (512) 834-4141 Clinic Affiliation: Balcones Pain Consultants Board Certified Specialties: Anp/Cert/Clnp " Zedlitz, Doris K, APN Austin Gender: Female NPI: 1225090129 3000 N Interstate 35 Ste 700 (512) 807-3150 Clinic Affiliation: Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Anp/Cert/Clnp Carey, Angela A, AUDIO Gender: Female NPI: 1962675173 2504 Whitis Ave Unit A J(512) 471-3841 Clinic Affiliation: University of Texas Speech and Hearing Center Board Certified Specialties: None Estes, Soriya M, AUDIO Gender: Female NPI: 1487652574 1206 W 38th St Ste 3101 J(512) 900-8888 Clinic Affiliation: Estes Audiology PA Board Certified Specialties: None Franklin, Allan L, AUDIO Gender: Male NPI: 1790814507 3003 Bee Caves Rd Ste 200 J(512) 443-3500 Clinic Affiliation: Victory Hearing & Balance Center PC Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Gensler, Amy L, AUDIO Gender: Female NPI: 1821275504 # 6027 Roxbury Ln J(512) 636-8227 Clinic Affiliation: The Listening Center of Austin Board Certified Specialties: None Austin Austin Austin Gender: Female NPI: 1457352569 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Balash, Joan M, AUDIO Gender: Female NPI: 1952330854 2504 Whitis Ave Ste A J(512) 471-3841 Clinic Affiliation: University of Texas Speech and Hearing Center Board Certified Specialties: None Austin Austin Aus tin " Whitehill, Jennifer E, APN Yeomans, Nancy S, APN Gender: Female NPI: 1477568541 6835 Austin Ctr Blvd J(512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Zinser, Kristina D, APN Gender: Female NPI: 1619133816 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None AUDIOLOGY Austin Aus tin NPI: 1700897550 3706 S First St (512) 324-4940 Clinic Affiliation: Seton Community Health Centers Board Certified Specialties: None Austin Austin Gender: Female NPI: 1386850667 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Board Certified Specialties: Anp/Cert/Clnp " Tiller, Jennifer L, APN Austin # 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 Certified Specialties: Anp/Cert/Clnp " Wolfe, Emily C, APN " Warren, Tammie, APN Aus tin Austin Gender: Female NPI: 1144324666 1301 Barbara Jordan Blvd Ste 401 (512) 628-1900 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin Gender: Female NPI: 1023432051 2315 W Ben White Blvd (512) 326-5440 Clinic Affiliation: Spine Diagnostic and Treatment Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Anp/Cert/Clnp Aus tin Wilson, Sarah A, APN Gender: Female NPI: 1841397486 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Wing, Wendy W, APN " Velasquez, Cynthia E, APN Aus tin Tagoilelagi, Maisha D, APN Gender: Female NPI: 1255689998 3307 Northland Dr (512) 323-1633 NPI: 1255689998 3307 Northland Dr Ste 300 (866) 872-8060 Clinic Affiliation: Mbs Integrated Care Board Certified Specialties: None Austin Gender: Female NPI: 1285987115 11111 Research Blvd Ste 230 J(877) 800-5722 Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Anp/Cert/Clnp Austin House, Kelli, AUDIO Gender: Female NPI: 1689620486 1206 W 38th St Ste 3101 (512) 900-8888 Clinic Affiliation: Estes Audiology PA Board Certified Specialties: None Keener, Kristen D, AUDIO Gender: Female NPI: 1164786158 5608 Parkcrest Dr Ste 100 (512) 345-4664 Clinic Affiliation: Texas Balance Therapy Board Certified Specialties: None J - Wheelchair Access 67 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Canby, Robert C, MD " Hranitzky, Patrick M, MD Austin AUSTIN Cont AUDIOLOGY Cont Aus tin Aus tin 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 Certified Specialties: None " Al Ahmad, Amin, MD Aus tin Gender: Male NPI: 1790826923 3000 N IH 35 Ste 700 (512) 807-3150 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC Board Certified Specialties: Cardiac Electrophysiology Aus tin Bailey, Shane M, MD Gender: Male NPI: 1437213337 3000 N IH 35 Ste 700 (512) 807-3150 NPI: 1437213337 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Christus Spohn Hospital Shoreline, Heart Hospital Of Austin, Hillcrest Baptist Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin Burkhardt Jr, John D, MD Gender: Male NPI: 1356306815 3000 N IH 35 Ste 700 (512) 807-3150 Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours # NPI: 1518968411 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: College Station Medical Center, Hillcrest Baptist Medical Center, Lakeway Regional Medical Ctr Llc, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiac Electrophysiology, Cardiovascular Disease Woodall, Ashley, AUDIO Gender: Female NPI: 1891129904 5608 Parkcrest Dr Ste 100 (512) 345-4664 Clinic Affiliation: Texas Balance Therapy Board Certified Specialties: None CARDIAC ELECTROPHYSIOLOGY Austin Gender: Male NPI: 1518968411 3000 N IH 35 Ste 700 (512) 807-3150 Austin Gallinghouse Jr, Gerald J, MD Gender: Male NPI: 1497730980 # 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Baptist St Anthonys Health System, Baptist St Anthonys Hospital Rehab Services Unit, College Station Medical Center, Hillcrest Baptist Medical Center, Seton Medical Center, Shannon Medical Center, St Davids Medical Center, St Joseph Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Austin Austin Austin Kessler, David J, MD Gender: Male NPI: 1447251178 3801 N Lamar Blvd Ste 300 J(512) 206-3601 Hospital Affiliation: Cedar Park Regional Medical Ctr, Central Texas Rehab Hospital Llc, 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: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Natale, Andrea, MD Gender: Male NPI: 1841382421 3000 N IH 35 Ste 700 (512) 807-3150 # Heinzman, Kristopher M, MD Gender: Male NPI: 1669640892 1301 W 38th St Ste 400 (512) 791-1224 Hospital Affiliation: Seton Medical Center, Vibra Specialty Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Austin Austin NPI: 1841382421 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease " Price, Larry D, DO Gender: Male NPI: 1689659385 3000 N IH 35 Ste 700 (512) 807-3150 " Hong, Mauricio F, MD Gender: Male NPI: 1073710067 1301 W 38th St Ste 400 (512) 324-3449 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiac Electrophysiology # Horton, Rodney P, MD Gender: Male NPI: 1346225596 3000 N Interstate 35 Ste 700 (512) 807-3180 Hospital Affiliation: Baptist St Anthonys Health System, College Station Medical Center, Hillcrest Baptist Medical Center, Mother Frances Hospital, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1689659385 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Hillcrest Baptist Medical Center, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiac Electrophysiology, Cardiovascular Disease Sanchez, Javier E, MD Gender: Male NPI: 1518942226 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1518942226 3000 N Interstate 35 Ste 700 (512) 807-3180 Hospital Affiliation: College Station Medical Center, Hillcrest Baptist Medical Center, Metroplex Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease Austin Austin Austin Austin Gender: Male NPI: 1982786083 3000 N IH 35 Ste 700 J(512) 807-3150 Hospital Affiliation: Baylor University Medical Center, Kindred Hospital Tarrant County Fort Worth Sowe Ca, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiac Electrophysiology Austin Tschopp Jr, David R, MD Gender: Male NPI: 1285679431 3801 N Lamar Blvd Ste 300 J(512) 206-3601 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Whitehill, Jeffrey N, MD Gender: Male NPI: 1568446292 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: 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, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Zagrodzky, Jason D, MD Gender: Male NPI: 1912982018 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1912982018 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: College Station Medical Center, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease J - Wheelchair Access 68 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont CARDIAC THORACIC SURGERY Austin Austin Austin Baptiste, Reginald C, MD Gender: Male NPI: 1649202979 6500 N Mopac Expwy Ste 2207 J(512) 494-9985 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Capital Cardiothoracic Surgeons PA Board Certified Specialties: General Vascular Surgery, Thoracic Surgery Dewan, Stephen J, MD Gender: Male NPI: 1245254515 1010 W 40th St J(512) 459-8753 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Cardiothoracic and Vascular Surge Practice Information: Specialized in Pediatrics Board Certified Specialties: Thoracic Surgery Dilling, Emery W, MD Gender: Male NPI: 1073527008 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery Felger, Mark C, MD Gender: Male NPI: 1770507030 # 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery Austin Austin Austin Fox, Kenneth A, MD Gender: Male NPI: 1235153552 1010 W 40th St J(512) 459-8753 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Cardiothoracic and Vascular Surge Board Certified Specialties: Thoracic Surgery Gotvald, Joel G, MD Gender: Male NPI: 1184683013 12319 N Mopac Expwy Ste 250 J(512) 339-9100 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, The Hosp At Westlake Med Ctr Clinic Affiliation: Joel Gotvald PA Board Certified Specialties: General Surgery, Thoracic Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours CARDIOVASCULAR DISEASE Hoenicke, Eric M, MD Gender: Male NPI: 1356313043 1010 W 40th St J(512) 459-8753 Clinic Affiliation: Cardiothoracic and Vascular Surge Board Certified Specialties: Thoracic Surgery Kessler, William F, MD Gender: Male NPI: 1013925585 # 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery Gender: Male NPI: 1326049230 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Central Texas Medical Center, Heart Hospital Of Austin, Scott & White Hospital Llano, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, St Davids Georgetown Hospital, St Davids Medical Center, St Marks Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin " Canby, Robert C, MD Gender: Male NPI: 1518968411 3000 N IH 35 Ste 700 (512) 807-3150 Hospital Affiliation: College Station Medical Center, Hillcrest Baptist Medical Center, Lakeway Regional Medical Ctr Llc, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1437213337 3000 N IH 35 Ste 700 (512) 807-3150 NPI: 1437213337 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Christus Spohn Hospital Shoreline, Heart Hospital Of Austin, Hillcrest Baptist Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease " Cauthen, Clay A, MD Austin Gender: Male NPI: 1730396862 1301 W 38th St Ste 514 (512) 681-0500 Hospital Affiliation: Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Cardiovascular Disease " Baldacchino, Thomas C, MD Austin Gender: Male NPI: 1720057631 4207 James Casey St Ste 215 J(512) 445-5998 New, Ronald B, MD Gender: Male NPI: 1912019019 1010 W 40th St J(512) 459-8753 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Cardiothoracic and Vascular Surge Board Certified Specialties: Thoracic Surgery NPI: 1720057631 4207 James Casey St Ste 215 (512) 445-5998 Hospital Affiliation: Lakeway Regional Medical Ctr Llc, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Capital Cardiovascular Specialist, Lrmc Cardiology Inc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Oswalt, John D, MD Gender: Male NPI: 1174547509 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery " Bhatt, Kunjan A, MD " Chafizadeh, Edward R, MD Austin # Austin Gender: Male NPI: 1770668758 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Central Texas Rehab Hospital Llc, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1356306815 3000 N Interstate 35 Ste 700 (512) 807-3150 Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease Austin " Bailey, Shane M, MD Kirkland, Hunter Q, MD Gender: Male NPI: 1942214788 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery Mueller, Michael C, MD Gender: Male NPI: 1952315707 # 1010 W 40th St J(512) 459-8753 Hospital Affiliation: 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 Certified Specialties: Thoracic Surgery # Austin Aus tin Aus tin Gender: Male NPI: 1356306815 3000 N IH 35 Ste 700 (512) 807-3150 " Abrams, David S, MD Austin Aus tin Aus tin " Burkhardt Jr, John D, MD Austin Gender: Male NPI: 1023019924 1015 E 32nd St Ste 508 (512) 807-3140 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Chalkias, Fotini M, MD Gender: Female NPI: 1518065317 # 11111 Research Blvd Ste 360 (512) 617-1916 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin J - Wheelchair Access 69 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Desai, Parul M, MD " Frischhertz, Eric J, MD Austin AUSTIN Cont CARDIOVASCULAR DISEASE Cont " Chauhan, Manish S, MD Aus tin Gender: Male NPI: 1245215516 2200 Park Bend Dr Bldg 1 Ste 401 (512) 807-3160 NPI: 1245215516 2200 Park Bend Dr Ste 401 Bldg 1 (512) 807-3160 Hospital Affiliation: Cornerstone Hosp 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, West Houston Medical Center Clinic Affiliation: Cardiovascular Specialists of Tex, St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1427059310 4316 James Casey St Ste A & C (512) 623-5300 Hospital Affiliation: North Austin Medical Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, South Austin Surgery Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1023079613 11149 Research Blvd Ste 125 (512) 338-0492 Hospital Affiliation: Cedar Park Regional Medical Ctr, Little River Healthcare, North Austin Medical Center, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids S Austin Medical Center, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Demaio Jr, Samuel J, MD Gender: Male NPI: 1649239872 200 Medical Pkwy Ste 270 J(512) 263-0123 Hospital Affiliation: East El Paso Phys Med Ctr Llc, Lakeway Regional Medical Ctr Llc, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Star State Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease, Interventional Cardiology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female NPI: 1700898905 7900 FM 1826 Ste 170 (512) 791-1224 Hospital Affiliation: 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, The Hosp At Westlake Med Ctr Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Cardiovascular Disease " Goswami, Vivek, MD Austin Gender: Male NPI: 1689734113 11149 Research Ste 125 Bldg 1 J(512) 338-0492 Hospital Affiliation: Heart Hospital Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gallinghouse Jr, Gerald J, MD Gender: Male NPI: 1497730980 3000 N IH 35 Ste 700 J(512) 807-3150 # " Dixon, Frederick E, MD " Coffeen, Paul R, MD Aus tin Austin Austin Aus tin Gender: Male NPI: 1699775627 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Metroplex Hospital, 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 Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1982658589 4207 James Casey St Ste 317 (512) 324-3447 Hospital Affiliation: Seton Medical Center, Seton Medical Center Hays, St Davids S Austin Medical Center Clinic Affiliation: Capital Cardiovascular Specialist, Lrmc Cardiology Inc, Seton Brain and Spine Institute Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Dieck Jr, John A, MD " Cishek, Mary B, MD " Giesler, Caitlin M, MD Austin Gender: Male NPI: 1982658589 4207 James Casey St Ste 215 (512) 445-5998 Austin Aus tin Gender: Female NPI: 1821073305 1301 W 38th St Ste 400 (512) 791-1224 Hospital Affiliation: 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Austin Gender: Female NPI: 1922009976 3801 N Lamar Blvd Ste 300 J(512) 206-3618 Hospital Affiliation: Central Texas Medical Center, North Austin Medical Center, Northwest Hills Surgical Hospital, 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 Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1497730980 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Baptist St Anthonys Health System, Baptist St Anthonys Hospital Rehab Services Unit, College Station Medical Center, Hillcrest Baptist Medical Center, Seton Medical Center, Shannon Medical Center, St Davids Medical Center, St Joseph Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None " Grad, Michael S, MD Austin Gender: Male NPI: 1386629012 2200 Park Bend Dr Bldg 1 Ste 401 (512) 807-3160 # " Gammon, Roger S, MD Austin Gender: Male NPI: 1366435810 3801 N Lamar Blvd Ste 300 J(512) 206-3600 NPI: 1366435810 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Ekery, Deborah L, MD Austin Gender: Female NPI: 1912908807 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Central Texas Rehab Hospital Llc, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Marks Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Garza, David A, MD Austin Gender: Male NPI: 1659466092 2911 Medical Arts St Ste 10 J(512) 474-5551 Hospital Affiliation: Seton Medical Center, Seton Smithville Reg Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Heart of Texas Cardiology PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1386629012 2200 Park Bend Dr Ste 401 (512) 807-3160 Hospital Affiliation: Cornerstone Hosp Of 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: Cardiovascular Specialists of Tex, St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Haeusslein, Ernest A, MD Austin Gender: Male NPI: 1780617571 1301 W 38th St Ste 514 J(512) 791-1224 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Hayes, David W, MD Austin Gender: Male NPI: 1093801581 2911 Medical Arts St Ste 10 J(512) 474-5551 Hospital Affiliation: 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 Certified Specialties: Cardiovascular Disease J - Wheelchair Access 70 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Levy, Gerald V, MD " Narra, Subrahmanyam, MD Aus tin AUSTIN Cont CARDIOVASCULAR DISEASE Cont " Heinzman, Kristopher M, MD Austin Gender: Male NPI: 1669640892 1301 W 38th St Ste 400 (512) 791-1224 Hospital Affiliation: Seton Medical Center, Vibra Specialty Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Horton, Rodney P, MD Austin Gender: Male NPI: 1346225596 3000 N Interstate 35 Ste 700 (512) 807-3180 Hospital Affiliation: Baptist St Anthonys Health System, College Station Medical Center, Hillcrest Baptist Medical Center, Mother Frances Hospital, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease " McMinn, Thomas R, MD Aus tin Gender: Male NPI: 1871669564 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids S Austin Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Kessler, David J, MD Gender: Male NPI: 1447251178 3801 N Lamar Blvd Ste 300 J(512) 206-3601 Hospital Affiliation: Cedar Park Regional Medical Ctr, Central Texas Rehab Hospital Llc, 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: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1841382421 3000 N IH 35 Ste 700 (512) 807-3150 # Gender: Male NPI: 1952341034 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1952341034 6811 Far West Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Little River Healthcare, Seton Edgar B Davis, Seton Highland Lakes, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1396746343 3801 N Lamar Blvd Ste 300 J(512) 458-1006 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Pagley Jr, Paul R, MD Gender: Male NPI: 1790786812 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: River Oaks Endoscopy Center Llp, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Pandya, Sanjay, MD Austin Gender: Male NPI: 1639277353 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Metroplex Hospital, Seton Medical Ctr Harker Heights, St Davids S Austin Medical Center Clinic Affiliation: Austin Heart PLLC Board Certified Specialties: Cardiovascular Disease " Nguyen, Vu D, MD Austin # Gender: Male NPI: 1093755357 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1093755357 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Cornerstone Hosp Of 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1548245798 4316 James Casey St Ste A (512) 623-5300 Hospital Affiliation: 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, St Marks Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Austin NPI: 1952341034 6811 Austin Center Blvd Ste 410 (512) 324-2705 Gender: Male NPI: 1295970820 4207 James Casey St Ste 215 (512) 445-5998 " Morris, David L, MD # " Nguyen, Tuan D, MD " Mehta, Sachin, MD NPI: 1295970820 4207 James Casey St Ste 317 (512) 324-3447 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Lrmc Cardiology Inc, Seton Brain and Spine Institute Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1841382421 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease " Ozdil, Erol H, MD Austin Austin Aus tin Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Natale, Andrea, MD Gender: Male NPI: 1316947344 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Karha, Juhana K, MD Gender: Male NPI: 1851376008 1015 E 32nd St Ste 508 (512) 480-3147 Hospital Affiliation: Cornerstone Hosp Of 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: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Austin " Lewitton, Steven, MD Gender: Male NPI: 1487828521 1015 E 32nd St Ste 508 (512) 480-3147 Hospital Affiliation: St Davids Hospital, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Cardiovascular Disease, Internal Medicine " Otero, Francisco J, MD Austin Gender: Male NPI: 1154313013 12411 Hymeadow Dr Ste 3E J(512) 331-5321 Hospital Affiliation: Northwest Hills Surgical Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin Austin Austin Austin Gender: Male NPI: 1154306306 4316 James Casey St Ste A (512) 623-5300 Hospital Affiliation: Park Plaza Hospital, Round Rock Medical Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Pirwitz, Mark J, MD Austin Gender: Male NPI: 1063436152 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1063436152 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: 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 Family of Doctors Board Certified Specialties: Cardiovascular Disease J - Wheelchair Access 71 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Sanchez, Javier E, MD " Terreson, David W, MD Austin AUSTIN Cont CARDIOVASCULAR DISEASE Cont " Price, Larry D, DO Aus tin Gender: Male NPI: 1689659385 3000 N IH 35 Ste 700 (512) 807-3150 Hospital Affiliation: Hillcrest Baptist Medical Center, Metroplex Hospital, Scott And White Memorial Hospital, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease " Risinger Jr, Norman E, MD Aus tin Gender: Male NPI: 1063406692 2559 Western Trails Blvd Ste 200 J(512) 899-2028 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1316990922 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Wetherold, Suzanne C, MD Austin Gender: Female NPI: 1710993431 2559 Western Trails Blvd Ste 200 J(512) 899-2028 Hospital Affiliation: Seton Smithville Reg Hospital, St Davids Medical Center, St Marks Medical Center, University Health System Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Whitehill, Jeffrey N, MD Austin Gender: Male NPI: 1568446292 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: 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, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Tracey, Thomas N, MD Austin Gender: Male NPI: 1780669499 4316 James Casey St Ste A J(512) 623-5300 Hospital Affiliation: North Austin Medical Center, River Oaks Endoscopy Center Llp, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Smith, Arthur M, MD Austin Gender: Male NPI: 1043211444 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: 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, St Marks Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1487646667 1210 W Braker Ln (512) 978-9300 ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1649241803 901 W 38th St Ste 400 J(512) 206-2988 Hospital Affiliation: 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 Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1316990922 3801 N Lamar Blvd Ste 300 J(512) 206-3600 " Rodgers, George P, MD Gender: Male NPI: 1558323733 1301 W 38th St Ste 400 (512) 791-1224 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Tiblier, Eric S, MD " Selmon, Matthew R, MD Aus tin " Watkins, Michael G, MD Austin Austin Austin " Roach, Paul J, MD NPI: 1487646667 6811 Austin Center Blvd Ste 410 (512) 791-1224 Hospital Affiliation: Central Texas Medical Center, North Austin Medical Center Clinic Affiliation: Communitycare, Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Male NPI: 1417932120 1015 E 32nd St Ste 508 (512) 807-3140 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease NPI: 1518942226 3000 N Interstate 35 Ste 700 (512) 807-3180 Hospital Affiliation: College Station Medical Center, Hillcrest Baptist Medical Center, Metroplex Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin Gender: Male NPI: 1760467468 1301 W 38th St Ste 400 (512) 791-1224 Hospital Affiliation: 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Austin Gender: Male NPI: 1518942226 1301 W 38th St Ste 400 (512) 791-1224 " Wozniak, Robert J, MD Austin Gender: Male NPI: 1063408128 2200 Park Bend Dr Bldg 1 Ste 401 (512) 807-3160 # " Venegoni, Paolo V, MD Austin Gender: Male NPI: 1790771814 2200 Park Bend Dr Bldg 1 Ste 401 (512) 807-3160 Hospital Affiliation: Cornerstone Hosp Of Austin, 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, West Houston Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Stahlman, Matthew B, MD Austin Gender: Male NPI: 1548230212 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1548230212 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Cornerstone Hosp Of 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease, Interventional Cardiology " Wang, Stanley S, MD Austin # Gender: Male NPI: 1962592071 2559 Western Trails Blvd Ste 200 J(512) 899-2028 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center Clinic Affiliation: Austin Heart PLLC Board Certified Specialties: Cardiovascular Disease NPI: 1063408128 2200 Park Bend Dr Ste 401 (512) 807-3180 Hospital Affiliation: North Austin Medical Center, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Cardiovascular Specialists of Tex, St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Zagrodzky, Jason D, MD Austin Gender: Male NPI: 1912982018 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1912982018 3000 N Interstate 35 Ste 700 (512) 807-3150 Hospital Affiliation: College Station Medical Center, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors, Texas Cardiac Arrhythmia PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease J - Wheelchair Access 72 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Reardon, Michael S, MD Gender: Male NPI: 1053363366 # 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Driscoll ChildrensHospital', North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology Aus tin AUSTIN Cont CARDIOVASCULAR DISEASE Cont " Zeineddin, Mohamad, MD Austin Gender: Male NPI: 1912982885 7900 FM 1826 Ste 170 (512) 791-1224 Hospital Affiliation: 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Zidar, Francis J, MD Austin Gender: Male NPI: 1972580652 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease CHIROPRACTIC Austin Kane, Jeffrey S, MD Gender: Male NPI: 1851343271 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Hospital Affiliation: 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: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Kerr, Jeffrey S, MD Gender: Male NPI: 1669424263 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Alvarado, David, DC Gender: Male NPI: 1114900222 # 429 W Ben White Blvd Ste B J(512) 444-6636 Board Certified Specialties: None Aus tin Aus tin Anderson, Ben J, DC Gender: Male NPI: 1295858801 1600 W 38th St Ste 312 (512) 371-7246 Clinic Affiliation: Century Medical Services Board Certified Specialties: None Andrade, Michelle N, DC Gender: Female NPI: 1164742201 # 5555 N Lamar Blvd Ste C121 J(512) 371-1886 Clinic Affiliation: Rosewood Chiropractic PC Board Certified Specialties: None Aus tin Aus tin Aus tin Bockmann, Daniel P, DC Gender: Male NPI: 1841207040 7756 Northcross Dr Ste 203 J(512) 386-1876 Board Certified Specialties: None Boecking, Neil O, DC Gender: Male NPI: 1023198629 # 1015 W 39 1/2 St J(512) 371-7478 Clinic Affiliation: Pro Care Medical Center Board Certified Specialties: None Bomben, Ross M, DC Gender: Male NPI: 1326069444 # 2714 Bee Caves Rd Ste 100 J(512) 330-9965 Clinic Affiliation: Performance Health Austin, Performance Therapy Group PLLC Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Austin Austin Anyatonwu, Blessing U, DC Gender: Female NPI: 1699094672 223 W Anderson Ln Ste B500 (512) 481-2682 NPI: 1699094672 225 W Anderson Ln Ste B 500 J(512) 481-2682 Clinic Affiliation: Earnest Holistic Health LLC Board Certified Specialties: None Aus tin NPI: 1386654887 4308 N Quinlana Park Rd Ste 200 (512) 329-5500 Clinic Affiliation: Pinnacle Sports Performance and R Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Austin Aus tin Keough, Karen C, MD Gender: Female NPI: 1538147707 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 NPI: 1538147707 3724 Executive Ctr Dr Ste 163 (512) 687-3119 Clinic Affiliation: Hill Country Monitoring LLC, Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Neurology Bhatt, Michael A, DC Gender: Male NPI: 1386654887 # 300 Beardsley Ln Bldg B (512) 329-5500 # Alton II, Michael D, DC Gender: Male NPI: 1285681551 # 12414 Alderbrook Dr Ste 250 (512) 346-2225 Clinic Affiliation: Alton Chiropractic Board Certified Specialties: None Bellonzi, Vincent C, DC Gender: Male NPI: 1194813675 1700 S Lamar Blvd Ste 240 J(512) 473-8900 Clinic Affiliation: Austin Wellness Clinic Board Certified Specialties: None Austin Aus tin CHILD NEUROLOGY Austin Austin Austin Atencio, Bart, DC Gender: Male NPI: 1548335359 1500 W 38th St Ste 38 J(512) 219-8999 Board Certified Specialties: None Botts, Trevor J, DC Gender: Male NPI: 1184900359 13740 Research Blvd Ste L4 (512) 257-3627 Clinic Affiliation: Austin Chiropractic and Wellness Board Certified Specialties: None Boudreaux, Bryan G, DC Gender: Male NPI: 1770546038 5000 W Slaughter Ln Ste 100 Bldg G J(800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None 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 Certified Specialties: None Austin Baker, Russell E, DC Gender: Male NPI: 1982750550 4419 Frontier Trail Ste 106 J(512) 989-8111 Board Certified Specialties: None Austin Becerra, Angelica B, DC Gender: Female NPI: 1851637987 15004 Avery Ranch Blvd Bldg A-200 (512) 255-5252 Clinic Affiliation: Salus Chiropractic Board Certified Specialties: None Bryson, Jeremy T, DC Gender: Male NPI: 1114942042 12701 Research Blvd 309 (512) 250-9799 Board Certified Specialties: 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 Certified Specialties: None Austin Butera, Rosanne, DC Gender: Female NPI: 1205836178 # 1803 W 35th St Ste A (512) 323-6767 Austin # NPI: 1205836178 1803-A W 35th St J(512) 323-6767 Clinic Affiliation: Butera Chiropractic LLC Board Certified Specialties: None Calhoun, George W, DC Gender: Male NPI: 1588720767 # 7208 McNeil Dr Ste 201 J(512) 258-6317 Clinic Affiliation: Harrill Calhoun Chiropracticcentre PC Board Certified Specialties: None Austin Cantu, Daniel D, DC Gender: Male NPI: 1417095787 # 4220 W Wm Cannon Ste 130 (512) 892-3434 Clinic Affiliation: Texas Chiropractic and Therapy Board Certified Specialties: None Austin Austin Carlson, John D, DC Gender: Male NPI: 1497773253 6905 W Gate Blvd Ste A (512) 447-9093 # NPI: 1497773253 6905 Westgate Blvd Ste A J(512) 447-9093 Clinic Affiliation: Carlson Chiropractic Center Board Certified Specialties: None Chicoine, James A, DC Gender: Male NPI: 1508974049 # 112 E Oltorf J(512) 443-9396 Clinic Affiliation: Chicoine Chiropractic LLC Board Certified Specialties: None Austin Chicoine, Jon K, DC Gender: Male NPI: 1881736080 # 112 E Oltorf J(512) 443-9396 Austin # NPI: 1881736080 2005 Airport Blvd J(512) 472-3557 # NPI: 1881736080 3407 Wells Branch Pkwy Ste 625 J(512) 255-1777 # Austin NPI: 1881736080 9515 N Lamar Blvd Ste 168 J(512) 339-9888 Clinic Affiliation: Chicoine Chiropractic LLC Board Certified Specialties: None Chow, Doris W, DC Gender: Female NPI: 1285713651 1211 Baylor St Ste 100 J(512) 351-1070 Board Certified Specialties: None J - Wheelchair Access 73 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Duggan, Christine L, DC Gender: Female NPI: 1346350253 # 4100 Duval Rd Bldg 4 Ste 203 J(512) 833-7700 Clinic Affiliation: Christine Duggan Dcpa Board Certified Specialties: None Fluitt, Jeffrey W, DC Gender: Male NPI: 1194721829 # 4316 James Casey St Ste F 201 (512) 442-2727 Austin AUSTIN Cont CHIROPRACTIC Cont Clark, Brian A, DC Gender: Male NPI: 1023296977 # 4634 W Gate Blvd J(512) 288-7000 Board Certified Specialties: None Aus tin Aus tin Clinton, Kristy L, DC Gender: Female NPI: 1639186737 3951 Parmer Ln Ste 300 J(512) 339-2653 Board Certified Specialties: None Cone, Joel D, DC Gender: Male NPI: 1871788182 # 2312 Western Trails Blvd Ste A103b J(512) 577-7234 Board Certified Specialties: None Aus tin Crawford, Brandon L, DC Gender: Male NPI: 1245540004 # 8701 W Parmer Ln Ste 2121 (512) 258-8880 Board Certified Specialties: None Aus tin Aus tin Deily, Sylvia E, DC Gender: Female NPI: 1861436933 # 3724 Executive Center Dr Ste G10 J(512) 345-5925 NPI: 1861436933 4029 S Capital of Texas Hwy Ste 1 (512) 845-5925 # NPI: 1861436933 4029 S Capital of Texas Hwy Ste 111 J(512) 345-5925 Clinic Affiliation: Seton Brain and Spine Institute, The Spine Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Dierdorff, Daniel J, DC Gender: Male NPI: 1497988463 # 2941 W Anderson Ln (512) 419-1367 Clinic Affiliation: Austin Hillside Family Chiropract Board Certified Specialties: None Aus tin Ding, Jay C, DC Gender: Male NPI: 1902926025 # 3407 Jefferson St J(512) 451-3257 Board Certified Specialties: None Aus tin Aus tin 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 Certified Specialties: None Doyle, Mary E, DC Gender: Female NPI: 1538296645 1007 S Congress Ste B11 (512) 326-5333 Clinic Affiliation: Koala Sports Medicine Centers Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1194721829 4701 Westgate Blvd D401 (512) 467-1100 Clinic Affiliation: Art Medical Alliance, Austin Preferred Chiropractic and Practice Information: Wheelchair Accessibility Board Certified Specialties: 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 Certified Specialties: None Austin Eledge, Stephen R, DC Gender: Male NPI: 1174684005 # 6836 Bee Caves Rd (800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None Austin Austin De La Rosa, Diana A, DC Gender: Female NPI: 1336150663 2700 Via Fortuna Ste 300 J(512) 762-5880 Board Certified Specialties: None Aus tin Austin Ellspermann, Brian E, DC Gender: Male NPI: 1497899017 3200 Red River St Ste 201 J(800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None English, William J, DC Gender: Male NPI: 1972660546 # 11149 Research Blvd Ste 200 J(512) 694-6933 Clinic Affiliation: Aloha Wellness and Healthcare Board Certified Specialties: None Austin 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 Certified Specialties: None Austin Austin Fuller, Jason P, DC Gender: Male NPI: 1164537387 13201 N FM 620 Ste 206 Bldg U J(512) 345-5925 NPI: 1164537387 300 Beardsley Ln Bldg B J(512) 345-5925 Clinic Affiliation: The Spine Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Gaddis, Kristie A, DC Gender: Female NPI: 1801154869 # 8500 Shoal Creek Blvd Bldg 4 Ste 106 J(512) 784-9701 Board Certified Specialties: None Austin Estes, Stephen B, DC Gender: Male NPI: 1902893548 # 7800 N Mopac Expwy Ste 340 J(512) 346-5567 Clinic Affiliation: Estes Chiropractic Clinic PC Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin Grosch, Kelly A, DC Gender: Female NPI: 1598080301 # 4006 S Lamar Blvd Ste 650 J(512) 474-5433 Clinic Affiliation: Active Life Chiropractic Clinic Board Certified Specialties: None Austin Fisher, Merrick A, DC Gender: Female NPI: 1013248350 # 7800 N Mopac Expwy Ste 340 (512) 346-5567 Clinic Affiliation: American Chiropractic Clinic Aust Board Certified Specialties: None Austin Harrington, Timothy S, DC Gender: Male NPI: 1851463319 # 1600 W 38th St Ste 120 (512) 892-4445 Clinic Affiliation: Barton Creek Chiropractic LLC Board Certified Specialties: None Forster, Simon J, DC Gender: Male NPI: 1811997364 # 12414 Alderbrook Dr Ste 250 J(512) 834-2355 Clinic Affiliation: Forster Healthcare Assoc PA Board Certified Specialties: None # Esparza, Evelina, DC Gender: Female NPI: 1396014320 # 13915 N Burnet Rd Ste 204 J(512) 238-9355 Clinic Affiliation: North Austin Chiropractic Clinic Board Certified Specialties: None Harper, Thomas M, DC Gender: Male NPI: 1316986870 # 10625 W Parmer Ln Ste D100 J(512) 341-7335 Clinic Affiliation: Avery Ranch Chiropractic Board Certified Specialties: None Austin Austin Hall, Curtis J, DC Gender: Male NPI: 1235175084 # 2407 S Congress Ave J(512) 442-2777 Austin # NPI: 1235175084 914 W Anderson Ln J(512) 454-4072 Clinic Affiliation: Hall Chiropractic Inc Board Certified Specialties: None Harkleroad, Zeke S, DC Gender: Male NPI: 1740297555 248 Addie Roy Rd Ste C102 J(512) 327-5311 Board Certified Specialties: None Austin Fluitt, Kevin J, DC Gender: Male NPI: 1871880252 # 3005 S Lamar Blvd Ste D112 J(512) 441-1240 Clinic Affiliation: Kapsner Chiropractic Centerspa Board Certified Specialties: None Austin Austin Austin Austin 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 Certified Specialties: None Hays, Casey P, DC Gender: Male NPI: 1558691931 3951 W Parmer Ln Ste 300 (512) 339-2663 Board Certified Specialties: None Hendrikz, Earl F, DC Gender: Male NPI: 1144520735 # 6448 E Hwy 290 Ste B111 (512) 374-1955 Clinic Affiliation: The Hendrikz Clinic Board Certified Specialties: None 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 Certified Specialties: None Austin Hilliard, Charles C, DC Gender: Male NPI: 1003828401 # 12233 FM 620 N Ste 107 J(512) 331-9999 Clinic Affiliation: Elite Chiropractic PLLC Board Certified Specialties: None Austin Hoffman, Robert B, DC Gender: Male NPI: 1437145380 # 8727 Shoal Creek Blvd J(512) 346-5164 Board Certified Specialties: None Austin Hogan, Shelly C, DC Gender: Female NPI: 1194850347 # 3407 Wells Branch Pkwy Ste 625 J(512) 255-1777 Clinic Affiliation: Chicoine Chiropractic LLC Board Certified Specialties: None Austin J - Wheelchair Access 74 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Kapsner, Michael A, DC Gender: Male NPI: 1487655890 # 3005 S Lamar Blvd Ste D112 J(512) 441-1240 Lane, Dennis D, DC Gender: Male NPI: 1316194194 # 4029 S Capital of Texas Hwy Ste 111 J(512) 345-5925 Aus tin AUSTIN Cont CHIROPRACTIC Cont 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 Certified Specialties: None Austin 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 Certified Specialties: None # Austin Jackson, Sheneaka B, DC Gender: Female NPI: 1538301106 # 5775 Airport Blvd Ste 300 (512) 451-0115 Clinic Affiliation: Whitehead Chiropractic Board Certified Specialties: None Aus tin Austin Austin Austin Austin Jepson, Russell D, DC Gender: Male NPI: 1932430782 11420 Bee Cave Rd Ste A 100 J(512) 263-9961 Clinic Affiliation: Integrative Sports Wellness Med C Board Certified Specialties: None Johnson, Marcus J, DC Gender: Male NPI: 1215187034 6836 Bee Caves Rd Ste 103 J(800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None Jones, Martin R, DC Gender: Male NPI: 1952618100 3200 Red River St Ste 201 (800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None Jones, Patrick, DC Gender: Male NPI: 1639180383 # 2438 W Anderson Ln Ste A2 J(512) 377-2663 Clinic Affiliation: P & C Chiropractic PC Board Certified Specialties: None Austin Jones III, Ian L, DC Gender: Male NPI: 1407904899 # 1015 W 39th 1/2 J(512) 371-7478 Austin NPI: 1407904899 7900 FM 1826 Ste 120 Bldg 1 (800) 404-6060 Clinic Affiliation: Airrosti Rehab Center LLC, Pro Care Medical Center Board Certified Specialties: None Kanz, Kevin D, DC Gender: Male NPI: 1750327656 # 1111 W 24th St Ste B J(512) 480-8889 Clinic Affiliation: University Chiropratic PC Board Certified Specialties: None Austin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin NPI: 1487655890 8440 Burnet Rd Ste 118 J(512) 459-4014 Clinic Affiliation: Kapsner Chiropractic Centerspa Board Certified Specialties: None NPI: 1316194194 4301 W William Cannon Dr Ste 300 Bldg B J(512) 949-3633 Clinic Affiliation: Lane Chiropractic and Rehabilitat, The Spine Center Board Certified Specialties: None Kearns, Michael R, DC Gender: Male NPI: 1316017239 1106 Clayton Ln Ste 102W (800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None Kellerman, Nicolas L, DC Gender: Male NPI: 1669559993 # 13343 N Hwy 183 Ste 290 (512) 258-9355 Board Certified Specialties: None Aus tin Aus tin Lara, Cynthia L, DC Gender: Female NPI: 1417012139 # 4006 S Lamar Blvd Ste 650 J(512) 474-5433 Clinic Affiliation: Active Life Chiropractic Clinic Board Certified Specialties: None Austin Lawson, William M, DC Gender: Male NPI: 1043205735 # 9701 Brodie Ln Ste 202 J(512) 326-2520 Clinic Affiliation: Lawson Chiropractic Center Board Certified Specialties: None Austin Kieke, Edwin, DC Gender: Male NPI: 1730214560 1007 S Congress Ste B11 (512) 326-5333 Clinic Affiliation: Koala Sports Medicine Centers Board Certified Specialties: None Lay, James M, DC Gender: Male NPI: 1518075373 # 816 Congress Ave Ste 980 J(512) 499-0366 Clinic Affiliation: San Jacinto Chiropractic Inc Board Certified Specialties: None Austin King, Alberto W, DC Gender: Male NPI: 1508109927 # 1007 S Congress Ste B11 J(512) 326-5333 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 Certified Specialties: None Austin NPI: 1508109927 7756 Northcross Dr Ste 203 (512) 910-7005 Clinic Affiliation: Austin Align Chiropractic and Reh, Koala Sports Medicine Centers Board Certified Specialties: None Lebeouf, Anice M, DC Gender: Female NPI: 1447360219 # 1007 S Congress Ste B11 J(512) 326-5333 Austin Kjar, Sherrie L, DC Gender: Female NPI: 1598776775 # 1106 Clayton Ln Ste 110W J(512) 371-7119 Clinic Affiliation: Kjar Chiropractic Clinic PC Board Certified Specialties: None Aus tin Kolenda, Thomas M, DC Gender: Male NPI: 1396752184 # 3818 Far West Blvd Ste 110 Kolenda Chiro J(512) 231-9002 Board Certified Specialties: None # # Aus tin Lewis, Cash W, DC Gender: Male NPI: 1891925012 # 3700 FM 620 S J(512) 297-2288 Clinic Affiliation: Elite Wellness Chiropractic and A Board Certified Specialties: None Austin Logan, Roy A, DC Gender: Male NPI: 1073520227 # 11601 N Lamar Blvd Ste A J(512) 215-3256 Board Certified Specialties: None Austin 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 Certified Specialties: None Austin Austin Landers, Leonora, DC Gender: Female NPI: 1144392689 # 1600 W 38th St Ste 120 (512) 892-4445 Clinic Affiliation: Barton Creek Chiropractic LLC Board Certified Specialties: None Mason, Mary S, DC Gender: Female NPI: 1245338011 1108 Blanco St J(512) 947-5517 Board Certified Specialties: None Maxwell, Leslie C, DC Gender: Female NPI: 1013268283 # 5625 Eiger Rd Ste 160 J(512) 326-1400 Clinic Affiliation: Capital of TX Chiropractic Center Board Certified Specialties: None Austin Maxwell, William A, DC Gender: Male NPI: 1043576028 # 500 N Capital of Texas Hwy Bldg 6 Ste 125 (512) 201-4042 Clinic Affiliation: Choices Wellness Board Certified Specialties: None Austin McClaugherty, Dwayne G, DC Gender: Male NPI: 1063558104 # 7800 N Mopac Expwy Ste 340 J(512) 346-5567 Clinic Affiliation: American Chiropractic Clinic Aust Board Certified Specialties: None NPI: 1447360219 500 San Marcos St (512) 467-1100 NPI: 1447360219 911 W Anderson Ln Ste 103 (512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC, Koala Sports Medicine Centers Board Certified Specialties: None Lee, Byoung C, DC Gender: Male NPI: 1982705240 # 12505 Rampart St Ste B J(512) 339-1888 Clinic Affiliation: Ace Chiropractic PLLC Board Certified Specialties: None Austin Austin Aus tin Lesko, Mark C, DC Gender: Male NPI: 1578598918 2013 Wells Branch Pkwy Ste 103 J(512) 835-6077 Clinic Affiliation: Community Health and Rehab Centre Board Certified Specialties: None Austin NPI: 1447360219 4701 Westgate Blvd Ste D401 (512) 467-1100 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 Certified Specialties: None Austin McCormick, William R, DC Gender: Male NPI: 1205920774 4303 Victory Dr (512) 462-3627 Clinic Affiliation: Victory Medical & Family Care Board Certified Specialties: 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 Certified Specialties: None Austin J - Wheelchair Access 75 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Owen, Jack H, DC Gender: Male NPI: 1669577789 # 7739 Northcross Dr Ste J J(512) 380-9808 Clinic Affiliation: First Wellness Inc Board Certified Specialties: None Salyer, Don A, DC Gender: Male NPI: 1366528580 # 4825 E Riverside Dr J(512) 442-4357 Clinic Affiliation: Capital Chiropractic Center PC Board Certified Specialties: None Paris, Michelle, DC Gender: Female NPI: 1649416546 # 4600 Mueller Blvd Ste 1009 J(512) 505-8500 Clinic Affiliation: Whole Family Chiropractors Board Certified Specialties: None Sanders, Joshua S, DC Gender: Male NPI: 1598073686 # 3600 N Capital of Texas Hwy Ste A-160 J(512) 334-9648 Clinic Affiliation: Healthsource of Austin Westlake Board Certified Specialties: None Pellien, Jordan T, DC Gender: Male NPI: 1629358155 # 4701 Westgate Blvd Ste D401 J(512) 467-1100 Savedra, Daphne D, DC Gender: Female NPI: 1275664773 # 12129 FM 620 N Ste 430 (512) 250-0025 Clinic Affiliation: Careplus Chiropractic PA Board Certified Specialties: None Austin AUSTIN Cont CHIROPRACTIC Cont Aus tin Millan, Miguel A, DC Gender: Male NPI: 1255669578 12319 N Mopac Ste 260 (512) 673-8152 Clinic Affiliation: Clinica Millan Board Certified Specialties: None Miller III, Gibbs D, DC Gender: Male NPI: 1114951985 # 1910 Justin Ln J(512) 451-0846 Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Aus tin Moore, Michele M, DC Gender: Female NPI: 1972521607 # 8301 Shoal Creek J(512) 459-5523 Board Certified Specialties: None Aus tin Aus tin Aus tin Morris, Tara J, DC Gender: Female NPI: 1306957238 5301 W Duvall Rd Ste A500 J(800) 404-6050 Clinic Affiliation: Airrosti Rehab Center LLC Board Certified Specialties: None Mullen, Kimberly A, DC Gender: Female NPI: 1538307764 12611 Hymeadow Dr (503) 516-5844 NPI: 1538307764 700B S Lamar Blvd (512) 516-5844 Board Certified Specialties: None Aus tin Austin Nietsche McKirdy, Tria, DC Gender: Female NPI: 1942239470 # 4422 Pack Saddle Pass 103 J(512) 444-2227 Board Certified Specialties: 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 Certified Specialties: None Aus tin 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 Certified Specialties: None Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Austin Austin NPI: 1629358155 500 San Marcos St J(512) 467-1100 Perez, Daniel N, DC Gender: Male NPI: 1487989299 # 1701 W Ben White Blvd Ste 157 J(512) 826-5141 Clinic Affiliation: Abundant Life Chiropractic Board Certified Specialties: None Austin 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 Practice Information: No Patients Under 2 yrs old Board Certified Specialties: None Austin NPI: 1629358155 911 W Anderson Ln Ste 103 J(512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC Board Certified Specialties: None Mullins, Roy C, DC Gender: Male NPI: 1467518548 1515 S Capital of Texas Hwy Ste 202 J(512) 327-2729 NPI: 1467518548 4304 Victory Dr (512) 462-3627 Clinic Affiliation: Austin Total Rehab, Victory Medical & Family Care Board Certified Specialties: None 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 Certified Specialties: None Schmidt, Robert E, DC Gender: Male NPI: 1235383852 # 1015 W Lynn St (512) 850-6979 Clinic Affiliation: Restoration Chiropractic LLC Board Certified Specialties: None Austin Austin Schwab, Tracie L, DC Gender: Female NPI: 1043362858 12101 W Parmer Ln Ste 200 J(512) 363-5178 Board Certified Specialties: None Schwartz, Adam L, DC Gender: Male NPI: 1225028905 # 7212 W Hwy 71 Ste B J(512) 288-7100 Board Certified Specialties: None Austin Richard, Al D, DC Gender: Female NPI: 1184608424 # 1613 W Sixth St Ste C J(512) 542-9031 Clinic Affiliation: Richard Family Chiropractic PA Board Certified Specialties: None 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 Certified Specialties: None Austin Richardson, Craig E, DC Gender: Male NPI: 1013012889 # 1619 W Sixth St J(512) 472-1116 Board Certified Specialties: None Austin Robin, James A, DC Gender: Male NPI: 1811998941 # 11645 Angus Rd Ste 2 J(512) 231-8822 Board Certified Specialties: None 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 Certified Specialties: None Austin Shannan, George M, DC Gender: Male NPI: 1801808431 # 5840 Balcones Dr Ste 100 J(512) 452-9469 Clinic Affiliation: George M Shannon DC Board Certified Specialties: None Austin Shaw, James C, DC Gender: Male NPI: 1962547562 # 12034 Research Blvd Ste 1 (512) 250-1099 Board Certified Specialties: None Austin Shepard, Kirsten K, DC Gender: Female NPI: 1760526925 # 4101 Marathon Blvd (512) 323-9222 Clinic Affiliation: Longevity Wellness Group Inc Board Certified Specialties: None Austin Sheppard, Gregory B, DC Gender: Male NPI: 1053387118 # 2500 W William Cannon Dr Ste 205 (512) 445-3366 Clinic Affiliation: Austin Chiropractic Ctr PC Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Austin Shigley, Diane E, DC Gender: Female NPI: 1558348797 # 13552 Hwy 183 N Ste D J(512) 331-3833 Clinic Affiliation: Advanced Chiropractic Center Board Certified Specialties: None Austin Simmons, Jonathan W, DC Gender: Male NPI: 1598772303 # 7010 Hwy 71 W Ste 360 J(512) 288-5322 Board Certified Specialties: None Austin Snow, Michael J, DC Gender: Male NPI: 1295736601 # 8440 Burnet Rd Ste 118 J(512) 459-4014 Clinic Affiliation: Kapsner Chiropractic Centerspa Board Certified Specialties: None Austin Austin Shaddock, Daniel A, DC Gender: Male NPI: 1073818936 # 1807 W Slaughter Ln Ste 450 (512) 280-6103 Austin Rodriguez, Alexia, DC Gender: Female NPI: 1891822334 # 1714 Fortview Rd Ste 102 (512) 326-5700 Clinic Affiliation: Fortview Chiropractic Clinic LLC Board Certified Specialties: None NPI: 1073818936 2800 S IH 35 Ste 220 (512) 707-1700 Board Certified Specialties: None Austin Shaffer, Richard B, DC Gender: Male NPI: 1669550703 # 1510 W 34th St Ste 203 J(512) 374-1677 Board Certified Specialties: None Austin # Starkey, David R, DC Gender: Male NPI: 1497978787 4220 W William Cannon Ste 130 (512) 892-3434 NPI: 1497978787 4220 W Wm Cannon Dr Ste 130 J(512) 892-3434 Hospital Affiliation: Umc Home Health Clinic Affiliation: Texas Chiropractic and Therapy Board Certified Specialties: None J - Wheelchair Access 76 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. 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 Certified Specialties: None Aus tin AUSTIN Cont CHIROPRACTIC Cont Stephenson, Johanna R, DC Gender: Female NPI: 1265434518 # 7301 Burnet Rd Ste 104 (512) 419-0330 Clinic Affiliation: Total Health Chiropractic PC Board Certified Specialties: None Austin Summers, Stephen L, DC Gender: Male NPI: 1255456232 # 3907 Medical Pkwy Ste 102 J(512) 458-5880 Board Certified Specialties: None Austin Swanson, Justin M, DC Gender: Male NPI: 1750531042 # 6101 Balcones Dr Ste 102 J(512) 452-2525 Clinic Affiliation: Austin Chiropractic and Acupunctu Board Certified Specialties: None Austin Sweney, Roxanne R, DC Gender: Female NPI: 1538339007 # 3823 Airport Blvd Ste A J(512) 743-6421 Clinic Affiliation: Sunflower Wellness Assoc PLL Board Certified Specialties: None Austin Ude, Kristen, DC Gender: Female NPI: 1720087331 # 1600 W 38th St Ste 412 J(512) 970-8883 Clinic Affiliation: Integrated Chiropractic Wellness Board Certified Specialties: None Wagner, David R, DC Gender: Male NPI: 1255444345 # 3107 Slaughter Ln J(512) 280-6212 Clinic Affiliation: Slaughter Lane Chiropractic Board Certified Specialties: None Vacula, Dorothy D, DC Gender: Female NPI: 1487705083 # 4131 Spicewood Sprgs I 2 (512) 524-8551 Board Certified Specialties: None Austin Vandewalle, Alexander C, DC Gender: Male NPI: 1326141581 # 11824 Jollyville Rd Ste 500 (512) 343-0700 Austin # # NPI: 1326141581 3624 N Hills Dr Ste A101 (512) 474-0700 NPI: 1326141581 3624 N Hills Dr A101 (512) 343-0700 Clinic Affiliation: Alex Vandewalle PA, Michael F Vandewalle PC Board Certified Specialties: None Vandewalle, Audrey A, DC Gender: Female NPI: 1831412014 # 11824 Jollyville Rd Ste 500 (512) 343-0700 Clinic Affiliation: Michael F Vandewalle PC Board Certified Specialties: None Vandewalle, Michael F, DC Gender: Male NPI: 1013925007 # 11824 Jollyville Rd Ste 500 J(512) 343-0700 Clinic Affiliation: Michael F Vandewalle PC Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Wu, Eric, DC Gender: Male NPI: 1235489568 # 13740 Research Blvd Ste L4 J(512) 436-3798 Board Certified Specialties: None Austin Welch, Jonathan B, DC Gender: Male NPI: 1124399647 !# 2630 Exposition Blvd Ste G02 (512) 514-5150 Clinic Affiliation: The Adjustment Bureau Board Certified Specialties: None Austin Wells, Jack A, DC Gender: Male NPI: 1659619583 1015 W 39 1/2 St (512) 371-7478 # NPI: 1659619583 4220 W Wm Cannon Dr Ste 130 J(512) 892-3434 Clinic Affiliation: Pro Care Medical Center, Texas Chiropractic and Therapy Board Certified Specialties: None Austin Whipple, Todd O, DC Gender: Male NPI: 1770622748 # 4701 Westgate Blvd A102 J(512) 448-0900 Board Certified Specialties: None Aus tin White, Kenneth S, DC Gender: Male NPI: 1497715106 # 3410 Far West Blvd Ste 100 J(512) 346-5735 Board Certified Specialties: None Austin NPI: 1851735534 7801 N Lamar Blvd Ste B174 J(512) 371-7273 Clinic Affiliation: Austin Physical Therapy Specialis, Koala Sports Medicine Centers Board Certified Specialties: None Austin Whitehead, Wendee R, DC Gender: Female NPI: 1205932324 # 5775 Airport Blvd Ste 300 (512) 451-0115 # # NPI: 1205932324 5775 Airport Blvd Ste 300 Whitehead Chiro Ctr J(512) 451-0115 Clinic Affiliation: Whitehead Chiropractic Board Certified Specialties: None " Cline, Robert W, MD Austin Gender: Male NPI: 1689645194 4106 Medical Pkwy (512) 418-1979 Hospital Affiliation: Bailey Square Surgery Center, 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 Colon & Rectal Clinicassoc Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Colon-Rectal Surgery Wylie, Bryan M, DC Gender: Male NPI: 1043599699 4600 Mueller Blvd Ste 1009 (512) 505-8500 Clinic Affiliation: Whole Family Chiropractors Board Certified Specialties: None " Fleeger, David C, MD Austin Gender: Male NPI: 1073597688 4007 James Casey D150 J(512) 445-5484 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, Surgicare Of South Austin, University Med Ctr Brackenridge Clinic Affiliation: Austin Colon & Rectal Clinicassoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Colon-Rectal Surgery NPI: 1285628644 500 San Marcos St Ste 104 (512) 467-1100 NPI: 1285628644 911 W Anderson Ln Ste 103 (512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC Board Certified Specialties: None Zygmont, Colette Y, DC Gender: Female NPI: 1326171927 # 4036 S Lamar Blvd Ste 600 J(512) 442-7400 Clinic Affiliation: Zygmont Chiropractic Center Board Certified Specialties: None Austin Wilder, Dorea L, DC Gender: Female NPI: 1366670853 # 4701 Westgate Blvd Ste D401 J(512) 467-1100 Aus tin NPI: 1366670853 911 W Anderson Ln Ste 103 J(512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC Board Certified Specialties: None York, Jennifer A, MD Gender: Female NPI: 1194728535 5750 Balcones Dr Ste 110 J(512) 744-0015 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Neurology Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology, Sleep Medicine COLON-RECTAL SURGERY Austin Aus tin Immken, Ladonna L, MD Gender: Female NPI: 1053363531 6811 Austin Center Blvd Ste 400 J(512) 628-1918 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Esoterix Genetic Counseling LLC Board Certified Specialties: None CLINICAL NEUROPHYSIOLOGY Wunnenberg, Steven K, DC Gender: Male NPI: 1851735534 1007 S Congress Ste B11 (512) 326-5333 Zelinski, Adam J, DC Gender: Male NPI: 1285628644 # 4701 Westgate Blvd Ste D401 (512) 467-1100 Aus tin # CLINICAL GENETICS Worley, Richard R, DC Gender: Male NPI: 1831374909 # 15004 Avery Ranch Blvd Bldg A-200 (512) 255-5252 Clinic Affiliation: Salus Chiropractic Board Certified Specialties: None Aus tin # Zygmont, Greg D, DC Gender: Male NPI: 1932282522 # 5900 W Slaughter Ln Ste 470 J(512) 288-5502 Clinic Affiliation: Zygmont Family Chiropractic Board Certified Specialties: None Austin Austin 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 Certified Specialties: None Austin Austin Austin Aus tin Austin Williams, Aaron S, DC Gender: Male NPI: 1447258579 1007 S Congress Ste B11 (512) 326-5333 Clinic Affiliation: Koala Sports Medicine Centers Board Certified Specialties: None Woods, Wesley B, DC Gender: Male NPI: 1801823356 # 2501 W William Cannon 208 J(512) 442-9595 Clinic Affiliation: Cole Chiropractic PC Board Certified Specialties: None Aus tin Aus tin Austin " Fox, April W, MD Austin Gender: Female NPI: 1134323926 4106 Medical Pkwy J(512) 418-1979 Clinic Affiliation: Austin Colon & Rectal Clinicassoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Colon-Rectal Surgery J - Wheelchair Access 77 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont DENTISTRY " Cabrera, Elizabeth, MD Austin Gender: Female NPI: 1245242262 7801 N Lamar Blvd Ste D8182 J(512) 868-3376 Hospital Affiliation: North Austin Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology Reinhardt, Gary D, DDS Gender: Male NPI: 1477684256 # 12201 Renfert Way Ste 345 (512) 836-3074 Clinic Affiliation: Carus Dental Board Certified Specialties: None Austin COLON-RECTAL SURGERY Cont " Graves III, Ernest D, MD Aus tin Gender: Male NPI: 1578547188 4007 James Casey D150 J(512) 447-8911 # NPI: 1578547188 4208 Medical Parkway J(512) 452-9551 Hospital Affiliation: 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 Colon & Rectal Clinicassoc Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Colon-Rectal Surgery " Lakshman, Thiru V, MD Aus tin Gender: Male NPI: 1427187350 4208 Medical Pkwy (512) 452-9551 Hospital Affiliation: 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 Colon & Rectal Clinicassoc Board Certified Specialties: Colon-Rectal Surgery DERMATOLOGY " Robertson III, William G, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1760650428 8825 Bee Cave Rd Ste 100 (512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology " Cooper, Amanda N, MD Austin Gender: Female NPI: 1588808562 7800 N Mopac Expwy Ste 315 (512) 459-4869 Clinic Affiliation: Balcones Dermatology Assoc P Board Certified Specialties: Dermatology NPI: 1982716783 5000 Davis Ln Ste 200 J(512) 615-2730 Aranda, Jennifer, MD Gender: Female NPI: 1902875453 1510 W 34th St Ste 100 (512) 533-9900 " Diven, Dayna G, MD Austin NPI: 1982716783 601 E 15th St (512) 324-7000 # Gender: Female NPI: 1740214675 313 E 12th St Ste 103 J(512) 324-9650 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Hays, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Dermatology NPI: 1982716783 8825 Bee Cave Rd Ste 100 J(512) 328-3376 Clinic Affiliation: University Physicians Group, Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology " Coleman, Kyle M, MD Austin " Bhatt, Roopal K, MD Austin Gender: Male NPI: 1588777361 12201 Renfert Way Ste 305 J(512) 279-3376 Gender: Female NPI: 1649253279 1801 E 51st St Ste 320 Bldg C J(512) 478-3376 NPI: 1588777361 327 E Cesar Chavez St J(512) 615-3280 NPI: 1649253279 6618 Sitio Del Rio Blvd Ste D101 J(512) 478-3376 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Four Points Dermatology Board Certified Specialties: Dermatology Austin NPI: 1760650428 5000 Davis Ln Ste 200 (512) 615-2730 NPI: 1982716783 327 E Cesar Chavez St J(512) 615-3280 Austin " Solis, Ricardo L, MD Gender: Male NPI: 1891802732 4007 James Casey D150 (512) 447-8911 Hospital Affiliation: 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 Colon & Rectal Clinicassoc Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Colon-Rectal Surgery Gender: Female NPI: 1982716783 12201 Renfert Way Ste 305 J(512) 279-3376 NPI: 1902875453 313 E 12th St Ste 104 (512) 324-9650 Hospital Affiliation: Parkland Health And Hospital Sys, St Davids Medical Center Clinic Affiliation: Renee Snyder MD, University Physicians Group Board Certified Specialties: None Aus tin NPI: 1558345793 3705 Medical Pkwy Ste 340 J(512) 454-3781 Hospital Affiliation: Houston Methodist St John Hosp Clinic Affiliation: Austin Derm Assoc Board Certified Specialties: Dermatology Austin Gender: Male NPI: 1245421429 313 E 12th St Ste 103 J(512) 324-9699 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Hays, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Dermatology Gender: Male NPI: 1780869271 4106 Medical Pkwy J(512) 418-1755 Hospital Affiliation: 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 Colon & Rectal Clinicassoc Board Certified Specialties: Colon-Rectal Surgery NPI: 1760650428 327 E Cesar Chavez St (512) 615-3280 " Chern, Peggy L, MD " Ahmed, Ammar, MD Austin Gender: Male NPI: 1437195724 4106 Medical Pkwy J(512) 418-1979 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Colon & Rectal Clinicassoc Board Certified Specialties: Colon-Rectal Surgery Aus tin # NPI: 1194766444 912 S Capital of TX Hwy Ste 100 J(512) 930-3909 Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology " Mangione, John S, MD Gender: Female NPI: 1760650428 12201 Renfert Way Ste 305 (512) 279-3376 Gender: Male NPI: 1558345793 14101 Hwy 290 W Bldg 500A J(512) 454-3781 Gender: Male NPI: 1194766444 7801 N Lamar Blvd Ste D8182 J(512) 868-3376 Aus tin " Conroy, Melinda D, DO " Carrasco, Daniel A, MD " Adelman, Eric A, DO Collins, Kristina M, MD Gender: Female NPI: 1881895118 5625 Eiger Rd Ste 105 (512) 763-3760 Clinic Affiliation: Vitalogy PA Board Certified Specialties: None Austin Austin Austin Austin Austin NPI: 1588777361 5000 Davis Ln Ste 200 J(512) 615-2730 # Bushore, David A, MD Gender: Male NPI: 1568461036 7800 N Mopac Expwy Ste 315 (512) 459-4869 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Balcones Dermatology Assoc P Board Certified Specialties: None NPI: 1588777361 8825 Bee Cave Rd Ste 100 J(512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology " Collins, Christopher D, MD Austin Gender: Male NPI: 1477636975 6811 Austin Center Blvd Ste 300 (512) 346-8888 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Dermatology Dozier, Susan E, MD Gender: Female NPI: 1023033883 8240 N Mopac Expwy Ste 355 J(512) 527-9020 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Susan E Dozier MD Board Certified Specialties: None " Evans, Colby C, MD Austin Gender: Male NPI: 1588766810 3508 S Lamar Blvd Ste 300 J(512) 280-3939 NPI: 1588766810 9701 Brodie Ln A106 J(512) 280-3939 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Colby Evans MD Board Certified Specialties: Dermatology J - Wheelchair Access 78 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont DERMATOLOGY Cont " Flynn, Kevin J, MD Austin Gender: Male NPI: 1689640633 12201 Renfert Way Ste 305 (512) 279-3376 Gender: Male NPI: 1013122753 7801 N Lamar Blvd Ste D8182 (512) 868-3376 Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology Gender: Male NPI: 1487766937 6811 Austin Center Blvd Ste 300 (512) 346-0312 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Dermatology NPI: 1528030392 8825 Bee Cave Rd Ste 100 J(512) 328-3376 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology " Lain, Edward L, MD Austin # " Hanson, Miriam L, MD NPI: 1437353091 5000 Davis Ln Ste 200 (512) 615-2730 Gender: Female NPI: 1619047339 12319 N Mopac Expwy Ste 100 Bldg C J(512) 837-3376 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Sanova Dermatology PLLC Board Certified Specialties: Dermatology Gender: Male NPI: 1326200569 12201 Renfert Way Ste 305 (512) 279-3376 ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1013097419 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1920 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Dell Childrens Med Ctr Cent Tx, Houston Methodist Hospital, Texas Childrens Hospital, The Womans Hospital Of Texas Clinic Affiliation: Specially For Children Board Certified Specialties: Dermatology NPI: 1982863510 327 E Cesar Chavez St J(512) 615-3280 " Mamelak, Adam J, MD Austin # NPI: 1982863510 5000 Davis Ln Ste 200 J(512) 615-2730 " Ghidoni, John J, MD # # NPI: 1033181813 327 E Cesar Chavez St J(512) 615-3280 NPI: 1033181813 5000 Davis Ln Ste 200 J(512) 615-2730 NPI: 1033181813 8825 Bee Cave Rd Ste 100 J(512) 328-3376 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Westlake Dermatology & Cosmet Practice Information: No Patients Under 21 yrs old Board Certified Specialties: Dermatology Austin " Levy, Moise L, MD Gender: Female NPI: 1982863510 12201 Reinfert Way Ste 305 J(512) 279-3376 Austin Gender: Male NPI: 1033181813 12201 Renfert Way Ste 305 J(512) 279-3376 Austin " Jackson, Julie E, MD NPI: 1326200569 8825 Bee Caves Rd Ste 200 (512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Gender: Male NPI: 1003829920 8229 Shoal Creek Blvd Ste 101 J(512) 371-7400 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Dermatology NPI: 1710159140 327 E Cesar Chavez St J(512) 615-3280 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Aus tin NPI: 1326200569 5000 Davis Ln Ste 200 (512) 615-2730 # Gender: Female NPI: 1710159140 12201 Renfert Way Ste 305 J(512) 279-3376 Gender: Male NPI: 1851304380 720 W 34th St Ste 210 J(512) 450-1001 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Austin Dermatology PA Board Certified Specialties: Dermatology " Friedmann, Daniel P, MD " Nikolaidis, Gregory A, MD Austin " Lankerani, Lela, DO " Hendrix, Jay A, MD Austin Gender: Male NPI: 1124079306 4300 N Quinlan Park Rd Ste 225 J(512) 266-0007 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Clinic Affiliation: Steiner Ranch Dermatology PA Board Certified Specialties: Dermatology NPI: 1033372586 9701 Brodie Ln Ste A106 (512) 280-3939 Clinic Affiliation: Colby Evans MD Board Certified Specialties: Dermatology Austin Aus tin NPI: 1437353091 8825 Bee Cave Rd Ste 100 (512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Gender: Female NPI: 1033372586 3508 S Lamar Blvd Ste 300 (512) 280-3939 " Kennedy, Bobby J, DO Aus tin # " McClung, Amy A, MD Austin Austin NPI: 1528030392 5000 Davis Ln Ste 200 J(512) 615-2730 " Fridlington, Julie L, MD Gender: Female NPI: 1831242585 6811 Austin Center Blvd Ste 300 (512) 346-8888 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Dermatology " Jones Jr, Christopher R, MD NPI: 1528030392 327 E Cesar Chavez St J(512) 615-3280 # " Mason, Amy R, MD Austin Austin Gender: Female NPI: 1528030392 12201 Renfert Way Ste 305 J(512) 279-3376 Austin NPI: 1437353091 327 E Cesar Chavez St (512) 615-3280 Gender: Female NPI: 1396728309 13642 N Hwy 183 Bldg 2 Ste 100 J(512) 331-7300 Clinic Affiliation: Spicewood Dermatology PA Board Certified Specialties: Dermatology " Hanft, Valerie N, MD " Fox, Matthew C, MD Gender: Female NPI: 1437353091 12201 Renfert Way Ste 305 (512) 583-3376 " Jeng, Dana C, MD Gender: Female NPI: 1356532543 13642 N Hwy 183 Bldg 2 Ste 100 (512) 331-7300 Clinic Affiliation: Spicewood Dermatology PA Board Certified Specialties: Dermatology Austin Aus tin Austin " Martin, Julie E, MD Austin Gender: Female NPI: 1801072855 7801 N Lamar Blvd Ste D8182 J(512) 868-3376 Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology NPI: 1073748281 5000 Davis Ln Ste 200 (512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: None NPI: 1689640633 8825 Bee Cave Rd Ste 100 (512) 328-3376 Hospital Affiliation: North Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Gender: Male NPI: 1740471929 1400 N IH 35 Ste C2-450 J(512) 324-7468 Clinic Affiliation: University Physicians Group Board Certified Specialties: Dermatology " Jan, Mollie M, DO Austin NPI: 1073748281 327 E Cesar Chavez St (512) 615-3280 NPI: 1689640633 327 E Cesar Chavez St (512) 615-3280 NPI: 1689640633 5000 Davis Ln Ste 200 (512) 615-2730 Gordon, Jennifer R, MD Gender: Female NPI: 1073748281 12201 Renfert Way Ste 305 (512) 279-3376 NPI: 1982863510 8825 Bee Caves Rd Ste 200 J(512) 328-3376 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Gender: Male NPI: 1174663835 12319 N Mopac Expwy Ste 100 Bldg C J(512) 837-3376 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital Clinic Affiliation: Sanova Dermatology PLLC Board Certified Specialties: Dermatology Pena Robichaux, Venessa, MD Gender: Female NPI: 1851611164 3508 S Lamar Blvd Ste 300 J(512) 280-3939 NPI: 1851611164 9701 Brodie Ln Ste A106 J(512) 280-3939 Clinic Affiliation: Colby Evans MD Board Certified Specialties: None Austin Rains, Michael L, MD Gender: Male NPI: 1275851032 3508 S Lamar Blvd Ste 300 J(512) 280-3939 NPI: 1275851032 9701 Brodie Ln A106 J(512) 280-3939 Clinic Affiliation: Colby Evans MD Board Certified Specialties: None J - Wheelchair Access 79 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Smetanick, Matthew T, DO " Viernes, Jay L, MD Austin AUSTIN Cont DERMATOLOGY Cont " Rasmussen, Steven E, MD Aus tin Gender: Male NPI: 1679567937 1717 W Sixth St Ste 120R (512) 482-9344 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Dermatology " Reichenberg, Jason S, MD " Rhodes, Lisa M, MD " Snavely, Nicholas R, MD Gender: Male NPI: 1801099460 10815 RR 2222 Bldg 3A Ste 200 (512) 767-7546 Board Certified Specialties: Dermatology Gender: Female NPI: 1942281639 1510 W 34th St Ste 100 J(512) 533-9900 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Renee Snyder MD Board Certified Specialties: Dermatology NPI: 1326011859 8825 Bee Caves Rd Ste 100 J(512) 328-3376 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology " Richardson, Blakely S, DO " Speck, Laura M, MD Gender: Female NPI: 1760644785 12201 Renfert Way Ste 305 (512) 279-3376 " Schulze, Thomas, MD " Thrash, Candace M, MD Austin Gender: Female NPI: 1093764664 3705 Medical Pkwy Ste 340 (512) 454-3781 Clinic Affiliation: Austin Derm Assoc Board Certified Specialties: Dermatology " Townsend, Bryan L, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female NPI: 1689016685 5555 N Lamar Blvd Ste D-125 (512) 324-1891 Clinic Affiliation: Seton Medical Group Board Certified Specialties: Dietician " Truehill Devoil, Tiffany D, RD Austin Gender: Female NPI: 1023435005 1210 W Braker (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: Dietician ENDOCRINOLOGY Austin Bunker, Stephen R, MD Gender: Male NPI: 1427014117 2712 Bee Caves Rd Ste 122 (512) 726-0599 Hospital Affiliation: Arise Austin Medical Center Clinic Affiliation: Austin Imaging and Vein Center Board Certified Specialties: None McKinney, James A, DO Gender: Male NPI: 1861571614 6633 Hwy 290 Ste 101 J(512) 314-3834 Board Certified Specialties: None " Bledsoe, Maya, MD Austin Gender: Female NPI: 1194730242 11111 Research Blvd Ste 485 J(512) 338-8181 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Endocrinology, Diabetes & Metabolism " Blevins, Thomas, MD Austin Gender: Male NPI: 1114992088 6500 N Mopac Ste 200 Bldg 3 J(512) 458-8400 Hospital Affiliation: 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 Diabetes & Endocrinology Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Endocrinology, Diabetes & Metabolism Gender: Female NPI: 1144481037 408 W 45th St (512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Board Certified Specialties: Dietician " Brookshire, Kristin A, RD Austin Gender: Female NPI: 1386061315 2802 Webberville Rd (512) 978-9400 Clinic Affiliation: Communitycare Board Certified Specialties: Dietician Gender: Male NPI: 1619056827 8500 Bluffstone Cv Ste A101 J(512) 328-2102 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Medical Center Clinic Affiliation: Zoltan Trizna MD Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Dermatology " Ebert, Kathryn L, RD Austin Gender: Female NPI: 1689005001 3724 Jefferston St Ste 104 (512) 547-9274 Clinic Affiliation: I Live Well Nutrition Therapy LLC Board Certified Specialties: Dietician " Vickers, Jennifer, MD Austin Gender: Female NPI: 1184859225 313 E 12th St Ste 101 (512) 324-9650 Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Dermatology Hall, Katherine E, RD Gender: Female NPI: 1902177942 # 1221 Barton Hills Dr J(512) 815-3438 Clinic Affiliation: Katilean LLC Board Certified Specialties: None Austin Dubois, Susan K, MD Gender: Female NPI: 1114091675 2901 N IH 35 Ste 101 (512) 232-3900 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None ENDOCRINOLOGY, DIABETES & METABOLISM " Ashley, Laura, RD " Trizna, Zoltan, MD # " Seagren, Beverly K, RD Austin Austin " Singletary, Holly L, MD Townsend, Bryan L, MD Gender: Male NPI: 1174508147 8044 Shoal Creek (512) 459-1269 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Bryan L Townsend MD Practice Information: Skin Cancer Referrals Board Certified Specialties: Dermatology DIETICIAN Gender: Male NPI: 1174508147 8044 Shoal Creek (512) 459-1269 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Bryan L Townsend MD Practice Information: Skin Cancer Referrals Board Certified Specialties: Dermatology Aus tin Gender: Female NPI: 1225203433 5625 Eiger Rd Ste 105 (512) 930-3909 Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology Austin Austin Aus tin Gender: Male NPI: 1073675625 720 W 34th St Ste 210 J(512) 450-1001 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Austin Dermatology PA Board Certified Specialties: Dermatology Austin NPI: 1760644785 5000 Davis Ln Ste 200 (512) 615-2730 Clinic Affiliation: Westlake Dermatology & Cosmet Board Certified Specialties: Dermatology Gender: Female NPI: 1659697431 2559 Western Trails Blvd Ste 301 (512) 815-2559 Clinic Affiliation: Westgate Skin & Cancer PLLC Board Certified Specialties: Dermatology Fox, Matthew C, MD Gender: Male NPI: 1740471929 1400 N IH 35 Ste C2-450 J(512) 324-7468 Clinic Affiliation: University Physicians Group Board Certified Specialties: Dermatology Paff, Julie A, RD Gender: Female NPI: 1700982469 5555 N Lamar Blvd Ste D-125 (512) 324-1891 Clinic Affiliation: Seton Medical Group Board Certified Specialties: None Austin DIAGNOSTIC RADIOLOGY NPI: 1760644785 327 E Cesar Chavez St (830) 693-4800 Aus tin # Austin Austin NPI: 1326011859 5000 Davis Ln Ste 200 J(512) 615-2730 # Austin " Snyder, Renee R, MD NPI: 1326011859 327 E Cesar Chavez St J(512) 615-3280 Austin DERMATOLOGY MICROGRAPHIC SURGERY Austin Aus tin Gender: Female NPI: 1326011859 12201 Renfert Way Ste 305 J(512) 279-3376 Gender: Male NPI: 1053399477 6811 Austin Ctr Blvd (512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Dermatology Austin Aus tin Gender: Male NPI: 1396715280 313 E 12th St Ste 103 J(512) 324-9650 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Dermatology Austin Gender: Male NPI: 1306023114 7801 N Lamar Blvd Ste D8182 J(512) 868-3376 Clinic Affiliation: Vitalogy PA Board Certified Specialties: Dermatology " Casaubon, Luis, MD Austin Gender: Male NPI: 1447225495 6500 N Mopac Ste 200 Bldg 3 J(512) 458-8400 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Texas Diabetes & Endocrinology Board Certified Specialties: Endocrinology, Diabetes & Metabolism J - Wheelchair Access 80 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Kumar, Pratima V, MD Aus tin AUSTIN Cont Austin Gender: Female NPI: 1972558658 313 E 12th St Ste 103 J(512) 324-9650 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Endocrinology, Diabetes & Metabolism ENDOCRINOLOGY, DIABETES & METABOLISM Cont " Chaicha-Brom, Tira, MD Austin Gender: Female NPI: 1548434756 5000 Davis Ln Ste 200 (512) 458-8400 " Ozer, Kerem, MD Aus tin NPI: 1548434756 6500 N Mopac Expwy Bldg 3 Ste 200 (512) 458-8400 Clinic Affiliation: Texas Diabetes & Endocrinology Board Certified Specialties: Endocrinology, Diabetes & Metabolism Gender: Male NPI: 1982878617 6500 N Mopac Ste 200 Bldg 3 J(512) 458-8400 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Texas Diabetes & Endocrinology Board Certified Specialties: Endocrinology, Diabetes & Metabolism " Dubois, Susan K, MD Austin Gender: Female NPI: 1114091675 2105 Parker Ln (512) 797-5169 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Auxanomen A Texas Nonprofit Corp Board Certified Specialties: Endocrinology, Diabetes & Metabolism " Espinosa, Valerie D, MD Gender: Female NPI: 1649245697 6500 N Mo Pac Expwy Ste 200 Bldg 3 J(512) 458-8400 Hospital Affiliation: 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 Diabetes & Endocrinology Board Certified Specialties: Endocrinology, Diabetes & Metabolism " Harrison, Lindsay B, MD Gender: Female NPI: 1598964702 5000 Davis Ln Ste 200 J(512) 458-8400 " Horvit, Padma K, MD Austin Gender: Female NPI: 1215949169 12501 Hymeadow Dr Bldg 1 Ste C J(512) 258-2556 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Endocrinology, Diabetes & Metabolism Kulkarni, Mrinalini N, MD Gender: Female NPI: 1568434694 ! 313 E 12th St Ste 102 J(512) 324-9650 Hospital Affiliation: 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 Certified Specialties: None Austin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Aus tin Austin, John R, MD Gender: Male NPI: 1740251057 3705 Medical Pkwy Ste 310 J(512) 458-6391 Hospital Affiliation: Bailey Square Surgery Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin ENT Assoc Board Certified Specialties: Otolaryngology Leeman, Daniel J, MD Gender: Male NPI: 1508849696 1015 E 32nd St Ste 205 J(512) 478-2273 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Comprehensive ENT Center of Texas PA Board Certified Specialties: Otolaryngology Gender: Male NPI: 1497908495 11814 Jollyville Rd Ste 103 (512) 250-9202 Clinic Affiliation: Low-T Physicians Professional Mbr Practice Information: Male Patients only Board Certified Specialties: Family Practice FEMALE PELVIC MED & RECONSTRUCTIVE SURGERY Austin " Hutchens, Mark H, MD Gender: Male NPI: 1467461293 3200 Red River St Ste 201 J(512) 473-0201 Hospital Affiliation: 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 Certified Specialties: Family Practice Austin FACIAL PLASTIC SURGERY Aus tin " Williams, Kynan D, MD Austin " Taylor, Steven A, MD Austin NPI: 1598964702 6500 N Mopac Expwy Ste 200 Bldg 3 J(512) 458-8400 Clinic Affiliation: Texas Diabetes & Endocrinology Board Certified Specialties: Endocrinology, Diabetes & Metabolism Gender: Male NPI: 1790941995 11814 Jollyville Rd Ste 103 (512) 250-9202 Clinic Affiliation: Low-T Physicians Professional Mbr Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Family Practice " Alam, Imtiaz, MD Austin Gender: Male NPI: 1619064284 1210 W Braker Ln (512) 978-9300 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 Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Communitycare, Imtiaz Alam MD, University Physicians Group Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Gastroenterology Austin " McCarty, Robyn E, MD Austin ! Gender: Female NPI: 1730293929 3200 Red River St Ste 201 J(512) 473-0201 Hospital Affiliation: 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 Certified Specialties: Family Practice Aguilar, Vivian D, MD Gender: Female NPI: 1144286014 911 W 38th St Ste 202 (512) 324-8670 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Urology GASTROENTEROLOGY Kalpaxis, James G, MD Gender: Male NPI: 1063594281 4005 Spicewood Spgs Ste C600 J(512) 346-6421 Hospital Affiliation: 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 Certified Specialties: None Kouri, Jason A, MD Gender: Male NPI: 1649276965 ! 11814 Jollyville Rd Ste 103 (512) 250-9202 Clinic Affiliation: Low-T Physicians Professional Mbr Board Certified Specialties: None Gender: Female NPI: 1184667123 13805 Research Blvd Ste 150 (512) 257-2500 Clinic Affiliation: Medicine In Motion Martha Pyron M Board Certified Specialties: Family Practice Austin " Huber, Lawrence E, DO Aus tin Gender: Male NPI: 1912052812 313 E 12th St Ste 103 (512) 324-9650 Hospital Affiliation: Seton Medical Center Hays, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Endocrinology, Diabetes & Metabolism # Austin " Scumpia, Simona M, MD Austin " Pyron, Martha I, MD Austin FAMILY PRACTICE Aus tin Gender: Female NPI: 1689778946 2200 Park Bend Dr BLD3 Ste 300 J(512) 467-2727 Hospital Affiliation: North Austin Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Simona M Scumpia MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Endocrinology, Diabetes & Metabolism Thompson, Christopher P, MD Gender: Male NPI: 1548234842 12309 N Mopac Expwy Ste 100 J(512) 339-4040 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, Seton Medical Center Hays, St Davids Medical Center, Texan Surgery Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Capital Otolaryngology Head & Neck Surgeons PA Board Certified Specialties: Otolaryngology " Alcocer, Eduardo, MD Austin Gender: Male NPI: 1932184512 1111 W 34th St Ste 200 J(512) 454-4588 Hospital Affiliation: Central Texas Rehab Hospital Llc, Heart Hospital Of Austin, North Austin Medical Center, Northwest Hills Surgical Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology J - Wheelchair Access 81 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Gagneja, Harish K, MD " Kumbum, Kavitha, MD Austin AUSTIN Cont GASTROENTEROLOGY Cont " Becker, Scott D, MD Aus tin Gender: Male NPI: 1912982596 1015 E 32nd St Ste 300 J(512) 448-4588 NPI: 1912982596 4310 James Casey St Ste 4A J(512) 448-4588 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology ! Gender: Male NPI: 1477651982 4310 James Casey St Ste 4A J(512) 420-0186 Hospital Affiliation: Seton Southwest, St Davids Medical Center, St Davids Rehabilitation Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Frachtman, Robert L, MD Aus tin Gender: Male NPI: 1922083039 1111 W 34th St Ste 200 J(512) 420-0186 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Frank, Carl D, MD Aus tin Gender: Male NPI: 1962455105 8015 Shoal Creek Blvd Ste 109 J(512) 420-0186 Clinic Affiliation: Austin Gastroenterology PA Board Certified Specialties: Gastroenterology, Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Lubin, Craig H, MD Gender: Male NPI: 1033194634 1111 W 34th St Ste 200 J(512) 485-5889 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology NPI: 1154347870 4310 James Casey St Ste 4A J(512) 448-4588 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology " Pham, Binh V, MD Gender: Male NPI: 1558371559 1111 W 34th St Ste 200 (512) 420-0186 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Gastroenterology PA Board Certified Specialties: Gastroenterology " Reddy, Sridhar P, MD Austin Gender: Male NPI: 1134123938 2911 Medical Arts St Ste 9B J(512) 474-6321 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, Texas Neurorehab Center, University Med Ctr Brackenridge Clinic Affiliation: Sridhar P Reddy MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology " Mank III, Gerald W, MD Austin Gender: Male NPI: 1821309592 1111 W 34th St Ste 200 J(512) 454-4588 " Hsu, Chia Wen, MD Austin NPI: 1821309592 8015 Shoal Creek Blvd Ste 109 (512) 371-1519 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA, University Physicians Group Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology Gender: Male NPI: 1568447670 4310 James Casey St Ste 4A J(512) 420-0186 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology " Rice, Dan C, MD Austin Gender: Male NPI: 1669457719 4310 James Casey St Ste 4A J(512) 420-0186 Hospital Affiliation: Austin Endoscopy Center Ii Llc, Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, Lakeway Regional Medical Ctr Llc, Seton Edgar B Davis, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Mansour, Lilah, MD Austin Gender: Female NPI: 1467467985 6811 Austin Center Blvd Ste 300 (512) 346-8888 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Gastroenterology " Kumar, Pradeep, MD Austin Gender: Male NPI: 1093790537 1015 E 32nd St Ste 300 J(512) 448-4588 NPI: 1093790537 4310 James Casey St Ste 4A J(512) 420-0186 Hospital Affiliation: Cornerstone Hosp Of Austin, Lakeway Regional Medical Ctr Llc, Northwest Hills Surgical Hospital, Round Rock Medical Center, Seton Edgar B Davis, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Matteer, Nancy P, MD Austin Gender: Female NPI: 1568615136 4007 James Casey St Ste C210 J(512) 447-8466 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Nancy P Matteer MD Board Certified Specialties: Gastroenterology " Ridgeway, Mona L, MD Austin Gender: Female NPI: 1811972367 1111 W 34th St Ste 200 J(512) 420-0186 Hospital Affiliation: Austin Endoscopy Center I Llc, Austin Endoscopy Center Ii Llc, Seton Medical Center Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " McHorse, Tom S, MD Austin Gender: Male NPI: 1083614523 6811 Austin Center Blvd Ste 300 (512) 346-8888 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Highland Lakes, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Gastroenterology Mehta, Rajesh M, MD Gender: Male NPI: 1255414157 4007 James Casey St Ste C210 J(512) 368-5294 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Lonestar Gastroenterology Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Austin Austin Gender: Male NPI: 1154347870 10815 RR 2222 Ste 202 Bldg 3a1 J(512) 279-2000 Gender: Male NPI: 1174508758 1111 W 34th St Ste 200 J(512) 454-4588 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Emmett, Daniel S, MD NPI: 1508079302 313 E 12th St Ste 101 (512) 324-9650 Clinic Affiliation: Austin Gastroenterology PA, University Physicians Group Board Certified Specialties: Gastroenterology " Havemann, Benjamin D, MD " Dabaghi, Rashad E, MD Austin Gender: Female NPI: 1508079302 1111 W 34th St Ste 200 (512) 454-4588 Austin Aus tin Aus tin Austin Gender: Male NPI: 1235114786 1015 E 32nd St Ste 300 J(512) 469-9966 Hospital Affiliation: Cornerstone Hosp Of Austin, Lakeway Regional Medical Ctr Llc, North Austin Medical Center, Seton Edgar B Davis, 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 Gastroenterology PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology " Singh, Inder M, MD Austin Gender: Male NPI: 1447456736 313 E 12th St Ste 101 (512) 324-9650 NPI: 1447456736 601 E 15th St (512) 485-5889 Clinic Affiliation: Austin Gastroenterology PA, University Physicians Group Board Certified Specialties: Gastroenterology J - Wheelchair Access 82 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Willeford III, George, MD " Askew Jr, Robert E, MD Aus tin AUSTIN Cont GASTROENTEROLOGY Cont " Sperling, Richard M, MD Austin Gender: Male NPI: 1881679959 1111 W 34th St Ste 200 J(512) 454-4588 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology " Spindel, Enrique, MD Austin Gender: Male NPI: 1467424267 4007 James Casey St Ste C210 J(512) 447-8466 " Srygley, Fletcher D, MD " Anderson, Brady E, MD Gender: Female NPI: 1912946484 1111 W 34th St Ste 200 (512) 454-4588 " Utts, Stephen J, MD # Gender: Male NPI: 1285619262 4310 James Casey St Ste 4A J(512) 485-5889 Hospital Affiliation: Heart Hospital Of Austin, Lakeway Regional Medical Ctr Llc, Seton Edgar B Davis, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Coombs Skiles, Caroline H, MD Austin Gender: Female NPI: 1144438136 6500 N Mopac Ste 2205 Bldg 2 (512) 505-5500 NPI: 1144438136 900 E 30th St Ste 100 (512) 334-2777 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Cancer Centers Georgetown Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: General Surgery " Brown, Carlos V, MD Austin Gender: Male NPI: 1235251075 313 E 12th St Ste 104 J(512) 324-9650 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: General Surgery " Cherico, Felix W, MD Austin " Esquivel, Alejandro, MD Austin Gender: Male NPI: 1093813925 4007 James Casey St Ste A220 (512) 447-4993 Hospital Affiliation: Bailey Square Surgery Center, Seton Northwest Hospital, Seton Southwest, South Austin Surgery Center, St Davids Medical Center, St Davids S Austin Medical Center, Surgicare Of South Austin Clinic Affiliation: Surgical Assoc of Austin PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: General Surgery Gender: Male NPI: 1851320246 1015 E 32nd St Ste 308 J(512) 472-1381 Gender: Male NPI: 1871661124 200 Medical Pkwy Ste 360 J(512) 879-0111 Hospital Affiliation: Cedar Park Regional Medical Ctr, Lakeway Regional Medical Ctr Llc, North Austin Medical Center, Oakwood Surgery Center, Round Rock Medical Center, Seton Medical Ctr Williamson, St Davids Georgetown Hospital, The Hosp At Westlake Med Ctr Clinic Affiliation: Central Texas Surgical Assoc Practice Information: No Patients Under 5 yrs old Board Certified Specialties: General Surgery " Trevino, Jessica M, MD Austin Gender: Male NPI: 1063493039 1400 N IH 35 Ste 300 (512) 324-7873 Hospital Affiliation: Seton Medical Center Clinic Affiliation: University Physicians Group Board Certified Specialties: General Surgery Aus tin Austin NPI: 1912946484 313 E 12th St Ste 101 J(512) 324-9650 Hospital Affiliation: 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: Austin Gastroenterology PA, University Physicians Group Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology " Aydelotte, Jayson D, MD " Abikhaled, John A, MD Austin Gender: Male NPI: 1265659106 12319 N Mopac Expwy Ste 350 J(512) 491-6542 Hospital Affiliation: Cedar Park Regional Medical Ctr, North Austin Medical Center, Round Rock Medical Center, Scott & White Hlthcare Round Rock, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Northstar Surgery Specialists PA Board Certified Specialties: General Surgery Austin Aus tin Gender: Male NPI: 1639108731 3901 Medical Pkwy Ste 200 J(512) 458-3279 Hospital Affiliation: Arise Austin Medical Center, 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 Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery " Choudhry, Vineet, MD Austin Gender: Male NPI: 1194754317 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery GENERAL SURGERY NPI: 1467424267 900 E 30th St Ste 201 J(512) 447-8466 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology Gender: Male NPI: 1124290416 4310 James Casey St Ste 4A (512) 448-4588 Clinic Affiliation: Austin Gastroenterology PA Board Certified Specialties: Gastroenterology Austin Gender: Male NPI: 1225013758 1111 W 34th St Ste 200 J(512) 420-0186 Hospital Affiliation: Austin Endoscopy Center I Llc, Bailey Square Surgery Center, Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Northwest Surgery Center Llp, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Gastroenterology PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Gastroenterology NPI: 1851320246 12201 Renfert Way Ste 335 J(512) 472-1381 Hospital Affiliation: 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 Practice Information: No Patients Under 14 yrs old Board Certified Specialties: General Surgery " Ashworth, Rodney B, MD Aus tin Gender: Male NPI: 1356377907 12201 Renfert Way Ste 335 J(512) 472-1381 " Fielder, W Drew, MD Austin Gender: Male NPI: 1972500866 1313 Red River Ste 305 J(512) 324-7789 " Ching, Peter V, MD Austin Gender: Male NPI: 1669465282 1015 E 32nd St Ste 308 J(512) 472-1381 NPI: 1356377907 4007 James Casey St Ste 230 J(512) 447-4993 Hospital Affiliation: 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 Certified Specialties: General Surgery NPI: 1669465282 4007 James Casey St Ste A220 J(512) 472-1381 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: General Surgery NPI: 1972500866 1400 N IH 35 Ste 300 J(512) 324-7873 Hospital Affiliation: Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery " Fleming, Richard Y, MD Austin Gender: Male NPI: 1881623114 1015 E 32nd St Ste 308 J(512) 472-1381 Hospital Affiliation: 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 Practice Information: No Patients Under 15 yrs old Board Certified Specialties: General Surgery J - Wheelchair Access 83 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Garcia, Joseph, MD " Hawthorne, Andy L, MD Austin AUSTIN Cont GENERAL SURGERY Cont " Folkers, David C, MD Aus tin Gender: Male NPI: 1538265442 4007 James Casey St Ste B130 J(512) 402-5806 Hospital Affiliation: North Austin Medical Center, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center Practice Information: No Patients Under 2 yrs old Board Certified Specialties: General Surgery " Garcia, Nilda M, MD Gender: Female NPI: 1407815533 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Hospital Affiliation: Childrens Medical Center Of Dallas, 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: General Surgery " Forage, Jean P, MD Gender: Male NPI: 1396789764 11111 Research Blvd Ste 210 J(512) 443-5954 " Gambarin, Semyon, MD " Ganta, Sashidhar V, MD Aus tin Gender: Male NPI: 1821060807 11851 Jollyville Rd Ste 104 J(512) 257-2425 Hospital Affiliation: 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: Sashidhar V Ganta MD Board Certified Specialties: General Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Livingston, Charles D, MD Austin Gender: Male NPI: 1073545760 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Central Park Surgery Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery " Markus, Robert M, MD Austin Gender: Male NPI: 1386675213 1015 E 32nd St Ste 308 J(512) 472-1381 " Johnson, Jeff L, MD Austin Gender: Male NPI: 1235115064 7900 FM 1826 Ste 180 (512) 615-3574 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Southwest, Stonegate Surgery Center Lp, The Hosp At Westlake Med Ctr, Tx Hlth Harris Methodist Hosp Heb, University Med Ctr Brackenridge Clinic Affiliation: Jeff L Johnson MD Board Certified Specialties: General Surgery NPI: 1386675213 4007 James Casey St Ste A230 J(512) 472-1381 Hospital Affiliation: 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 Practice Information: No Patients Under 14 yrs old Board Certified Specialties: General Surgery " Jones Jr, Harry L, MD Guleserian, Kristine J, MD Gender: Female NPI: 1023070109 1201 W 37th St (214) 456-5000 Austin Gender: Male NPI: 1871525550 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery NPI: 1023070109 4900 Mueller Blvd (512) 324-1000 Aus tin Gender: Male NPI: 1871508937 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery Gender: Male NPI: 1699710665 6633 E Hwy 290 Ste 101 J(956) 992-9161 Hospital Affiliation: Lifecare Hospitals South Tx-South, South Texas Health System Clinic Affiliation: All In Veins LLC Board Certified Specialties: General Surgery, Preventive Medicine Gender: Male NPI: 1184683013 12319 N Mopac Expwy Ste 250 J(512) 339-9100 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, The Hosp At Westlake Med Ctr Clinic Affiliation: Joel Gotvald PA Board Certified Specialties: General Surgery, Thoracic Surgery Austin Gender: Male NPI: 1003848789 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery " Hovorka, John W, MD " Gotvald, Joel G, MD " Freer, Rebecca, MD " Lindsey, Mark R, MD Austin Austin Austin Aus tin Gender: Female NPI: 1750397022 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery Gender: Male NPI: 1801919881 200 Medical Pkwy Ste 360 J(512) 879-0111 Hospital Affiliation: Cedar Park Regional Medical Ctr, Lakeway Regional Medical Ctr Llc, North Austin Medical Center, Oakwood Surgery Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital, The Hosp At Westlake Med Ctr Clinic Affiliation: Central Texas Surgical Assoc Board Certified Specialties: General Surgery Austin Aus tin NPI: 1396789764 4101 James Casey St Ste 340 J(512) 443-5954 Hospital Affiliation: Bailey Square Surgery Center, Scott & White Hospital Llano, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Assoc In General Surger Practice Information: No Patients Under 7 yrs old Board Certified Specialties: General Surgery Austin Gender: Male NPI: 1174639801 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery NPI: 1023070109 601 E 15th St (512) 324-7000 Clinic Affiliation: UT Southwestern Medical Center Board Certified Specialties: None " Martinez, Kelly, MD Austin Gender: Female NPI: 1972560274 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: Arise Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Board Certified Specialties: General Surgery " Kimbrough II, Birch D, MD Austin " Hanschen, Stephen, MD Austin # Gender: Male NPI: 1225044571 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery Gender: Male NPI: 1558319400 5700 W Slaughter Ln Ste 260 J(512) 268-3824 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Capital City Emergency Staffing Board Certified Specialties: General Surgery " Mayer, William D, MD Austin Gender: Male NPI: 1841221686 1015 E 32nd St Ste 308 J(512) 472-1381 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Surgical Assoc of Austin PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: General Surgery " Kocay, Dean A, MD Austin Gender: Male NPI: 1659373744 4007 James Casey Ste B130 J(512) 912-0480 Hospital Affiliation: 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 Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery " McKenzie, Shaun, MD Austin Gender: Male NPI: 1114189933 1015 E 32nd St Ste 308 (512) 499-8823 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Surgical Assoc of Austin PA Board Certified Specialties: General Surgery J - Wheelchair Access 84 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont GENERAL SURGERY Cont " Meynig, Jeffrey T, MD Austin Gender: Male NPI: 1164454724 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Central Park Surgery Center, 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 Surgeons P L L C Practice Information: No Patients Under 6 yrs old Board Certified Specialties: General Surgery " Rios Jr, Oscar, MD Gender: Male NPI: 1467453621 !# 9701 Brodie Ln Ste 206 J(512) 263-0024 Hospital Affiliation: Baptist Health System, Methodist Hospital, Methodist Specialty And Transplant Hospital, Southwest General Hospital Clinic Affiliation: Devika Surgical Assoc PLLC Board Certified Specialties: General Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1558469452 4101 James Casey St Ste 340 (512) 443-5954 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Hyon Christopher Shin MD Practice Information: No Patients Under 4 yrs old Board Certified Specialties: General Surgery " Runyan, Bratcher L, MD Gender: Male NPI: 1730300211 200 Medical Pkwy Ste 360 (512) 879-0111 Clinic Affiliation: Central Texas Surgical Assoc Board Certified Specialties: General Surgery " O’Farrell, Kevin P, MD " Patel, Nilesh A, MD Gender: Male NPI: 1558469452 11111 Research Blvd Ste 210 (512) 443-5954 Aus tin Austin Austin " Shin, Hyon Ho, MD Austin NPI: 1346377066 1400 N IH 35 Ste 300 J(512) 324-7873 Hospital Affiliation: Houston Methodist Hospital, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: General Surgery " Nelson, Jane C, MD Gender: Male NPI: 1003822362 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery NPI: 1609830645 4007 James Casey St Ste A220 J(512) 472-1381 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: General Surgery Aus tin Austin Gender: Male NPI: 1508889205 1313 Red River Ste 305 J(512) 324-7789 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: General Surgery NPI: 1609830645 12201 Renfert Way Ste 335 J(512) 472-1381 Gender: Male NPI: 1871508945 6811 Austin Center Blvd Ste 300 J(512) 344-0368 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: General Surgery Gender: Male NPI: 1346377066 1313 Red River Ste 305 J(512) 324-7789 " Uecker, John M, MD Austin Gender: Male NPI: 1609830645 1015 E 32nd St Ste 308 J(512) 472-1381 " Regan, Michael, MD " Morrison, Patricia J, MD Gender: Female NPI: 1699735670 6500 N Mopac Ste 2205 Bldg 2 (512) 505-5500 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: General Surgery " Sankar, Aravind B, MD Austin Aus tin Austin Gender: Female NPI: 1215047402 12201 Renfert Way Ste 100 (512) 338-5201 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Practice Information: No Patients Under 15 yrs old Board Certified Specialties: General Surgery Payne, Thomas N, MD Gender: Male NPI: 1710904388 12221 Renfert Way Ste 220 (512) 719-5224 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: St Davids OB Hospitalist PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None " Victor, Brant E, MD Austin Gender: Male NPI: 1184653321 3901 Medical Pkwy Ste 200 J(512) 467-7151 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Heart Hospital Of Austin, North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Surgeons P L L C Practice Information: No Patients Under 12 yrs old Board Certified Specialties: General Surgery GENERAL VASCULAR SURGERY " Apple, Jeffrey M, MD Austin Gender: Male NPI: 1750354924 1010 W 40th St J(512) 459-8753 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Cardiothoracic and Vascular Surge Board Certified Specialties: General Vascular Surgery " Baptiste, Reginald C, MD Austin Gender: Male NPI: 1649202979 6500 N Mopac Expwy Ste 2207 J(512) 494-9985 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Capital Cardiothoracic Surgeons PA Board Certified Specialties: General Vascular Surgery, Thoracic Surgery " Smith, Clyde D, MD Austin Gender: Male NPI: 1104917202 2911 Medical Arts St Ste 6 (512) 478-9900 " Sabra, John P, MD Aus tin Gender: Male NPI: 1093738791 1313 Red River Ste 305 J(512) 324-7789 NPI: 1104917202 2911 Medical Arts Ste 6 (512) 914-2628 Hospital Affiliation: Little River Healthcare, Scott & White Hospital Taylor, Scott And White Memorial Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Board Certified Specialties: General Surgery NPI: 1093738791 1400 N IH 35 Ste 300 J(512) 324-7873 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: General Surgery Austin Truumees, Eeric, MD Gender: Male NPI: 1356322630 1600 W 38th St Ste 200 (512) 324-3560 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: None GYNECOLOGIC ONCOLOGY Austin 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 Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None J - Wheelchair Access 85 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont HAND SURGERY Austin Foster, Robert A, MD Gender: Male NPI: 1437153210 # 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, 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, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin GYNECOLOGIC ONCOLOGY Cont " Knowles, Lynne M, MD Aus tin Gender: Female NPI: 1568561397 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1568561397 6204 Balcones Dr J(512) 427-9400 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Gynecologic Oncology Aus tin Austin Loar III, Paul V, MD Gender: Male NPI: 1063488617 12221 Renfert Way Ste 300 (512) 873-8900 NPI: 1063488617 901 W 38th St Ste 300 (512) 421-4100 Hospital Affiliation: 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 Certified Specialties: None Austin " Smith, Ellen B, MD Aus tin # Aus tin Gender: Female NPI: 1558305490 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: Bailey Square Surgery Center, 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 Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Gynecologic Oncology Teneriello, Michael G, MD Gender: Male NPI: 1801834809 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1801834809 6204 Balcones Dr J(512) 427-9400 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Austin Austin Pearce, Stephen M, MD Gender: Male NPI: 1922000504 1015 E 32nd St Ste 101 J(512) 477-6341 NPI: 1922000504 3001 Bee Caves Rd Ste 220 J(512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Bone & Joint Clinic Board Certified Specialties: Orthopedic Surgery Austin Austin HEMATOLOGY Gadaria, Umeshchandra G, MD Gender: Male NPI: 1154301208 1015 E 32nd Ste 208 J(512) 478-0993 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Plastic Surgery Austin Castillo, Rene A, MD Gender: Male NPI: 1134186166 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1134186166 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: Central Texas Medical Center, 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Hardy, Brian T, MD Gender: Male NPI: 1730382193 911 W 38th St Ste 300 J(512) 439-1002 Hospital Affiliation: Texas Orthopedics Surgery Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin Holzman, Steven, MD Gender: Male NPI: 1255443974 6818 Austin Center Blvd Ste 206 J(512) 338-4404 Hospital Affiliation: Bailey Square Surgery Center, Cedar Park Regional Medical Ctr, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Plastic Surgery Austin Johnson, Don E, MD Gender: Male NPI: 1609974955 3705 Medical Pkwy Ste 530 J(512) 443-3933 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Orthopedic Surgery Chadha, Punit, MD Gender: Male NPI: 1497778229 4101 James Casey St Ste 100 J(512) 447-2202 Hospital Affiliation: Cornerstone Hosp 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: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Doner, Kevin T, MD Gender: Male NPI: 1336115880 12221 Renfert Way Ste 300 (512) 873-8900 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Fain, Jerry D, MD Gender: Male NPI: 1447293840 # 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin Patel, Manish V, MD Gender: Male NPI: 1114031929 2500 W Wm Cannon Dr Ste 401 J(512) 451-1969 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Round Rock Medical Center, Scott & White Hospital Taylor, 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 Certified Specialties: None George, David W, MD Gender: Male NPI: 1164465563 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: Cornerstone Hosp Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Hellerstedt, Beth A, MD Gender: Female NPI: 1215975487 6101 Balcones Dr Ste 101 J(512) 406-5150 NPI: 1215975487 6204 Balcones Dr J(512) 427-9400 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Helmer III, Richard E, MD Gender: Male NPI: 1447293899 # 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: Scott & White Hospital Llano, Seton Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin Austin Hoverman, John R, MD Gender: Male NPI: 1508808494 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1508808494 6101 Balcones Dr Ste 101 J(512) 406-5150 NPI: 1508808494 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin Kocs, Darren M, MD Gender: Male NPI: 1972541357 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None J - Wheelchair Access 86 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont HEMATOLOGY Cont Austin Loukas, Demetrius F, MD Gender: Male NPI: 1154369775 11111 Research Blvd Ste 400 J(512) 349-0081 NPI: 1154369775 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old, Practice Limited to Hematology, Practice Limited to Oncology Board Certified Specialties: Oncology Austin Patt, Debra A, MD Gender: Female NPI: 1003839820 12201 Renfert Way Ste 370 J(512) 302-1771 Aus tin Aus tin NPI: 1003839820 4101 James Casey St Ste 100 J(512) 447-2202 Austin Sandbach, John F, MD Gender: Male NPI: 1376585505 6101 Balcones Dr Ste 101 (512) 406-5150 NPI: 1376585505 6204 Balcones Dr (512) 427-9400 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old, Practice Limited to Oncology Board Certified Specialties: Oncology Austin Tweedy, Dennis A, MD Gender: Male NPI: 1205874948 4101 James Casey St Ste 100 (512) 440-7888 Hospital Affiliation: Central Texas Medical Center, Cornerstone Hosp Of Austin, Seton Medical Center, 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: Texas Oncology PA Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Aus tin Aus tin Chawla, Jane S, MD Gender: Female NPI: 1487863304 6204 Balcones Dr (512) 427-9400 Hospital Affiliation: 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 Certified Specialties: None Austin Kampe, Carsten E, MD Gender: Male NPI: 1912944521 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1275571879 6204 Balcones Dr J(512) 302-1771 HOSPICE & PALLIATIVE MEDICINE " Hurwitz, Craig A, MD Austin Gender: Male NPI: 1669567178 4900 Mueller Blvd J(512) 324-0197 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Clinic Affiliation: Specially For Children Board Certified Specialties: Hospice & Palliative Medicine, Pediatrics Austin Maxwell, Mary S, MD Gender: Female NPI: 1669469235 4107 Spicewood Springs Rd Ste 100 (512) 397-3360 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Palliative Care Assoc Board Certified Specialties: None INFECTIOUS DISEASES " Bagwell, John T, MD Austin # NPI: 1275571879 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Austin Austin NPI: 1912944521 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Rubin De Celis, Carlos, MD Gender: Male NPI: 1275571879 12201 Renfert Way Ste 325 J(512) 302-1771 NPI: 1275571879 4101 James Casey St J(512) 447-2202 Cruz, Jose C, MD Gender: Male NPI: 1720043524 901 W Ben White Blvd J(512) 447-2211 Hospital Affiliation: Covenant Medical Center, Covenant Medical Center Lakeside, University Medical Center Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Gorrebeeck, Allison E, MD Gender: Female NPI: 1467548628 12221 N Mopac Expwy (512) 505-5500 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: Oncology Kasper, Michael L, MD Gender: Male NPI: 1669414652 6101 Balcones Dr Ste 101 J(512) 302-1771 NPI: 1669414652 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology HEMATOLOGY-ONCOLOGY NPI: 1003839820 2911 Medical Arts St Ste 13 J(512) 478-9990 NPI: 1003839820 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Md Anderson Cancer Center, Seton Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old, Practice Limited to Oncology Board Certified Specialties: Oncology Uyeki, James V, MD Gender: Male NPI: 1124187927 4101 James Casey St Ste 100 (512) 447-2202 Hospital Affiliation: Central Texas Medical Center, Md Anderson Cancer Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old, Practice Limited to Oncology Board Certified Specialties: None Austin Smith, Jason L, MD Gender: Male NPI: 1114137064 4101 James Casey St Ste 100 J(512) 447-2202 Hospital Affiliation: Central Texas Medical Center, Seton Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Wright, Jennifer A, MD Gender: Female NPI: 1568624831 4101 James Casey St Ste 100 J(512) 447-2202 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Yorio, Jeffrey T, MD Gender: Male NPI: 1215197314 6204 Balcones Dr (512) 427-9400 Hospital Affiliation: Md Anderson Cancer Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: Practice Limited to Oncology Board Certified Specialties: None Gender: Male NPI: 1598783128 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Infectious Diseases Bissett, Jack D, MD Gender: Male NPI: 1407874027 # 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin " De Marco, Brendan M, MD Austin # Austin Gender: Male NPI: 1083632459 4614 N IH 35 (512) 978-9100 Hospital Affiliation: Parkland Health And Hospital Sys Clinic Affiliation: Communitycare Board Certified Specialties: Infectious Diseases Douglass, Elizabeth T, MD Gender: Female NPI: 1073675401 313 E 12th St Ste 102 J(512) 324-8880 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine J - Wheelchair Access 87 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Shuford, Jennifer A, MD Austin AUSTIN Cont INFECTIOUS DISEASES Cont " Ellis, Lisa C, MD Aus tin # Aus tin Gender: Female NPI: 1497774020 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Infectious Diseases Evans, James S, MD Gender: Male NPI: 1396769543 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Sriram, Padmam M, MD Austin Austin Mondy, Kristin E, MD Gender: Female NPI: 1265459762 ! 313 E 12th St Ste 101 (512) 324-9650 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine " Gogineni, Sireesha, MD Austin Gender: Female NPI: 1801974423 4007 James Casey Ste B200 (512) 441-9799 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, Warm Springs Spec Hosp Luling Llc Clinic Affiliation: Austin Pulmonary Consultants PA Board Certified Specialties: Internal Medicine " Grossmann, Alicia W, MD Austin Gender: Female NPI: 1225296320 6301 W Parmer Ln Ste 102 (512) 568-3565 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Alicia W Grossmann MD Board Certified Specialties: Internal Medicine " Douglass, Elizabeth T, MD Gender: Female NPI: 1073675401 313 E 12th St Ste 102 J(512) 324-8880 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine " Burugu, Sukanya, MD Gender: Female NPI: 1992710040 11615 Angus Rd Ste 108 (512) 372-4400 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine Austin Austin Cervantes, Cecilia M, MD Gender: Female NPI: 1114022753 5114 Balcones Woods Dr Ste 307-347 J(512) 466-2621 Hospital Affiliation: North Austin Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Cecilia M Cervantes MD, Cervantes Healthcare LLP Practice Information: No Patients Under 10 yrs old Board Certified Specialties: None " Hayden, Shailaja J, MD Austin Gender: Female NPI: 1427226224 1305 W 34th St Ste 400 J(512) 459-6599 Hospital Affiliation: St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pulmonary and Critical Care Consultants of Aus Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine Dubois, Susan K, MD Gender: Female NPI: 1114091675 2901 N IH 35 Ste 101 (512) 232-3900 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None Fisher, H Kenneth, MD Gender: Male NPI: 1063517506 5508 Parkcrest Dr Ste 310 (512) 420-9900 Clinic Affiliation: Sleep Medicine Consultants Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None " Lewis, Richard M, MD Austin Gender: Male NPI: 1598726408 12221 N Mo Pac Expwy J(512) 901-2504 Hospital Affiliation: Central Texas Medical Center, North Austin Medical Center, Northwest Hills Surgical Hospital, 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: Capital Area Surgeons PLLC Board Certified Specialties: Internal Medicine, Urology " Frank, Carl D, MD Austin Gender: Male NPI: 1962455105 8015 Shoal Creek Blvd Ste 109 J(512) 420-0186 Clinic Affiliation: Austin Gastroenterology PA Board Certified Specialties: Gastroenterology, Internal Medicine " Cheruku, Sunil R, MD Austin Gender: Male NPI: 1235173345 5508 Parkcrest Dr Ste 310 (512) 420-9900 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Sleep Medicine Consultants of Cen Board Certified Specialties: Internal Medicine Gheewala, Raeeda M, MD Gender: Female NPI: 1851507115 4007 James Casey St Ste A230 J(512) 451-5800 NPI: 1851507115 408 W 45th St J(512) 459-1399 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Seton Highland Lakes, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Central Texas Kidney Assoc PA Board Certified Specialties: Nephrology Austin Austin " Robinson, Matthew C, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1255362448 4101 Marathon Blvd (512) 323-9222 Hospital Affiliation: University Medical Center Clinic Affiliation: Longevity Wellness Group Inc Board Certified Specialties: Internal Medicine Gender: Male NPI: 1952359952 5700 W Slaughter Ln Ste 260 (512) 268-3824 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Capital City Emergency Staffing Board Certified Specialties: Internal Medicine Aus tin Dailey, Jimmy W, MD Gender: Male NPI: 1073598199 11814 Jollyville Rd Ste 103 (512) 250-9202 Hospital Affiliation: Tx Hlth Presbyterian Hosp Kaufman Clinic Affiliation: Low-T Physicians Professional Mbr Board Certified Specialties: None Austin " Davis, Gregory T, MD " Boone, Arthur R, MD Austin Cruz, Jose C, MD Gender: Male NPI: 1720043524 901 W Ben White Blvd J(512) 447-2211 Hospital Affiliation: Covenant Medical Center, Covenant Medical Center Lakeside, University Medical Center Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin Austin Aus tin Gender: Male NPI: 1063437838 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Infectious Diseases Zachary, James A, MD Gender: Male NPI: 1457350290 4614 N IH 35 (512) 978-9100 Clinic Affiliation: Communitycare Board Certified Specialties: None INTERNAL MEDICINE " Metzger, Brian S, MD Gender: Male NPI: 1538306899 1301 W 38th St Ste 403 J(512) 459-0301 Hospital Affiliation: 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 Certified Specialties: Infectious Diseases Austin Gender: Female NPI: 1659325181 4614 N IH 35 (512) 978-9100 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: Infectious Diseases Aus tin # Austin Gender: Female NPI: 1295880813 1301 W 38th St Ste 403 (512) 459-0301 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, Texas Neurorehab Center Clinic Affiliation: Austin Infectious Disease Consultants PA Board Certified Specialties: Infectious Diseases " Lewitton, Steven, MD Austin Gender: Male NPI: 1487828521 1015 E 32nd St Ste 508 (512) 480-3147 Hospital Affiliation: St Davids Hospital, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Cardiovascular Disease, Internal Medicine J - Wheelchair Access 88 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Mondy, Kristin E, MD Aus tin AUSTIN Cont INTERNAL MEDICINE Cont ! " Liu, Sharon, DO Austin Gender: Female NPI: 1497981625 3828 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Internal Medicine " MacKay, Daniel A, MD Austin # " Monge, Maria C, MD Aus tin Gender: Female NPI: 1851567556 1600 W 38th Ste 212 J(877) 800-5722 Gender: Male NPI: 1962450916 5700 W Slaughter Ln Ste 260 J(512) 268-3824 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Capital City Emergency Staffing Board Certified Specialties: Internal Medicine " Marroquin, James C, MD " Naik, Seema G, MD Gender: Female NPI: 1245460575 901 W Ben White Blvd (512) 447-2211 Hospital Affiliation: Methodist Specialty And Transplant Hospital Clinic Affiliation: Methodist Physician Practices PLL Board Certified Specialties: Internal Medicine " Masters Jr, Matthew, MD Gender: Male NPI: 1255414157 4007 James Casey St Ste C210 J(512) 368-5294 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Lonestar Gastroenterology Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Internal Medicine " Middleton, Ellen A, MD Austin Gender: Female NPI: 1215132881 1210 Braker Ln (512) 978-9300 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Punjabi, Narendra S, MD Gender: Male NPI: 1295740751 11615 Angus Rd Ste 106 (512) 346-8652 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Clinic Affiliation: Narendra Punjabi MD Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin " Ramos, Alina M, MD Aus tin ! " Tran, Phuong H, MD Austin Gender: Male NPI: 1710197678 4450 Frontier Trl (512) 373-8475 Clinic Affiliation: Low-T Physicians Professional Mbr Board Certified Specialties: Internal Medicine Rowder, Nicholas J, MD Gender: Male NPI: 1942230164 408 W 45th St J(512) 451-5800 Austin Austin Gender: Female NPI: 1912014812 3708 Jefferson St (512) 459-6503 Hospital Affiliation: North Central Baptist Hospital Clinic Affiliation: Wellmed Networks Inc Board Certified Specialties: Internal Medicine Gender: Male NPI: 1942362520 1210 Braker Ln (512) 978-9300 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Communitycare Board Certified Specialties: Internal Medicine " Mehta, Rajesh M, MD Gender: Male NPI: 1518052224 12335 Hymeadow Dr Ste 150 J(512) 977-8300 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Leo Toupin MD Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Internal Medicine " Schaefer, Jessica M, DO " Naik, Shantanu S, MD Austin " Toupin, Leo R, MD Austin Austin Aus tin Aus tin Reddy, Sridhar P, MD Gender: Male NPI: 1134123938 2911 Medical Arts St Ste 9B J(512) 474-6321 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, Texas Neurorehab Center, University Med Ctr Brackenridge Clinic Affiliation: Sridhar P Reddy MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Gastroenterology NPI: 1942230164 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Aus tin Austin Gender: Male NPI: 1568453934 1705 Lost Creek Blvd J(512) 329-0435 Hospital Affiliation: Cornerstone Hosp Of Austin, Seton Medical Center, Seton Northwest Hospital, South Austin Surgery Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 18 yrs old, Practice Limited to Addiction Therapy Board Certified Specialties: Internal Medicine Austin NPI: 1851567556 1600 W 38th St Ste 212 J(877) 800-5722 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Internal Medicine Austin Gender: Male NPI: 1902014392 4107 Spicewood Springs Rd (512) 342-4731 Hospital Affiliation: Heart Hospital Of Austin, Seton Medical Center Clinic Affiliation: Central Texas Palliative Care Assoc Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Internal Medicine Austin Gender: Female NPI: 1265459762 313 E 12th St Ste 101 (512) 324-9650 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine Gender: Female NPI: 1689606857 601 E 15th St (512) 324-7000 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Internal Medicine Shetty, Rajesh A, MD Gender: Male NPI: 1255374641 1210 W Braker Ln (512) 978-9300 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Edgar B Davis, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest Clinic Affiliation: Communitycare Board Certified Specialties: None Soubra, Said H, MD Gender: Male NPI: 1548219751 1210 W Braker Ln (512) 978-9300 Hospital Affiliation: 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 Certified Specialties: None " Thatikonda, Srivani, MD Austin Gender: Female NPI: 1881631356 805 W 37th St (512) 421-4280 Hospital Affiliation: 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 Certified Specialties: Internal Medicine, Radiation Oncology Vidacic, Aleksandra, MD Gender: Female NPI: 1629272224 210 Lee Barton Dr Unit 206 (210) 787-6621 Clinic Affiliation: Dr Av PLLC Board Certified Specialties: None Vinta, Malavika, MD Gender: Female NPI: 1518903525 408 W 45th St J(512) 451-5800 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, 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, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Westbrook Jr, Raymond R, DO Austin Gender: Male NPI: 1437103520 11814 Jollyville Rd Ste 103 (512) 250-6202 Hospital Affiliation: Kindred Hospital Tarrant County Arlington Campus, Medical Center Of Arlington, Tx Hlth Arlington Memorial Hosp Clinic Affiliation: Low-T Physicians Professional Mbr Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Internal Medicine " Zhou, Chen, MD Austin Gender: Female NPI: 1851595458 13376 N Hwy 183 Ste 110 (512) 219-0129 Hospital Affiliation: Heart Hospital Of Austin, Scott And White Memorial Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Wellmed Medical Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Internal Medicine J - Wheelchair Access 89 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont INTERVENTIONAL CARDIOLOGY " Amjadi, Nima, MD Aus tin # Aus tin Gender: Male NPI: 1114974011 4316 James Casey St Ste A (512) 623-5300 Hospital Affiliation: 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: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Interventional Cardiology Carlson, Thomas A, MD Gender: Male NPI: 1861453458 3801 N Lamar Ste 300 J(512) 206-3600 Hospital Affiliation: Little River Healthcare, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Chafizadeh, Edward R, MD Gender: Male NPI: 1023019924 # 1015 E 32nd St Ste 508 (512) 807-3140 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Gigliotti, Osvaldo S, MD Austin Gender: Male NPI: 1639123789 1301 W 38th St Ste 400 J(512) 791-1224 Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Interventional Cardiology Austin Austin " Demaio Jr, Samuel J, MD Austin Picone, Mark F, DO Gender: Male NPI: 1538169644 3801 N Lamar Blvd Ste 300 J(512) 206-3600 " Stahlman, Matthew B, MD Austin Gender: Male NPI: 1548230212 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1538169644 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Cedar Park Regional Medical Ctr, 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, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin NPI: 1366435810 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin Gender: Male NPI: 1649239872 200 Medical Pkwy Ste 270 J(512) 263-0123 Hospital Affiliation: East El Paso Phys Med Ctr Llc, Lakeway Regional Medical Ctr Llc, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Star State Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease, Interventional Cardiology Gammon, Roger S, MD Gender: Male NPI: 1366435810 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Pirwitz, Mark J, MD Gender: Male NPI: 1063436152 1301 W 38th St Ste 400 (512) 791-1224 NPI: 1548230212 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Cornerstone Hosp Of 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease, Interventional Cardiology Austin NPI: 1063436152 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: 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 Family of Doctors Board Certified Specialties: Cardiovascular Disease Karha, Juhana K, MD Gender: Male NPI: 1871669564 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids S Austin Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Austin Lewitton, Steven, MD Gender: Male NPI: 1487828521 1015 E 32nd St Ste 508 (512) 480-3147 Hospital Affiliation: St Davids Hospital, St Davids Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Cardiovascular Disease, Internal Medicine Austin Polkampally, Pritam R, MD Gender: Male NPI: 1487753877 200 Medical Pkwy Ste 270 (512) 263-0123 Hospital Affiliation: Lakeway Regional Medical Ctr Llc Clinic Affiliation: Star State Heart PLLC Board Certified Specialties: None McMinn, Thomas R, MD Gender: Male NPI: 1316947344 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Austin " Tucker II, Paul A, MD Austin Gender: Male NPI: 1134104847 4316 James Casey St Ste A (512) 623-5300 Hospital Affiliation: North Austin Medical Center, River Oaks Endoscopy Center Llp, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Interventional Cardiology Selmon, Matthew R, MD Gender: Male NPI: 1316990922 3801 N Lamar Blvd Ste 300 J(512) 206-3600 NPI: 1316990922 900 W 38th St Ste 420 J(512) 407-8346 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Hospital, St Davids Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Smith, Arthur M, MD Gender: Male NPI: 1043211444 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: 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, St Marks Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Terreson, David W, MD Gender: Male NPI: 1417932120 1015 E 32nd St Ste 508 (512) 807-3140 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Wozniak, Robert J, MD Gender: Male NPI: 1063408128 # 2200 Park Bend Dr Ste 401 (512) 807-3180 Hospital Affiliation: North Austin Medical Center, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, West Houston Medical Center Clinic Affiliation: Cardiovascular Specialists of Tex Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Austin J - Wheelchair Access 90 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont INTERVENTIONAL CARDIOLOGY Cont Austin Zidar, Francis J, MD Gender: Male NPI: 1972580652 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Gender: Female NPI: 1568487825 12200 Renfert Way Ste G3 (512) 821-2540 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: North Austin Maternal Fetal Medic Board Certified Specialties: Maternal & Fetal Medicine Aus tin Austin Austin Berry, David L, MD Gender: Male NPI: 1609052950 6500 N Mo Pac Expwy Ste 1205 Bldg 1 J(512) 206-0101 Hospital Affiliation: 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: Berry David L MD Practice Information: Practice Limited to Obstetrics Board Certified Specialties: None Brown, Charles E, MD Gender: Male NPI: 1508928557 601 E 15th St J(512) 324-7000 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Elliott, Byron D, MD Gender: Male NPI: 1689608101 4100 Duval Blvd Ste 201 Bldg 2 J(512) 614-2209 NPI: 1417981994 601 E 15th St (512) 459-1131 Harstad, Timothy W, MD Gender: Male NPI: 1558391847 1313 Red River Ste 320 (512) 978-8870 NPI: 1417981994 801 W 34th St Ste 100 J(512) 459-1131 NPI: 1417981994 911 W 38th St Ste 205 J(512) 459-0361 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare, Magella Medical Assoc PA, University Physicians Group Board Certified Specialties: None NPI: 1558391847 801 W 34th St Ste 100 J(512) 459-1131 " Fonseca, Linda, MD Aus tin Gender: Female NPI: 1609801646 1301 Barbara Jordan Blvd Ste 304 (512) 454-1110 NPI: 1609801646 4100 Duval Rd Ste 201 Bldg 2 (512) 339-1010 NPI: 1609801646 4314 Medical Pkwy Ste 200 (512) 454-1110 NPI: 1558391847 911 W 38th St Ste 205 J(512) 459-0361 Hospital Affiliation: 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: Communitycare, Magella Medical Assoc PA Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Obstetrics-Gynecology " Sheppard, Joy C, MD Austin Gender: Female NPI: 1982692984 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 NPI: 1982692984 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Maternal & Fetal Medicine " Horton, Amanda L, MD Austin Gender: Female NPI: 1730131509 12200 Renfert Way Ste G-3 J(512) 821-2540 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: North Austin Maternal Fetal Medic Board Certified Specialties: Maternal & Fetal Medicine Austin Austin NPI: 1609801646 911 W 38th St Ste 205 (512) 459-0361 Hospital Affiliation: 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: Magella Medical Assoc PA Board Certified Specialties: Maternal & Fetal Medicine Ridgeway, Jeffrey J, MD Gender: Male NPI: 1417981994 1313 Red River Ste 320 (512) 978-8870 NPI: 1417981994 4100 Duval Rd Ste 201 Bldg 2 J(512) 339-1010 NPI: 1558391847 4100 Duval Rd Ste 201 Bldg 2 J(512) 339-1010 NPI: 1689608101 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: Baptist Health System, Christus Santa Rosa Hosp City Ctr, Methodist Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None " Adusumalli, Jasvant, MD Austin Gender: Male NPI: 1720138829 12200 Renfert Way Ste G3 (512) 821-2540 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: North Austin Maternal Fetal Medic Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Maternal & Fetal Medicine Austin NPI: 1689608101 801 W 34th St Ste 100 J(512) 459-1131 MATERNAL & FETAL MEDICINE Austin Gender: Male NPI: 1730357039 12200 Renfert Way Ste G3 J(512) 821-2540 Hospital Affiliation: 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 Certified Specialties: Maternal & Fetal Medicine " Destefano, Kimberly A, MD " Zientek, David M, MD ! " Haeri, Sina, MD Austin Aus tin Austin Gender: Male NPI: 1629053061 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Over 16 yrs old, No Patients Under 16 yrs old Board Certified Specialties: Interventional Cardiology Cantu, Jessica A, MD Gender: Female NPI: 1619274677 911 W 38th St Ste 201 (512) 459-1131 Hospital Affiliation: 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: Magella Medical Assoc PA Board Certified Specialties: None Singh, Jasbir, MD Gender: Male NPI: 1811001209 12200 Renfert Way Ste G3 J(512) 821-2540 Hospital Affiliation: Baylor Medical Center Waxahachie Clinic Affiliation: North Austin Maternal Fetal Medic Practice Information: No Patients Under 10 yrs old Board Certified Specialties: None Singh, Krishna R, MD Gender: Female NPI: 1538368899 601 E 15th St (512) 324-8670 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None MAXILLOFACIAL SURGERY Austin Casmedes III, Harry P, DDS Gender: Female NPI: 1013084169 901 W 38th St Ste 410 J(512) 324-3310 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Oral Surgery J - Wheelchair Access 91 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont MAXILLOFACIAL SURGERY Cont Aus tin Karakourtis, Mark H, DDS Gender: Male NPI: 1932320967 12201 Renfert Way Ste 345 (512) 836-3074 Hospital Affiliation: Seton Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Carus Dental Board Certified Specialties: Oral Surgery # MEDICAL GENETICS Aus tin George Abraham, Jaya K, MD Gender: Female NPI: 1063616621 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1840 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Board Certified Specialties: None Austin " Gibson, James B, MD Aus tin Gender: Male NPI: 1023121159 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1840 Hospital Affiliation: Christus Santa Rosa Hosp City Ctr, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Medical Genetics Aus tin Immken, Ladonna L, MD Gender: Female NPI: 1053363531 6811 Austin Center Blvd Ste 400 J(512) 628-1918 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Esoterix Genetic Counseling LLC Board Certified Specialties: None Austin Austin MEDICAL ONCOLOGY Aus tin NPI: 1902849805 901 W 38th St Ste 300 (512) 421-4100 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Georgetown Hospital, St Marks Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None " Cipleu, Cristian D, MD Austin Gender: Male NPI: 1689617383 3000 N IH 35 Ste 635 (512) 320-1500 NPI: 1689617383 3000 N Interstate 35 Ste 635 J(512) 320-1500 NPI: 1689617383 4100 Duval Rd Bldg 4 Ste 102 J(512) 832-0999 Hospital Affiliation: Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Tokaz, Laurence K, MD Gender: Male NPI: 1124060256 # 1600 W 38th St Ste 120 J(512) 302-1771 Netaji, Balijepalli, MD Gender: Male NPI: 1982642914 12221 Renfert Way Ste 300 J(512) 873-8900 Hospital Affiliation: Cedar Park Regional Medical Ctr, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Smithville Reg Hospital, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology NPI: 1124060256 4101 James Casey St Ste 100 J(512) 447-2202 Austin NPI: 1124060256 6101 Balcones Dr Ste 101 J(512) 406-5150 Hospital Affiliation: Cornerstone Hosp Of Austin, North Austin Medical Center, Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Pandey, Om N, MD Gender: Male NPI: 1316927353 1313 Red River St Ste 217 J(512) 324-7300 Hospital Affiliation: Seton Medical Center, Seton Medical Center Hays, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None NPI: 1386703064 3000 N Interstate 35 Ste 635 J(512) 320-1500 Hospital Affiliation: Cornerstone Hosp Of Austin, North Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA, University Physicians Group Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Alpar, Andrew, MD Austin Gender: Male NPI: 1750368510 800 W 34th St Ste 101 (512) 485-7870 Hospital Affiliation: Central Texas Medical Center, 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: Jack Moncrief Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Rubin De Celis, Carlos, MD Gender: Male NPI: 1275571879 12201 Renfert Way Ste 325 J(512) 302-1771 " Gheewala, Raeeda M, MD Austin Gender: Female NPI: 1851507115 4007 James Casey St Ste A230 J(512) 451-5800 NPI: 1851507115 408 W 45th St J(512) 451-5800 (512) 459-1399 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Seton Highland Lakes, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA, Central Texas Kidney Assoc PA Board Certified Specialties: Nephrology " Betts, Judith A, MD Austin ! Shaughnessy, Paul J, MD Gender: Male NPI: 1316904550 901 W Ben White Blvd (512) 447-2211 Hospital Affiliation: Methodist Hospital, Methodist Specialty And Transplant Hospital Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 14 yrs old Board Certified Specialties: None Gender: Female NPI: 1992735120 408 W 45th St (512) 451-5800 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, 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, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Central Texas Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Erko, Amsalu, MD Gender: Male NPI: 1386703064 1313 Red River St Ste 220 (512) 324-7300 NPI: 1386703064 3000 N IH 35 Ste 635 (512) 451-5800 NEPHROLOGY NPI: 1275571879 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Austin Shrikhande, Shubhada S, MD Gender: Female NPI: 1982661674 12221 Renfert Way Ste 300 (512) 873-8900 Hospital Affiliation: 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 Certified Specialties: Oncology Austin NPI: 1275571879 6204 Balcones Dr J(512) 302-1771 Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin NPI: 1275571879 4101 James Casey St J(512) 447-2202 Cruz, Jose C, MD Gender: Male NPI: 1720043524 901 W Ben White Blvd J(512) 447-2211 Hospital Affiliation: Covenant Medical Center, Covenant Medical Center Lakeside, University Medical Center Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Fain, Jerry D, MD Gender: Male NPI: 1447293840 # 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Melear, Jason M, MD Gender: Male NPI: 1902849805 11111 Research Blvd Ste 400 (512) 349-0081 " Hashim, Shahzad, MD Austin Gender: Male NPI: 1205053147 408 W 45th St (512) 451-5800 Hospital Affiliation: Houston Northwest Medical Center, Mem Hermann The Woodlands Hosp Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology J - Wheelchair Access 92 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Maidment, Helen J, MD " Moncrief, Jack W, MD Aus tin AUSTIN Cont NEPHROLOGY Cont " Hines, Peter B, MD Austin Gender: Male NPI: 1932244506 408 W 45th St (512) 451-5800 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Gender: Female NPI: 1649378787 4007 James Casey St Ste A230 (512) 451-5800 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Heart Hospital Of Austin, 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: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Lyson, Krzysztof J, MD Austin Gender: Male NPI: 1376586073 3000 N Interstate 35 Ste 635 J(512) 320-1500 NPI: 1376586073 408 W 45th St (512) 451-5800 NPI: 1376586073 4100 Duval Rd Bldg 2 Ste 10 J(512) 832-0999 NPI: 1376586073 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1720021777 3000 N IH 35 Ste 635 J(512) 320-1500 Gender: Male NPI: 1235176710 3000 N Interstate 35 Ste 635 J(512) 320-1500 Gender: Male NPI: 1063446359 408 W 45th St (512) 451-5800 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Lu, Ting Chi, MD " Moore, Walter S, MD Austin " Mididoddi, Ravi, MD " Hines, Timothy R, MD Austin Gender: Male NPI: 1164439295 800 W 34th St Ste 101 (512) 485-7870 Hospital Affiliation: Heart Hospital Of Austin, North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Jack Moncrief Group PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Aus tin Austin Austin Austin Gender: Female NPI: 1467495168 408 W 45th St (512) 451-5800 Hospital Affiliation: Central Texas Medical Center, 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 Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Rosen, Mark S, MD Austin Gender: Male NPI: 1578561411 3000 N IH 35 Ste 635 J(512) 451-5800 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology NPI: 1720021777 3000 N Interstate 35 Ste 635 J(512) 320-1500 NPI: 1235176710 408 W 45th St (512) 451-5800 NPI: 1720021777 4100 Duval Rd Ste 102 J(512) 832-0999 NPI: 1235176710 4100 Duval Rd Ste 102 Bldg 4 J(512) 832-0999 Hospital Affiliation: University Health System Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Miller, Peter L, MD Gender: Male NPI: 1619911880 3000 N Interstate 35 Ste 635 J(512) 320-1500 " Rowder, Nicholas J, MD Austin Gender: Male NPI: 1942230164 408 W 45th St (512) 451-5800 NPI: 1720021777 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Aus tin NPI: 1942230164 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Central Texas Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Nader, Paul C, MD Austin Gender: Male NPI: 1164407102 3000 N IH 35 Ste 635 (512) 451-5800 NPI: 1619911880 4007 James Casey St Ste A210 J(512) 320-1500 Rodriguez, William A, MD Gender: Male NPI: 1821028093 408 W 45th St (512) 451-5800 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Simmons, Edith M, MD Austin NPI: 1164407102 601 E 15 St (512) 324-7000 Hospital Affiliation: Seton Edgar B Davis, Seton Medical Center, Seton Medical Center Hays, 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: Austin Kidney Assoc PA, University Physicians Group Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Nephrology NPI: 1619911880 408 W 45th St (512) 451-5800 NPI: 1619911880 4207 James Casey St Ste 306 J(512) 320-1500 NPI: 1619911880 601 E 15 St (512) 324-7000 NPI: 1619911880 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA, University Physicians Group Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Nephrology Austin Nasser, Yasser A, MD Gender: Male NPI: 1760413629 408 W 45th St J(512) 451-5800 Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None " Perez, Annalisa B, MD Austin Gender: Female NPI: 1518084862 3000 N IH 35 Ste 635 (512) 451-5800 Gender: Female NPI: 1639112683 3000 N IH 35 Ste 635 (512) 320-1500 NPI: 1639112683 3000 N Interstate 35 Ste 635 J(512) 320-1500 NPI: 1639112683 4207 James Casey St Ste 306 J(512) 320-1500 Hospital Affiliation: Central Texas Medical Center, Central Texas Rehab Hospital Llc, Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, Heart Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology NPI: 1518084862 601 E 15th St (512) 324-7000 Hospital Affiliation: Scott And White Memorial Hospital Clinic Affiliation: Austin Kidney Assoc PA, University Physicians Group Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology J - Wheelchair Access 93 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont NEUROLOGICAL SURGERY " Kemper, Craig M, MD Austin " Aronin, Patricia A, MD Austin NEPHROLOGY Cont Gender: Female NPI: 1336236850 1301 Barbara Jordan Blvd Ste 307 (512) 324-0907 Hospital Affiliation: 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 Certified Specialties: Neurological Surgery " Simpson, Karon S, MD Aus tin Gender: Female NPI: 1164465274 3000 N IH 35 Ste 635 (512) 451-5800 NPI: 1164465274 3000 N Interstate 35 Ste 635 J(512) 320-1500 NPI: 1164465274 4100 Duval Rd Ste 102 Bldg 4 J(512) 832-0999 NPI: 1164465274 8620 Burnet Rd Ste 400 J(512) 334-1810 Hospital Affiliation: Central Texas Medical Center, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, St Davids Rehabilitation Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Capital Nephrology Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology " Burnett, Mark G, MD Gender: Male NPI: 1932195427 1015 E 32nd St Ste 411 J(512) 474-1114 Gender: Female NPI: 1518903525 408 W 45th St (512) 451-5800 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, 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, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA, Central Texas Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Aus tin Gender: Male NPI: 1871578252 12180 N Mopac Expwy Ste A J(512) 494-6024 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Stanley H Kim MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurological Surgery " Fox Jr, Douglas J, MD Gender: Male NPI: 1427044924 1015 E 32nd St Ste 411 (512) 474-1114 Aus tin Gender: Male NPI: 1518027366 801 W 38th St Ste 400 (512) 306-1323 NPI: 1518027366 801 W 38th St Ste 400 J(512) 306-1323 Hospital Affiliation: 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, Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery " Rose, James E, MD Austin Gender: Male NPI: 1003834680 1400 N IH 35 Ste 300 (512) 324-8300 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Houston Methodist Hospital, Texas Orthopedic Hospital Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery " Lee, Mark R, MD Austin NPI: 1427044924 1015 E 32nd St Ste 411 J(512) 474-1114 Gender: Male NPI: 1861413536 1301 Barbara Jordan Blvd Ste 307 J(512) 321-0910 NPI: 1427044924 4101 James Casey Ste 33A J(512) 474-1114 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Neuro Texas PLLC, Neurotexas PLLC Board Certified Specialties: Neurological Surgery NPI: 1861413536 1400 N IH 35 Ste 300 (512) 324-8300 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists, Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery " Spinks, Theodore J, MD Austin Gender: Male NPI: 1114065646 2500 W Wm Cannon Dr Ste 401 (512) 451-1969 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Southwest Orthopaedic Group Board Certified Specialties: Neurological Surgery " Loftus, Thomas S, MD " Hummell, Matthew K, MD Austin Austin Gender: Male NPI: 1548253503 2200 Park Bend Dr Bldg 2-202 J(512) 836-0900 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Austin Neurosurgical Institute Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Neurological Surgery Gender: Male NPI: 1134289994 801 W 38th St Ste 400 (512) 306-1323 NPI: 1134289994 801 W 38th St Ste 400 J(512) 306-1323 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Neurosurgical Specialists, Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery Austin Welch, Byron R, MD Gender: Male NPI: 1013950062 3000 N IH 35 Ste 635 (512) 451-5800 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Peterson, Daniel L, MD Austin " Kim, Stanley H, MD Austin Gender: Female NPI: 1821028077 4007 James Casey St Ste A230 (512) 451-5800 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Kidney Assoc PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Nephrology Gender: Male NPI: 1295710655 12319 N Mopac Expwy Ste C150 J(512) 837-7999 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Anant I Patel MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurological Surgery Austin NPI: 1932195427 4101 James Casey Ste 330A J(512) 474-1114 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Neuro Texas PLLC, Neurotexas PLLC Board Certified Specialties: Neurological Surgery " Venkatesh, Sujatha, MD " Vinta, Malavika, MD NPI: 1164582912 801 W 38th St Ste 400 J(512) 306-1323 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Neurosurgical Specialists, Seton Brain and Spine Institute Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Neurological Surgery Austin Aus tin " Patel, Anant I, MD Austin Gender: Male NPI: 1164582912 801 W 38th St Ste 400 J(512) 306-1323 Madera, Marcella A, MD Gender: Female NPI: 1528287851 801 W 38th St Ste 400 (512) 306-1323 NPI: 1528287851 801 W 38th St Ste 400 (512) 306-1323 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Neurosurgical Specialists, Seton Brain and Spine Institute Board Certified Specialties: None " Stokes, John K, MD Austin Gender: Male NPI: 1245390095 1600 W 38th St Ste 200 (512) 324-3580 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: Neurological Surgery " Stovall, Richard B, MD Austin Gender: Male NPI: 1134115595 1015 E 32nd St Ste 411 (512) 454-1234 Hospital Affiliation: Medical Center Of Plano, St Davids Medical Center, Tx Hlth Presbyterian Hosp Plano Clinic Affiliation: Neuro Texas PLLC Board Certified Specialties: Neurological Surgery J - Wheelchair Access 94 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Wilson, Ronald J, MD " Aung, Soe M, MD Aus tin AUSTIN Cont NEUROLOGICAL SURGERY Cont " Tumu, Hari, MD Austin Gender: Male NPI: 1457427130 801 W 38th St Ste 400 (512) 306-1323 Hospital Affiliation: 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, Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery Aus tin " Valadka, Alex B, MD Austin Gender: Male NPI: 1881633709 1400 N IH 35 Ste 300 (512) 324-8300 Hospital Affiliation: Mem Hermann Mem City Hosp, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery " Waldron, James S, MD Austin Gender: Male NPI: 1225104995 801 W 38th St Ste 400 J(512) 306-1323 Gender: Male NPI: 1669570255 711 W 38th St Ste D4 (800) 638-7564 NPI: 1225104995 801 W 38th St Ste 400 J(512) 306-1323 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Medical Ctr Williamson, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Neurosurgical Specialists, Seton Brain and Spine Institute Board Certified Specialties: Neurological Surgery NPI: 1669570255 711 W 38th St Ste E 1 (800) 638-7564 Ziu, Mateo, MD Gender: Male NPI: 1417137290 1400 N IH 35 Ste 300 J(512) 324-8300 Hospital Affiliation: Md Anderson Cancer Center, Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Practice Information: Practice Limited to Oncology Board Certified Specialties: None NPI: 1669570255 711 W 38th St Ste E1 J(512) 477-5337 (734) 213-3931 (800) 638-7564 Hospital Affiliation: 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 Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology Gender: Female NPI: 1770695397 711 W 38th St Ste F1 (512) 458-6121 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Sara Austin MD Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Neurology " Webb, Kristopher M, MD " Aboumatar, Sami M, MD Aus tin Austin Gender: Male NPI: 1114913605 1015 E 32nd St Ste 411 J(512) 474-1114 NPI: 1114913605 4316 James Casey St Ste B101 J(512) 474-1114 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, South Austin Surgery Center, St Davids Medical Center Clinic Affiliation: Neuro Texas PLLC, Neurotexas PLLC Board Certified Specialties: Neurological Surgery Austin " Aquino, Karen M, MD Aus tin Aubrechtova, Hana, MD Gender: Female NPI: 1831307289 711 F W 38th St J(512) 458-6121 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Austin Neurological Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: None Austin Gender: Male NPI: 1215959697 1600 W 38th St Ste 308 (512) 324-3540 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurology " Bhandari, Hanul S, MD " Fraim, C Jack, MD Gender: Male NPI: 1942314406 1600 W 38th St Ste 308 (512) 324-3540 Hospital Affiliation: Baptist Beaumont Hospital, Baylor Regional Med Ctr At Plano, Christus Hospital, Medical City Dallas Hospital Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Neurology " Grogan, Wendell A, MD Austin Gender: Male NPI: 1063502912 3724 Executive Ctr Dr Ste 163 (512) 873-3344 Hospital Affiliation: Kingwood Medical Center, Mem Hermann Northeast Hosp Clinic Affiliation: Hill Country Monitoring LLC Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Neurology Austin Gender: Male NPI: 1053572164 3724 Executive Ctr Dr Ste 163 J(512) 687-3119 Clinic Affiliation: Hill Country Monitoring LLC Board Certified Specialties: Neurology " Briggs, Deborah E, MD Austin Gender: Female NPI: 1497748370 1600 W 38th St Ste 308 (512) 324-3540 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology Elizondo, Eduardo R, MD Gender: Male NPI: 1295783728 7307 Creekbluff Dr (512) 614-3300 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Neural Watch LLC Board Certified Specialties: None Austin Barson Jr, Dennis B, DO Gender: Male NPI: 1588628770 12701 Research Blvd Ste 309 J(512) 464-1222 Clinic Affiliation: Neuro Wellness PLLC Board Certified Specialties: None " Bertelson, John A, MD " Atkinson, Bryan R, MD Gender: Male NPI: 1750493243 4201 Marathon Blvd Ste 304 J(512) 371-1200 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: The Neurology and Electromyography Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology Gender: Male NPI: 1649257452 6835 Austin Ctr Blvd (512) 346-6611 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology Austin Aus tin White, Gordon L, MD Gender: Male NPI: 1013983121 1600 W 38th St Ste 418 J(512) 467-8596 Hospital Affiliation: St Davids Medical Center Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Aus tin Gender: Female NPI: 1316147150 2200 Park Bend Dr Ste 203 J(512) 339-8831 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Austin Epilepsy Care Center Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology " Edmond, Michael T, MD Austin " Austin, Sara G, MD NEUROLOGY Gender: Male NPI: 1760445407 2200 Park Bend Dr Ste 203 J(512) 339-8831 Hospital Affiliation: Cornerstone Regional Hospital Llc, North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Austin Epilepsy Care Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology Gender: Male NPI: 1366464745 3724 Executive Ctr Dr Ste 163 (512) 551-0846 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Hill Country Monitoring LLC Board Certified Specialties: Neurology Austin Austin Gender: Male NPI: 1902926850 3000 N IH 35 Ste 600 (512) 474-1114 (512) 474-4111 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, Surgicare Of South Austin Clinic Affiliation: Neuro Texas PLLC, Neurotexas PLLC Board Certified Specialties: Neurological Surgery " Camp, Darryl S, MD Austin " Hastings, John D, MD Austin Gender: Male NPI: 1043253842 3724 Executive Center Dr Ste 163 (512) 687-3119 Hospital Affiliation: Northwest Hills Surgical Hospital, St Davids S Austin Medical Center Clinic Affiliation: Hill Country Monitoring LLC Board Certified Specialties: Neurology J - Wheelchair Access 95 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Hussain, Yessar M, MD " Modur, Pradeep N, MD Austin AUSTIN Cont NEUROLOGY Cont " Heytens, Jill E, MD Aus tin Gender: Female NPI: 1972625994 1015 W 39 1/2 St (512) 371-7478 NPI: 1982852166 3724 Executive Ctr Dr Ste 163 (512) 687-3119 NPI: 1972625994 601 E 15th St (512) 324-7000 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Pro Care Medical Center, University Physicians Group Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Neurology NPI: 1982852166 6811 Austin Center Blvd Ste 420 J(512) 324-2715 Hospital Affiliation: Central Texas Rehab Hospital Llc, Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Hill Country Monitoring LLC, Neural Watch LLC, Seton Brain and Spine Institute Board Certified Specialties: Neurology " Hill, Thomas A, MD Aus tin Gender: Male NPI: 1457321077 1015 E 32nd St Ste 406 J(512) 495-1850 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Thomas A Hill MD Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Neurology " Horn III, Albert B, MD Aus tin Gender: Male NPI: 1497750392 711 W 38th St Ste F1 J(512) 458-6121 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, St Davids Medical Center, Texas Neurorehab Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Neurological Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology " Hudson, John D, MD Aus tin Gender: Male NPI: 1487626008 5508 Parkcrest Dr Ste 310 (512) 420-9900 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, Scott & White Hospital Llano, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, Texas Neurorehab Center Clinic Affiliation: Sleep Medicine Consultants, Sleep Medicine Consultants of Cen Practice Information: Limited to Sleep Disorders, No Patients Under 14 yrs old Board Certified Specialties: Neurology, Sleep Medicine # " Morledge, David W, MD Gender: Male NPI: 1225129703 711 F1 W 38th St J(512) 458-6121 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, St Davids Medical Center, Texas Neurorehab Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Neurological Clinic Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology Gender: Male NPI: 1295726453 3724 Executive Ctr Dr Ste 163 (512) 687-3119 Clinic Affiliation: Hill Country Monitoring LLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology " Roy, Marci, MD # " Izor, Robert M, MD Gender: Male NPI: 1164409108 12201 Renfert Way Ste 360 J(512) 977-7000 Hospital Affiliation: 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: Neurology Solutions Consultants PA Board Certified Specialties: Neurology " Shen, Jason Y, MD Austin Gender: Male NPI: 1689696072 1600 W 38th St Ste 308 J(512) 324-3540 " Packard, Russell C, MD Austin Gender: Male NPI: 1881686392 3301 Northland Dr Ste 320 (512) 228-2543 Hospital Affiliation: John Peter Smith Hospital, Palestine Regional Medical Center Clinic Affiliation: Texas Diagnostic Laboratories Inc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology " Karnik, Dilip J, MD Austin NPI: 1689696072 601 E 15th St (512) 324-7000 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, 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: Hill Country Monitoring LLC, Seton Brain and Spine Institute Board Certified Specialties: Neurology " Perkins Jr, Freedom F, MD Austin Gender: Male NPI: 1407808900 6811 Austin Center Blvd Ste 400 (512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Surgical Subspecialists Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Neurology Gender: Male NPI: 1679530554 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Neurology " Tempest, Gregory R, MD Austin Gender: Male NPI: 1366478737 5508 Parkcrest Dr Ste 310 (512) 420-9900 Hospital Affiliation: Central Texas Medical Center, Reliant Rehab Hosp Central Tx Lp, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, Texas Neurorehab Center, Warm Springs Spec Hosp Luling Llc Clinic Affiliation: Sleep Medicine Consultants, Sleep Medicine Consultants of Cen Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology, Sleep Medicine " Perurena, Osvaldo H, MD Austin Gender: Male NPI: 1629176961 1600 W 38th St Ste 308 (512) 324-3540 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurology " Keough, Karen C, MD Austin Gender: Female NPI: 1538147707 3724 Executive Ctr Dr Ste 163 (512) 687-3119 Clinic Affiliation: Hill Country Monitoring LLC Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Neurology " Raymond, Andrea S, MD Austin Gender: Female NPI: 1538181920 4544 S Lamar Blvd Ste 750 (512) 433-6333 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Neuroaustin Neurology Assoc Board Certified Specialties: Neurology " Mandalapu, Bhuvanaprasad L, MD Austin Gender: Male NPI: 1881639581 8700 Manchaca Rd Unit 205 J(512) 617-1841 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, Woodland Heights Medical Center Clinic Affiliation: Divija Neurology Center PA Practice Information: No Patients Under 17 yrs old Board Certified Specialties: Neurology, Sleep Medicine Gender: Female NPI: 1457356073 6611 River Place Blvd Ste 201 J(512) 467-7770 NPI: 1457356073 6611 Riverplace Blvd Ste 201 (512) 467-7770 Hospital Affiliation: Seton Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Arise Physician Group, Marci A Roy MD PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology " Ong, Jinfon, MD Gender: Male NPI: 1326239518 1301 Barbara Jordan Blvd J(512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Neurology Gender: Male NPI: 1053363366 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Driscoll ChildrensHospital', North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology Austin Austin Austin # " Reardon, Michael S, MD Austin Austin " Ibrahim, Badreldin A, MD " Hummer, Michael G, MD ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1346248515 1400 N IH 35 Ste 300 (512) 324-8300 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurology Austin Aus tin Gender: Male NPI: 1972553964 711 W 38th St Ste E1 (512) 477-5337 Hospital Affiliation: Healthsouth Rehabilitation 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 Certified Specialties: Neurology Austin Gender: Male NPI: 1982852166 3301 River Rd (734) 213-3931 " Vaillant, Brian D, MD 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 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurology J - Wheelchair Access 96 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont NEUROMUSCULAR MEDICINE Aus tin NEUROLOGY Cont " Varga, Mariana G, MD Austin Gender: Female NPI: 1962542225 3001 Bee Caves Rd Ste 210 (512) 900-2477 Clinic Affiliation: Georgeta Varga MD Parkinson Disea Board Certified Specialties: Neurology " Verona, Montgomery A, MD Austin Gender: Male NPI: 1326048729 711 F W 38th St J(512) 458-6121 Hospital Affiliation: Heart Hospital Of Austin, St Davids Medical Center, Texas Neurorehab Center Clinic Affiliation: Austin Neurological Clinic Board Certified Specialties: Neurology Aus tin " Warach, Steven J, MD Austin Westgate, Sara A, MD Gender: Female NPI: 1336147941 3724 Executive Ctr Dr Ste 163 (512) 687-3119 Bhatt, Kunjan A, MD Gender: Male NPI: 1770668758 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Central Texas Rehab Hospital Llc, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease Chalkias, Fotini M, MD Gender: Female NPI: 1518065317 # 11111 Research Blvd Ste 360 (512) 617-1916 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Aus tin Nguyen, Tuan D, MD Gender: Male NPI: 1952341034 1301 W 38th St Ste 400 (512) 791-1224 Austin Gender: Female NPI: 1710008792 711 W 38th St Ste E1 (512) 477-5337 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Soe Aung MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology " York, Jennifer A, MD Austin Gender: Female NPI: 1326133885 6500 N Mo Pac Expwy Ste 220 Bldg 3 J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: Nutrition & Dietetics " Gumto, Margaret B, RD Austin # Austin Bunker, Stephen R, MD Gender: Male NPI: 1427014117 2712 Bee Caves Rd Ste 122 (512) 726-0599 Hospital Affiliation: Arise Austin Medical Center Clinic Affiliation: Austin Imaging and Vein Center Board Certified Specialties: None Nguyen, Vinh D, DO Gender: Male NPI: 1306886387 # 4316 James Casey St Ste A (512) 623-5300 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: St Davids Cardiology PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin " Hanawalt, Elizabeth, RD Gender: Female NPI: 1508185562 6500 N Mo Pac Expwy Ste 220 Bldg 3 J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: Nutrition & Dietetics Austin Austin Austin Austin Aus tin Amerault, Julie, RD Gender: Female NPI: 1669421988 7112 Ed Bluestein Blvd Ste 155 (512) 978-9300 Clinic Affiliation: Communitycare Board Certified Specialties: None 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 Certified Specialties: None Coble, Katie M, RD Gender: Female NPI: 1467718817 6500 N Mo Pac Expwy Ste 220 Bldg 3 J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: None Conroy, Maria A, RD Gender: Female NPI: 1427489830 # 3724 Jefferson St Ste 104 (512) 693-7045 Clinic Affiliation: I Live Well Nutrition Therapy LLC Board Certified Specialties: None Austin Gender: Female NPI: 1174640254 901 S Mo Pac Expwy Ste 300 (512) 573-5665 Clinic Affiliation: Richmark Nutrition Consultants Board Certified Specialties: Nutrition & Dietetics Austin NUCLEAR MEDICINE Austin NPI: 1952341034 6811 Far West Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Little River Healthcare, Seton Edgar B Davis, Seton Highland Lakes, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease " Wingrove, Iris S, MD Zidar, Francis J, MD Gender: Male NPI: 1972580652 3801 N Lamar Blvd Ste 300 J(512) 206-3600 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Heart PLLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Cardiovascular Disease " Fillman, Cassie L, RD Austin NUTRITION & DIETETICS NPI: 1952341034 6811 Austin Center Blvd Ste 410 (512) 324-2705 Austin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1093755357 6811 Austin Center Blvd Ste 410 (512) 324-2705 Hospital Affiliation: Cornerstone Hosp Of 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 Family of Doctors Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Cardiovascular Disease Aus tin NPI: 1336147941 5900 Southwest Pkwy Ste 4 401 Bldg 4 J(512) 458-6656 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Hill Country Monitoring LLC, Sara Westgate MD Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Gender: Female NPI: 1194728535 5750 Balcones Dr Ste 110 J(512) 744-0015 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Neurology Center Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Neurology, Sleep Medicine Hussain, Yessar M, MD Gender: Male NPI: 1982852166 6811 Austin Center Blvd Ste 420 J(512) 324-2715 Hospital Affiliation: Central Texas Rehab Hospital Llc, Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Neurology NUCLEAR CARDIOLOGY Austin Gender: Male NPI: 1407925886 1400 N IH 35 Ste 300 J(512) 324-8300 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: Neurology Nguyen, Vu D, MD Gender: Male NPI: 1093755357 # 1301 W 38th St Ste 400 (512) 791-1224 Austin Madsen, Michelle M, RD Gender: Female NPI: 1649210246 6500 N Mo Pac Expwy Ste 220 Bldg 3 J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: None Mangum, Laura L, RD Gender: Female NPI: 1255543989 11673 Jollyville Rd Ste 205B (512) 731-8679 Board Certified Specialties: None 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 J(512) 791-1224 Clinic Affiliation: Seton Family of Doctors, Seton Medical Group Board Certified Specialties: None Austin Paczosa, Adrien, RD Gender: Female NPI: 1700077062 3724 Jefferson St Ste 104 (512) 547-9274 # NPI: 1700077062 3724 Jefferson Ste 316 J(512) 547-9274 Clinic Affiliation: I Live Well Nutrition Therapy LLC Board Certified Specialties: None " Paff, Julie A, RD Austin Gender: Female NPI: 1700982469 5555 N Lamar Blvd Ste D125 J(512) 791-1224 Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Nutrition & Dietetics J - Wheelchair Access 97 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Wilfong, Anne L, RD Austin AUSTIN Cont NUTRITION & DIETETICS Cont Aus tin Plyler, Catherine P, RD Gender: Female NPI: 1942489927 1611 Headway Cir Bldg 2 (512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Practice Information: No Patients Over 3 yrs old Board Certified Specialties: None # OBSTETRIC/GYNECOLOGIC SURGERY Austin " Press, Rachael, RD Aus tin Gender: Female NPI: 1760828040 3724 Jefferson Ste 104 (440) 263-2713 Clinic Affiliation: I Live Well Nutrition Therapy LLC Board Certified Specialties: Nutrition & Dietetics Aus tin Robison, Roxanne D, RD Gender: Female NPI: 1154456176 # 1611 Headway Cir Bldg B J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Board Certified Specialties: None " Seay, Mandy, RD Payne, Thomas N, MD Gender: Male NPI: 1710904388 12221 Renfert Way Ste 220 J(512) 719-5224 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center Clinic Affiliation: North Austin Maternal Fetal Medic Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Austin " Asfouri, Souhail, MD Gender: Male NPI: 1699722199 4316 James Casey St Ste F-200 J(512) 444-1811 Hospital Affiliation: Arise Austin Medical Center, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Austin Southwest OB/ GYN PC Board Certified Specialties: Obstetrics-Gynecology Aus tin Aus tin Spicer Moore, Sandra M, RD Gender: Female NPI: 1982647863 6500 N Mopac J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: None Stuckwisch, Marjorie L, RD Gender: Female NPI: 1205014610 6500 N Mo Pac Expwy Ste 220 Bldg 3 J(512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: None Tanaka, Jill, RD Gender: Female NPI: 1598959801 # 4607 Manchaca Rd J(512) 916-1511 Aus tin # NPI: 1598959801 7336 Tanaqua Ln (512) 301-8705 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Female NPI: 1508891169 3705 Medical Pkwy Ste 540 J(512) 452-8888 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Balcones Obstetrics and Gynecolog Board Certified Specialties: Obstetrics-Gynecology " Blumhagen, Guy V, MD Austin Gender: Male NPI: 1730195009 11111 Research Blvd Ste 475 J(512) 338-8181 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Askari, Sasan, MD Gender: Male NPI: 1013986843 4007 James Casey St Ste A250 (512) 444-2111 Hospital Affiliation: Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, Surgicare Of South Austin, University Med Ctr Brackenridge Clinic Affiliation: Sasan Askari MD Board Certified Specialties: Obstetrics-Gynecology NPI: 1699762427 6836 Bee Caves Rd Ste 111 (512) 327-4243 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 14 yrs old Board Certified Specialties: None " Brasher Giles, Sharyl R, MD Austin Gender: Female NPI: 1649286915 11111 Research Blvd Ste 475 J(512) 338-8181 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Bachus, Lois A, MD Austin Gender: Female NPI: 1396819173 1221 W Ben White Blvd Ste B250 J(512) 462-1717 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: A Womans Place Practice Information: No Patients Under 13 yrs old, Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Aus tin Gender: Female NPI: 1326353616 6500 N Mo Pac Expwy Ste 220 Bldg 3 (512) 338-4500 Clinic Affiliation: Shelley Madsen and Assoc Inc Board Certified Specialties: Nutrition & Dietetics " Binford, Nancy E, MD Austin Austin Abikhaled, Shannon M, MD Gender: Female NPI: 1699762427 1301 W 38th St Ste 300 (512) 454-5721 # Arredondo, Francisco, MD Gender: Male NPI: 1265465827 911 W 38th St Ste 402 (512) 479-7979 Hospital Affiliation: Baptist Health System, ChildrensHospitalSanAntonio', Methodist Ambulatory Surg Hosp Nw, Methodist Hospital, North Central Baptist Hospital Clinic Affiliation: Rmatx Com PLLC Board Certified Specialties: None Austin OBSTETRICS-GYNECOLOGY Randall, Leann, RD Gender: Female NPI: 1245472620 4614 N IH 35 J(512) 978-9100 Clinic Affiliation: Communitycare Board Certified Specialties: None Aus tin Austin Gender: Female NPI: 1528377249 4131 Spicewood Spgs L4 (512) 257-0898 Board Certified Specialties: Nutrition & Dietetics " Akin, Mark D, MD Austin Gender: Male NPI: 1871512475 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology " Breedlove, Rachel L, MD Austin ! Austin " Belt, Melanie M, MD Austin Gender: Female NPI: 1639396849 4101 James Casey St Ste 300 (512) 383-9752 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology " Anderson, Allison L, MD Austin Gender: Female NPI: 1619170677 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Over 12 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin " Antonini, Tomas G, MD Austin Gender: Male NPI: 1265494827 1305 W 34th St Ste 407 J(512) 716-0861 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Lone Star Urogynecology and Conti Board Certified Specialties: Obstetrics-Gynecology Bhagat, Sapna R, MD Gender: Female NPI: 1265698872 1301 W 38th St Ste 205 (512) 451-0161 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Billue, David C, MD Austin Gender: Male NPI: 1982795407 11111 Research Blvd Ste 230 J(877) 800-5722 Hospital Affiliation: Seton Northwest Hospital Clinic Affiliation: Lone Star Circle of Care Practice Information: Female Patients only, No Patients Under 2 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1083821243 4101 James Casey St Ste 300 (512) 383-9752 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology Breen, Michael T, MD Gender: Male NPI: 1225190259 911 W 38th St Ste 202 J(512) 324-9650 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None " Brinkman, Diane L, MD Austin Gender: Female NPI: 1558377820 1301 W 38th St Ste 205 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology J - Wheelchair Access 98 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont OBSTETRICS-GYNECOLOGY Cont Austin Brown, Charles E, MD Gender: Male NPI: 1508928557 601 E 15th St J(512) 324-7000 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None " Browne, Catherine P, DO Gender: Male NPI: 1174538227 11111 Research Blvd Ste 475 J(512) 338-8181 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Capet, Christy L, MD Austin Gender: Female NPI: 1346443611 12200 Renfert Way Ste 100 (512) 451-8211 Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1700891850 4101 James Casey St Ste 300 (512) 383-9752 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Carrera Leal, Benito, MD Gender: Male NPI: 1467595405 911 W 38th St Ste 402 (512) 479-7979 Hospital Affiliation: Methodist Ambulatory Surg Hosp Nw, Metropolitan Methodist Hospital, Valley Baptist Medical Center Brownsville, Valley Regional Medical Center Clinic Affiliation: Rmatx Com PLLC Board Certified Specialties: Obstetrics-Gynecology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Aus tin " Darby, Byron G, MD Austin Gender: Male NPI: 1417959669 12201 Renfert Way Ste 215 (512) 425-3885 Hospital Affiliation: North Austin Medical Center, North Austin Surgery Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Male NPI: 1366450652 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology " Davis, Lendol L, MD Austin # " Cox, Alinda, MD Austin Gender: Female NPI: 1346256625 4315 James Casey St Ste 200 J(512) 383-9752 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Chipman, Zachary A, MD Gender: Male NPI: 1083776041 ! 313 E 12th St Ste 104 J(512) 324-9650 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None Austin NPI: 1447232467 911 W 38th St Ste 202 J(512) 324-8670 Hospital Affiliation: Mem Hermann Hospital, Mem Hermann Southeast Hosp, Mem Hermann Southwest Hospital, Seton Medical Center, St Joseph Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Obstetrics-Gynecology " Cowan, Robert K, MD Aus tin Aus tin Gender: Male NPI: 1447232467 1313 Red River Ste 305 J(512) 324-7789 Austin " Cherry, Tara A, MD " Campaigne, Andrea L, MD Gender: Female NPI: 1013197748 12174 N Mopac Expwy Ste A (512) 994-2662 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Andrea L Campaigne MD PLLC Board Certified Specialties: Obstetrics-Gynecology Gender: Male NPI: 1528074804 1301 W 38th St Ste 205 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Aus tin Austin " Dalrymple, John L, MD Austin " Cosentino, Robert, MD " Chalasani, Renu, MD " Bushart, Paul S, MD Collins, Melanie A, MD Gender: Female NPI: 1407858707 12201 Renfert Way Ste 205 (512) 339-6626 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Austin Aus tin Austin Gender: Male NPI: 1710992862 1301 W 38th St Ste 205 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Austin NPI: 1538193495 911 W 38th St Ste 202 J(512) 324-8670 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare, University Physicians Group Board Certified Specialties: None Austin Gender: Female NPI: 1740251610 12201 Renfert Way Ste 325 (512) 836-2536 Hospital Affiliation: Conroe Regional Medical Center, North Austin Medical Center Clinic Affiliation: Capital OB/GYN Assoc of TX PA Board Certified Specialties: Obstetrics-Gynecology Carter, Kimberly, MD Gender: Female NPI: 1538193495 1313 Red River Ste 320 (512) 978-8870 " Doss Jr, Noble W, MD Austin Gender: Male NPI: 1467554832 4201 Marathon Blvd Ste 301 J(512) 451-7991 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, St Davids Medical Center Board Certified Specialties: Obstetrics-Gynecology " Crozier, Mark A, MD Austin Chouteau, Ruth M, MD Gender: Female NPI: 1851309553 2911 Medical Arts St Ste 19A J(512) 477-1954 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Coates, Kimberly W, MD Gender: Female NPI: 1699838755 2502 Oestrick Ln (512) 454-5911 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Urogyn Diagnostic LLC Board Certified Specialties: None Gender: Male NPI: 1376586271 1313 Red River Ste 320 (512) 978-8870 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Obstetrics-Gynecology " Crumb, Robert S, MD Austin Gender: Male NPI: 1376516732 1007 E 41st St J(512) 451-3131 Gender: Male NPI: 1255336855 1902 S IH 35 J(512) 443-9595 Hospital Affiliation: 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: Brookside Womens Medical Services Practice Information: No Patients Under 15 yrs old, Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Austin Edgerton, Screven T, MD Gender: Male NPI: 1033114376 1010 W Ninth St (512) 459-4405 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Premier Gynecology Board Certified Specialties: None NPI: 1376516732 2911 Medical Arts St Ste 19A J(512) 477-1954 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Gynics Assoc, Robert Crumb MD Board Certified Specialties: Obstetrics-Gynecology J - Wheelchair Access 99 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont OBSTETRICS-GYNECOLOGY Cont " Eduardo, Ana M, MD Aus tin Gender: Female NPI: 1205809654 200 Medical Pkwy Ste 110 J(512) 462-1936 NPI: 1205809654 7900 FM 1826 Ste 200 J(512) 462-1936 NPI: 1205809654 9805 Brodie Ln J(512) 462-1936 Hospital Affiliation: Corpus Christi Medical Center Bay Area, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Hill Country OB/GYN Assoc Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Obstetrics-Gynecology Aus tin Austin Gender: Male NPI: 1285609735 1301 W 38th St Ste 300 (512) 454-5721 Hospital Affiliation: Baptist St Anthonys Health System, Seton Medical Center, Seton Medical Ctr Williamson, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Obstetrics-Gynecology Evans, Jayme B, DO Gender: Female NPI: 1508186495 1301 W 38th St (512) 451-8354 Hospital Affiliation: Bailey Square Surgery Center, Cedar Park Regional Medical Ctr, Seton Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Fung-Yip, Katie L, MD Aus tin Gender: Female NPI: 1003074881 2909 N IH 35 (512) 478-4939 Hospital Affiliation: The Womans Hospital Of Texas Clinic Affiliation: Peoples Community Clinic Inc Board Certified Specialties: Obstetrics-Gynecology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Guzman Winn, Melissa A, MD Austin Hagen, Jeff E, MD Gender: Male NPI: 1710965488 2410 E Riverside Dr Ste G2 J(512) 445-4800 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None NPI: 1558391847 601 E 15th St (512) 324-7000 Hospital Affiliation: 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: Communitycare, University Physicians Group Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Obstetrics-Gynecology " Hart, Chris C, MD Austin Gender: Female NPI: 1003034091 200 Medical Pkwy Ste 110 J(512) 462-1936 NPI: 1003034091 7900 FM 1826 Ste 200 J(512) 610-8432 NPI: 1003034091 9805 Brodie Ln J(512) 462-1936 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Hill Country OB/GYN Assoc Board Certified Specialties: Obstetrics-Gynecology " Hansen Peterm, Kristen, MD Austin Gender: Female NPI: 1134135486 1301 W 38th St Ste 201 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Hanson Jr, Robert E, MD Austin # Grogono, Sally M, MD Gender: Female NPI: 1437146263 1301 W 38th St Ste 300 J(512) 454-5721 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: None Gender: Male NPI: 1558391847 1313 Red River Ste 320 (512) 978-8870 Gender: Female NPI: 1255318713 2911 Medical Atrs St Ste 19A J(512) 477-1954 Hospital Affiliation: St Davids Medical Center, St Davids S Austin Medical Center Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology " Grimes, Julie A, MD Austin " Harstad, Timothy W, MD Austin " Hammer, Jo B, MD Austin Gender: Female NPI: 1942318282 4101 James Casey St Ste 300 (512) 383-9752 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center, Surgicare Of South Austin Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1659383594 1007 E 41st St (512) 451-3131 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Gynics Assoc Board Certified Specialties: Obstetrics-Gynecology Austin " Gooch, Michelle C, MD Gender: Female NPI: 1861408130 5625 Eiger Rd Ste 205 (512) 454-5721 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Obstetrics-Gynecology " Harris, April S, MD Austin Gender: Female NPI: 1053341495 2911 Medical Arts St Ste 3 J(512) 391-0175 Hospital Affiliation: St Davids Medical Center, University Medical Center Board Certified Specialties: Obstetrics-Gynecology Austin " Eng Cohen, Caroline D, MD Aus tin Gutierrez, Clarissa, MD Gender: Female NPI: 1326278631 12201 Renfert Way Ste 225 (512) 339-6626 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Board Certified Specialties: None Austin " Gooch, Jason L, MD Aus tin Gender: Female NPI: 1528222544 2911 Medical Arts St Ste 3 J(512) 391-0175 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Austin OB GYN Assoc PA, Caroline Cohen PA Board Certified Specialties: Obstetrics-Gynecology Gonzalez Deleon, Delia, MD Gender: Female NPI: 1205062726 1007 E 41st St J(512) 451-3131 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Gynics Assoc Practice Information: Female Patients only Board Certified Specialties: None Austin Austin Elliott, Byron D, MD Gender: Male NPI: 1689608101 1313 Red River Ste 320 (512) 978-8870 NPI: 1689608101 601 E 15th St (512) 324-7000 Hospital Affiliation: Baptist Health System, Christus Santa Rosa Hosp City Ctr, Methodist Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare, University Physicians Group Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Garza, Devin M, MD Gender: Male NPI: 1780691147 12201 Renfert Way Ste 215 (512) 425-3835 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 14 yrs old Board Certified Specialties: None Austin Austin Austin Gender: Male NPI: 1760484620 8401 N Interstate 35 Ste 200 J(512) 250-1005 Hospital Affiliation: Baptist Beaumont Hospital Clinic Affiliation: Whole Womans Health of Austin Board Certified Specialties: Obstetrics-Gynecology Harkins, John G, MD Gender: Male NPI: 1629130513 911 W 38th St Ste 202 J(512) 324-9650 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: None Hemkumar, Sasikala, MD Gender: Female NPI: 1336145564 4310 James Casey St Ste 1E J(512) 416-9800 Hospital Affiliation: Seton Southwest Clinic Affiliation: Hemkumar Sasikala MD Board Certified Specialties: None Hoenicke, Nicole A, MD Gender: Female NPI: 1306860598 12200 Renfert Way Ste 100 J(512) 451-8211 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None " Hooi, Emily E, MD Austin Gender: Female NPI: 1770599045 4101 James Casey Ste 300 (512) 383-9752 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology J - Wheelchair Access 100 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Kavoussi, Keikhosron M, MD Aus tin AUSTIN Cont OBSTETRICS-GYNECOLOGY Cont " Hughes, Robert S, MD Austin Gender: Male NPI: 1417963786 11111 Research Ste 475 J(512) 338-8181 NPI: 1417963786 1301 W 38th Ste 205 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, 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 Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Austin Hull Jr, Felix, MD Gender: Male NPI: 1871602557 2911 Medical Arts St Ste 16 J(512) 473-2037 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Practice Information: No Patients Under 8 yrs old Board Certified Specialties: None " Kish, Karen M, MD Gender: Female NPI: 1124015953 1301 W 38th St Ste 300 (512) 454-5721 # Gender: Male NPI: 1972576445 1007 E 41st St J(512) 451-3131 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Gynics Assoc Board Certified Specialties: Obstetrics-Gynecology Aus tin " Ingram, Wayne W, MD Austin Jehangir, Saima K, MD Gender: Female NPI: 1740256452 1305 W 34th St Ste 407 J(512) 716-0971 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Saima Jehangir MD PLLC Board Certified Specialties: None Kalamarides, Jeremy A, DO Gender: Male NPI: 1588987432 1600 W 38th St Ste 115 (512) 458-6060 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Vitae Clinic Inc Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Aus tin Kung, Amy, MD Gender: Female NPI: 1205129848 1305 W 34th St Ste 308 J(512) 459-8082 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Landherr, Kathryn M, MD Gender: Female NPI: 1144203431 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Aa OB/GYN PLLC Board Certified Specialties: None Loar, Kimberly B, MD Gender: Female NPI: 1528002847 12201 Renfert Way Ste 215 (512) 339-6626 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Lockey, Renee G, MD Gender: Female NPI: 1447265509 4101 James Casey Ste 300 J(512) 383-9752 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, North Austin Medical Center, North Austin Surgery Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Austin Gender: Female NPI: 1316949605 12201 Renfert Way Ste 205 J(512) 425-3855 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Male NPI: 1891788428 900 E 30th St Ste 107 (512) 476-9699 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Mikeal R Love MD Board Certified Specialties: Obstetrics-Gynecology Austin # Gender: Male NPI: 1740227065 8401 N Interstate 35 Ste 200 J(512) 250-1005 Hospital Affiliation: Doctors Hospital At Renaissance Clinic Affiliation: Whole Womans Health of Austin Board Certified Specialties: Obstetrics-Gynecology Austin " Mankovsky, Jerald A, MD Austin Gender: Male NPI: 1225258551 3705 Medical Parkway Ste 220 J(512) 451-9055 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Board Certified Specialties: Obstetrics-Gynecology Austin " Maradani, Sarita, MD Austin # " Landwermeyer, Margaret R, MD Aus tin Gender: Female NPI: 1790758134 200 Medical Pkwy Ste 110 J(512) 462-1936 Gender: Female NPI: 1871582338 4007 James Casey St Ste D250 J(512) 443-6100 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Maradani PA Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Obstetrics-Gynecology # NPI: 1790758134 9805 Brodie Ln J(512) 445-0815 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Hill Country OB/GYN Assoc Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Mills, Tara A, MD Gender: Female NPI: 1891797197 12201 Renfert Way Ste 225 J(512) 425-3895 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None " Mingea, Cynthia J, MD Gender: Female NPI: 1497731871 2911 Medical Arts St Ste B3 J(512) 479-6655 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Cindy J Mingea MD Board Certified Specialties: Obstetrics-Gynecology " Massman, Andrew E, MD Gender: Male NPI: 1104896729 1902 S IH 35 J(512) 443-9595 Hospital Affiliation: Bailey Square Surgery Center, 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: Brookside Womens Medical Services Board Certified Specialties: Obstetrics-Gynecology Mileur, Christie S, MD Gender: Female NPI: 1811257801 2911 Medical Arts St Ste 3 J(512) 391-0175 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Austin OB/GYN Assoc PLLC Practice Information: No Patients Under 10 yrs old Board Certified Specialties: None Austin Austin NPI: 1790758134 7900 FM 1826 Ste 200 J(512) 445-0815 McKenzie, Kristi H, MD Gender: Female NPI: 1811946346 900 E 30th St Ste 107 J(512) 476-9699 Clinic Affiliation: Kristi McKenzie MD Practice Information: Female Patients only, No Patients Under 14 yrs old Board Certified Specialties: None " Meritt, Laura A, MD " Love, Mikeal R, MD " Lynn Jr, Sherwood C, MD McCoin, Megan L, MD Gender: Female NPI: 1043471824 1301 W 38th St Ste 300 J(512) 454-5721 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin Austin " Kuhlmann, Terrence A, MD Austin Austin NPI: 1124015953 6836 Bee Caves Rd Ste 111 (512) 327-4243 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Obstetrics-Gynecology Aus tin " Ikbal, Natasya A, MD Gender: Male NPI: 1134120702 711 W 38th St Ste G-4 Medical Science Ctr J(512) 458-1208 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Practice Information: No Obstetrics Board Certified Specialties: Obstetrics-Gynecology Austin Aus tin Austin Gender: Female NPI: 1962610659 1305 W 34th St Ste 308 J(512) 459-8082 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin Gender: Male NPI: 1013102904 4303 James Casey St Ste A J(512) 444-1414 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Austin Endometriosis & Female Infertility Ctr P Practice Information: Gynecology and Infertility Board Certified Specialties: Obstetrics-Gynecology Austin Mirto, Mary V, DO Gender: Female NPI: 1861403917 900 E 30th St Ste 211 J(512) 476-5090 Hospital Affiliation: St Davids Medical Center Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None J - Wheelchair Access 101 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont OBSTETRICS-GYNECOLOGY Cont " Moghadam, Kenneth K, MD Aus tin Gender: Male NPI: 1033120282 2200 Park Bend Dr Ste 402 Bldg 1 (512) 339-4234 Hospital Affiliation: Arise Austin Medical Center, 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 Practice Information: BH 13-17 Abuse (Physical and/or Sexual), BH 13-17 Affective Mood Disorders, BH 13-17 Anxiety Disorders, BH 13-17 Attention Deficit Disorders, BH 13-17 Schizophrenia & other Psych Disorders, BH 18-64 Abuse (Physical and/or Sexual), BH 18-64 Affective Mood Disorders, BH 18-64 Anxiety Disorders, BH 18-64 Attention Deficit Disorders, BH 18-64 Schizophrenia & other Psych Disorders, BH 6-12 Abuse (Physical and/or Sexual), BH 6-12 Affective Mood Disorders, BH 6-12 Anxiety Disorders, BH 6-12 Attention Deficit Disorders, BH 6-12 Schizophrenia & other Psych Disorders, BH 65+ Abuse (Physical and/or Sexual), BH 65+ Affective Mood Disorders, BH 65+ Anxiety Disorders, BH 65+ Attention Deficit Disorders, BH 65+ Schizophrenia and other Psychotic Disorders, No Patients Under 18 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin Austin " Mumfrey II, Paul D, MD Gender: Male NPI: 1447237763 4101 James Casey St Ste 300 (512) 383-9752 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, Surgicare Of South Austin Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1285621011 1301 W 38th St Ste 300 (512) 454-5721 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin " Phillips, Michael F, MD Nash, Felicia B, MD Gender: Female NPI: 1427093095 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None " Nunnelly, Patrick D, MD Austin Gender: Male NPI: 1295743482 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin Polon, Clive, MD Gender: Male NPI: 1962476762 900 E 30th Ste 107 J(512) 476-9699 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Board Certified Specialties: None Saarikoski, Heikki H, MD Gender: Male NPI: 1013055409 # 8401 N Interstate 35 Ste 200 J(512) 250-1005 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Whole Womans Health of Austin Board Certified Specialties: None " Schiemenz, April A, MD Austin Gender: Female NPI: 1881890697 12221 Renfert Way Ste 330 J(512) 425-3825 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Christina Sebestyen PA Board Certified Specialties: Obstetrics-Gynecology " Price, Bradley B, MD Austin Gender: Male NPI: 1649214842 2911 Medical Arts St Ste 6 J(512) 476-6691 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Obstetrics-Gynecology Austin " Prisacaru, Genoveva N, MD Gender: Female NPI: 1740325133 4007 James Casey St Ste A-100 (512) 442-2300 Clinic Affiliation: Seven Hills Womens Health PLLC Board Certified Specialties: Obstetrics-Gynecology Austin " Ofobike, Blake A, MD Austin Gender: Female NPI: 1467471607 12174 N Mopac Expwy Ste A (512) 994-2662 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Andrea L Campaigne MD PLLC Board Certified Specialties: Obstetrics-Gynecology Reich, Stephanie J, MD Gender: Female NPI: 1346234143 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Ridgeway, Jeffrey J, MD Gender: Male NPI: 1417981994 1313 Red River Ste 320 (512) 978-8870 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None Austin Austin Gender: Male NPI: 1386631117 1301 W 38th St Ste 300 (512) 454-5721 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology " Moreno, Rosa, MD " Reue, David W, MD Austin Austin Gender: Female NPI: 1770585069 12201 Renfert Way Ste 200 (512) 425-3875 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Aus tin Aus tin Gender: Female NPI: 1285679787 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Central Park Surgery Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology " Neyman, Sherry L, MD " Montalvo, Jessica M, MD Gender: Female NPI: 1790791044 1301 W 38th St Ste 201 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Obstetrics-Gynecology NIX, Michael L, MD Gender: Male NPI: 1891857884 1313 Red River Ste 320 (512) 978-8870 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None " Oliver, Donell B, MD Austin Austin Aus tin Gender: Female NPI: 1740498492 12201 Renfert Way Ste 225 (512) 425-3895 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Mushtaler, Jennifer L, MD Gender: Female NPI: 1649260332 12201 Renfert Way 325 Ste 325 (512) 836-2536 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center Clinic Affiliation: Capital OB/GYN Assoc of TX PA Board Certified Specialties: None Austin Schmitz, Martha E, MD Gender: Female NPI: 1881601136 4007 James Casey St Ste A240 J(512) 394-0054 Hospital Affiliation: 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 Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Schneider, Lisa B, MD Gender: Female NPI: 1194798124 200 Medical Pkwy Ste 110 J(512) 462-1936 NPI: 1194798124 4207 James Casey St Ste 201 J(512) 462-1936 NPI: 1194798124 7900 FM 1826 Ste 200 J(512) 610-8432 NPI: 1194798124 9805 Brodie Ln J(512) 462-1936 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Hill Country OB/GYN Assoc Board Certified Specialties: None J - Wheelchair Access 102 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Sorin, Robert, MD Aus tin AUSTIN Cont OBSTETRICS-GYNECOLOGY Cont Austin Sebestyen, Christina E, MD Gender: Female NPI: 1104859073 12201 Renfert Way Ste 220 J(512) 425-3825 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Clinic Affiliation: Christina Sebestyen PA Board Certified Specialties: None Aus tin " Seeker, Christopher G, MD Austin Gender: Male NPI: 1255349528 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1780678565 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology Aus tin " Solomon, Steve, MD Austin Gender: Male NPI: 1932115292 11111 Research Blvd Ste 475 J(512) 338-8181 NPI: 1932115292 1301 W 38th Ste 205 J(512) 451-0161 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Aus tin Thoppil, John J, MD Gender: Male NPI: 1336138064 6611 River Place Blvd Ste 202 (512) 473-8300 Clinic Affiliation: River Place OB GYN PA Board Certified Specialties: None Uribe, Marco A, MD Gender: Male NPI: 1750399036 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Aa OB/GYN PLLC Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Urrutia, Allison A, MD Gender: Female NPI: 1194916387 1007 E 41st St (512) 451-3131 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Gynics Assoc Board Certified Specialties: None " Weihs, Diana G, MD Austin Gender: Female NPI: 1699769489 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin " White, Amanda B, MD Gender: Female NPI: 1164642237 911 W 38th St Ste 202 (512) 324-8670 Hospital Affiliation: Northwest Surgery Center Llp, Seton Medical Center, Seton Medical Center Hays, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1215137328 200 Medical Pkwy Ste 110 J(512) 462-1936 NPI: 1215137328 7900 FM 1826 J(512) 610-8421 " Yamamoto, Krissy M, MD Austin NPI: 1215137328 9805 Brodie Ln J(512) 610-8421 Hospital Affiliation: Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Hill Country OB/GYN Assoc Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Obstetrics-Gynecology Gender: Female NPI: 1194916395 11111 Research Blvd Ste 230 J(877) 800-5722 Hospital Affiliation: Seton Medical Ctr Williamson Clinic Affiliation: Lone Star Circle of Care Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Obstetrics-Gynecology " Wang, Diana Y, MD Austin Gender: Female NPI: 1144425786 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: 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 Practice Information: Female Patients only Board Certified Specialties: Obstetrics-Gynecology Truitt, Ginger E, MD Gender: Female NPI: 1376876136 12201 Renfert Way Ste 225 (512) 339-6626 Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 11 yrs old Board Certified Specialties: None Tsai, Rita, MD Gender: Female NPI: 1609085042 1313 Red River Ste 320 (512) 978-8870 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Communitycare Board Certified Specialties: None Westbrook Jr, Robert A, MD Gender: Male NPI: 1184991838 8401 N Interstate 35 Ste 200 (512) 250-1005 Hospital Affiliation: Baptist Health System, Christus Santa Rosa Hosp City Ctr, Metropolitan Methodist Hospital Clinic Affiliation: Whole Womans Health of Austin Board Certified Specialties: None Austin " Walker, Candice E, MD Gender: Male NPI: 1518940808 12200 Renfert Way Ste 100 (512) 451-8211 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, North Austin Surgery Center Clinic Affiliation: Aa OB/GYN PLLC Board Certified Specialties: Obstetrics-Gynecology Aus tin Turner, Nancy A, MD Gender: Female NPI: 1083788855 1221 W Ben White Blvd Ste 250 J(512) 462-1717 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: A Womans Place Practice Information: No Patients Under 13 yrs old, Practice Limited to Gynecology Board Certified Specialties: None Austin " Tassone, Shawn A, MD " Siarezi, Sherry, MD Smith, Laurette N, MD Gender: Female NPI: 1669474912 12201 Renfert Way Ste 200 (512) 425-3875 Hospital Affiliation: North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 13 yrs old Board Certified Specialties: None Austin Aus tin Austin Austin Austin " Swenson, Karen G, MD " Shashoua, George L, MD Gender: Female NPI: 1942267208 11111 Research Blvd Ste 230 (877) 800-5722 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Lone Star Circle of Care Board Certified Specialties: Obstetrics-Gynecology Summers, Jennifer S, MD Gender: Female NPI: 1588894323 1305 W 34th St Ste 308 (512) 459-8082 Hospital Affiliation: Medical City Dallas Hospital, Tx Hlth Presbyterian Hosp Plano Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: Practice Limited to Gynecology Board Certified Specialties: None Aus tin Austin Gender: Male NPI: 1245379551 12319 N Mopac Expwy Ste 200 Bldg C (512) 973-8276 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Urogynecology PLLC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Obstetrics-Gynecology Austin Gender: Male NPI: 1154307833 900 E 30th St Ste 107 J(512) 452-1521 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Board Certified Specialties: Obstetrics-Gynecology " Ward, Donald P, MD Austin Gender: Male NPI: 1093790222 4007 James Casey Ste B220 J(000) 440-1113 Hospital Affiliation: Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Practice Information: Practice Limited to Gynecology Board Certified Specialties: Obstetrics-Gynecology Austin Austin Yium, Vanessa J, MD Gender: Female NPI: 1598759300 1305 W 34th St Ste 308 J(512) 459-8082 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas OB/GYN Assoc Pl Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Yoo, Sonja L, DO Gender: Female NPI: 1124222724 11111 Research Blvd (512) 338-8181 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Youngkin, Jeffrey T, MD Austin Gender: Male NPI: 1912982000 805 E 32nd St J(512) 478-3188 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Jeffrey T Youngkin MD Assoc Board Certified Specialties: Obstetrics-Gynecology J - Wheelchair Access 103 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont OCCUPATIONAL THERAPY Anderson, Lisa, OT Gender: Female NPI: 1376882779 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Board Certified Specialties: None Aus tin Anderson, Tina M, OT Gender: Female NPI: 1063684983 # 12524 Capella Trl J(512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Aus tin Aus tin Annis, Courtney B, OT Gender: Female NPI: 1508276502 9433 Bee Cave Rd Ste 101 Bldg 3 (512) 306-8007 Clinic Affiliation: Big Sky Pediatric Therapy Board Certified Specialties: None Arnold, Caren E, OT Gender: Female NPI: 1376789164 # 9433 Bee Cave Rd Ste 101 Bldg 3 J(512) 529-7239 Clinic Affiliation: Big Sky Pediatric Therapy Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Cecil, Tara R, OT Gender: Female NPI: 1053648840 # 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Board Certified Specialties: None Cercone, Gemma C, OT Gender: Female NPI: 1346439577 !# 4422 Pack Saddle Pass Ste 104 (512) 444-3345 Clinic Affiliation: Total Communication Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Aus tin Chmiel, Anna, OT Gender: Female NPI: 1407113244 # 9433 Bee Caves Rd Ste 101 Bldg 3 J(512) 306-8007 Clinic Affiliation: Big Sky Pediatric Therapy Board Certified Specialties: None Austin Austin Chmiel, Dana M, OT Gender: Female NPI: 1578895843 # 12524 Capella Trl J(512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours 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 Certified Specialties: None Austin Dandignac, Melissa L, OT Gender: Female NPI: 1932468139 9101 Burnet Rd Ste 103 (512) 248-2422 Clinic Affiliation: Ltts LLP Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None # Austin Dea, Willow, OT Gender: Female NPI: 1245316983 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None NPI: 1013060433 8868 Research Blvd Ste 601 J(512) 467-7232 Clinic Affiliation: Concentra Medical Centers Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Fields, Lisa M, OT Gender: Female NPI: 1578583860 4602 Balcomes Woods Dr J(512) 418-1052 Clinic Affiliation: Independence With Therapy Practice Information: No Patients Over 12 yrs old Board Certified Specialties: None Finley, Melissa A, OT Gender: Female NPI: 1972652188 # 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Donohue, Juliet R, OT Gender: Female NPI: 1164430724 # 9101 Burnet Rd J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Austin Austin NPI: 1013060433 4301 W William Cannon Dr Bldg E Ste 320 J(512) 467-6608 Austin Ditucci, Mary P, OT Gender: Female NPI: 1053625871 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Board Certified Specialties: None Austin NPI: 1457368557 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Erben, David M, OT Gender: Male NPI: 1013060433 2171 Woodward St Ste B J(888) 997-2669 # Austin Aus tin Aus tin # Dacy, Sarah E, OT Gender: Female NPI: 1164850871 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Aus tin Aus tin Engber, Deanna S, OT Gender: Female NPI: 1457368557 # 4407 Monterey Oaks Blvd Ste 140 J(512) 248-2422 Austin Austin Aus tin Bryan, Alison T, OT Gender: Female NPI: 1841572138 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Cook, Stacy E, OT Gender: Female NPI: 1851415269 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 Certified Specialties: None Edwards, Sara H, OT Gender: Female NPI: 1679706626 1400 N IH 35 Ste 320 J(512) 324-8240 Clinic Affiliation: Institute of Reconstructive Plast Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin # Fontana, Emily E, OT Gender: Female NPI: 1255399390 1033 La Posada Dr Ste 308 (512) 284-7192 Friedrich, Josephine L, OT Gender: Female NPI: 1386986636 3607 Manchaca (512) 444-7219 NPI: 1386986636 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC, Pokluda Rebecca L OT Board Certified Specialties: None Gebhardt, Ana M, OT Gender: Female NPI: 1124328091 # 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 Certified Specialties: None Austin Gebhart, Katherine E, OT Gender: Female NPI: 1417254103 # 111 W Anderson Ln Ste C-100 J(512) 451-0961 Clinic Affiliation: Language Inc Practice Information: No Patients Over 16 yrs old Board Certified Specialties: None Austin 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 Certified Specialties: None Gist, Rachel, OT Gender: Female NPI: 1205101284 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Austin Fisher, Deborah M, OT Gender: Female NPI: 1902846009 9333 Research Blvd Ste 400 (888) 997-2669 Clinic Affiliation: Concentra Medical Centers Board Certified Specialties: None Guebert, Sharon D, OT Gender: Female NPI: 1770698847 3705 Medical Pkwy Ste 515 (512) 452-6475 NPI: 1770698847 711 W 38th St Ste B3 and B4 (512) 450-0909 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin NPI: 1255399390 1825 Fortview Rd Ste 103 (512) 444-4263 NPI: 1255399390 6911 RR 620 N Ste B201 (512) 467-4546 Clinic Affiliation: Endeavor Rehab Center, The Hand Clinic of Austin PC Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Elrod, Erin E, OT Gender: Female NPI: 1376890921 9101 Burnet Rd Ste 103 (512) 248-2422 Clinic Affiliation: Ltts LLP Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Haass, Jean C, OT Gender: Female NPI: 1205191921 13642 N Hwy 183 Ste 200 (512) 331-4115 Clinic Affiliation: Therapy One Ste 203 Board Certified Specialties: None Hamrick, Mary E, OT Gender: Female NPI: 1023367067 ! 176 E Ben White Blvd Ste 150A (512) 441-5100 Austin ! NPI: 1023367067 706 W Ben White Blvd Ste 150A (512) 441-5100 Clinic Affiliation: Cole Consolidated Rehab LLC Board Certified Specialties: None J - Wheelchair Access 104 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont OCCUPATIONAL THERAPY Cont Haydon, Natalie R, OT Gender: Female NPI: 1275721011 # 9101 Burnet Rd Ste 103 (512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Austin Austin 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 Certified Specialties: None Hefft, Emily S, OT Gender: Female NPI: 1538392121 # 3607 Manchaca J(512) 444-7219 Clinic Affiliation: Pokluda Rebecca L OT Practice Information: No Patients Over 20 yrs old Board Certified Specialties: None Austin 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 Certified Specialties: None Austin # ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Knife, Kelsi B, OT Gender: Female NPI: 1366866915 # 12710 Research Blvd Ste 395 (512) 250-8706 Clinic Affiliation: Capital Area Speech Therapy PLLC Board Certified Specialties: None Aus tin Aus tin Knight, Christina L, OT Gender: Female NPI: 1588779490 12201 Renfert Way Ste 115 (512) 551-0375 Austin Austin NPI: 1588779490 711 W 38th St Bldg B3 (512) 450-0909 Clinic Affiliation: Harris S Rose MD PLLC, Select Physical Therapy Holdings Board Certified Specialties: None Aus tin 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 Certified Specialties: 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 Board Certified Specialties: None Aus tin Aus tin Lopez, Guillermo, OT Gender: Male NPI: 1427188648 1121 E Seventh St J(512) 454-3743 Clinic Affiliation: Any Baby Can Practice Information: No Patients Over 3 yrs old Board Certified Specialties: None McCaffery, Kari J, OT Gender: Female NPI: 1083941074 3705 Medical Pkwy Ste 515 (512) 452-6475 NPI: 1083941074 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None NPI: 1588779490 3705 Medical Pkwy Ste 515 (512) 452-6475 Austin Jansky, Erin C, OT Gender: Female NPI: 1881832467 # 4407 Monterey Oaks Blvd Ste 140 J(512) 248-3422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Marshall, Deborah L, OT Gender: Female NPI: 1306095369 # 13642 N Hwy 183 Bldg 2 Ate 200 (512) 331-4115 Clinic Affiliation: Therapy One Ste 203 Board Certified Specialties: None Kemper, Mary K, OT Gender: Female NPI: 1518974658 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Hoke, Valerie I, OT Gender: Female NPI: 1346554789 # 12701 FM 620 (512) 401-0700 Austin Maas, Christene B, OT Gender: Female NPI: 1245506542 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Austin Aus tin Austin Howell, Luann H, OT Gender: Female NPI: 1619262706 # 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Board Certified Specialties: None 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 Certified Specialties: None Jones, Molly A, OT Gender: Female NPI: 1356760086 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Board Certified Specialties: None Hiebeler, Diana L, OT Gender: Female NPI: 1962578492 # 13642 N Hwy 183 Bldg 2 Ste 200 (512) 331-4115 Clinic Affiliation: Therapy One Ste 203 Board Certified Specialties: None NPI: 1346554789 4310 James Casey St Ste 3C (512) 441-6008 Clinic Affiliation: Greater Austin Orthopaedics Board Certified Specialties: None Lundborg, Samantha M, OT Gender: Female NPI: 1558569152 # 1701 W Ben White Blvd Ste 100B J(512) 440-1441 Clinic Affiliation: South Austin Rehabilitation and Wound Clinic Board Certified Specialties: None Austin Aus tin Austin # Jones, Ashley M, OT Gender: Female NPI: 1669807467 7800 Shoal Creek Blvd Ste 110W (512) 610-1190 McSpadden, Jenna K, OT Gender: Female NPI: 1821330994 9333 Research Blvd Ste 400 (888) 997-2669 Clinic Affiliation: Concentra Medical Centers Board Certified Specialties: None Menzes, Melissa B, OT Gender: Female NPI: 1891941860 8820 Business Park Dr Ste 300 (512) 689-0236 Clinic Affiliation: Extra Credit LLC Practice Information: No Patients Over 16 yrs old Board Certified Specialties: None Miro, Terri L, OT Gender: Female NPI: 1831157544 1300 Barbara Jordan Blvd Ste 300 (512) 478-8116 Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Board Certified Specialties: None Moore, Farah M, OT Gender: Female NPI: 1447563564 # 12710 Research Blvd Ste 395 (512) 250-8706 Clinic Affiliation: Capital Area Speech Therapy PLLC Board Certified Specialties: None Austin 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 Board Certified Specialties: None Myers, Kristin, OT Gender: Female NPI: 1902053325 # 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None Austin Ongay, Paulina, OT Gender: Female NPI: 1174949788 # 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None Austin Otoole, Dale D, OT Gender: Male NPI: 1487714135 # 11101 Burnet Rd Ste A170 J(512) 835-5000 Austin 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 Certified Specialties: None Pokluda, Rebecca L, OT Gender: Female NPI: 1962584847 # 3607 Manchaca J(512) 444-7219 Clinic Affiliation: Pokluda Rebecca L OT Practice Information: No Patients Over 21 yrs old, No Patients Under 1 yrs old Board Certified Specialties: None Austin Polston, Brittany L, OT Gender: Female NPI: 1831459510 # 3211 Hancock Dr J(512) 533-9313 Clinic Affiliation: Childrens Therapeutics of Austin Practice Information: No Patients Over 16 yrs old Board Certified Specialties: 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 Certified Specialties: None Austin Austin Richards, Andrea M, OT Gender: Female NPI: 1588819270 4700 Seton Center Pkwy Ste 200 (512) 439-1953 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Ricketts, Lisa A, OT Gender: Female NPI: 1144656745 # 3607 Manchaca (512) 444-7219 Clinic Affiliation: Pokluda Rebecca L OT Board Certified Specialties: 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 18 yrs old Board Certified Specialties: None Austin J - Wheelchair Access 105 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont OCCUPATIONAL THERAPY Cont Aus tin Aus tin Robin, Susan F, OT Gender: Female NPI: 1922015759 6507 Jester Blvd Ste 309 (512) 343-1200 Clinic Affiliation: Red Wagon Childrens Therapy Board Certified Specialties: None Roseland, Kimberly A, OT Gender: Female NPI: 1851619530 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Ruiz, Raiza C, OT Gender: Female NPI: 1467678995 # 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Board Certified Specialties: None Austin Aus tin Rusnak, Katie N, OT Gender: Female NPI: 1013106145 9333 Research Blvd Ste 400 (888) 997-2669 Clinic Affiliation: Concentra Medical Centers Board Certified Specialties: None Sanders, Jennifer M, OT Gender: Female NPI: 1497860357 1400 N IH 35 Ste 320 J(512) 324-8240 Clinic Affiliation: Institute of Reconstructive Plast Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Santoro, Signe M, OT Gender: Female NPI: 1154617363 # 3724 Jefferson St Ste 316 (512) 453-6778 Clinic Affiliation: Danina L Culver PT Practice Information: No Patients Over 22 yrs old Board Certified Specialties: None Aus tin Schiff, Rachel G, OT Gender: Female NPI: 1467794719 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Board Certified Specialties: None NPI: 1518139864 706B W Ben White Blvd Ste 160B J(512) 293-9849 Clinic Affiliation: Pain Rehab and Wellness Yoga Cent, South Austin Rehabilitation and Wound Clinic Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Tannreuther, Dianne H, OT Gender: Female NPI: 1770660466 # 12501 Hymeadow Dr Ste F J(512) 331-5488 Austin Simpson, Michelle L, OT Gender: Female NPI: 1700973393 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Tisdell, Keith, OT Gender: Male NPI: 1477550630 # 4422 Pack Saddle Pass Ste 104 J(512) 444-3345 Clinic Affiliation: Total Communication Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Smart, Jessica L, OT Gender: Female NPI: 1689948028 # 706A W Ben White Blvd Ste 150A (512) 441-5100 Clinic Affiliation: Cole Consolidated Rehab LLC Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: None Austin Smart, Sonja M, OT Gender: Female NPI: 1598041717 5555 N Lamar Blvd Ste L103 J(512) 200-2332 Clinic Affiliation: Progressive Neuro Therapy Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Snyder, Allison T, OT Gender: Female NPI: 1528207057 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Spence, Alicia L, OT Gender: Female NPI: 1730365578 # 12524 Capella Trl J(512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None 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 Practice Information: No Patients Under 1 yrs old Board Certified Specialties: None Austin Austin Austin Austin Aus tin # NPI: 1790861433 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP, Progressive Neuro Therapy Practice Information: No Patients Under 18 yrs old Board Certified Specialties: 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 Certified Specialties: None Tomlinson, Sarah A, OT Gender: Female NPI: 1609141746 # 4407 Monterey Oaks Blvd Ste 140 J(512) 248-2422 Austin # Austin # Austin Austin Austin NPI: 1609141746 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Villamin, Heidi D, OT Gender: Female NPI: 1578749693 3607 Manchaca J(512) 444-7219 Clinic Affiliation: Pokluda Rebecca L OT Practice Information: No Patients Under 21 yrs old Board Certified Specialties: None Ward, Delfin B, OT Gender: Male NPI: 1497009559 1700 S Lamar Blvd Ste 330 (512) 774-0260 Clinic Affiliation: Primo Performance and Rehab Inc Board Certified Specialties: None Willms, M Renee, OT Gender: Female NPI: 1790825230 1701 W Ben White Blvd Ste 100B J(512) 439-1000 (512) 440-1441 NPI: 1790825230 1825 Fortview Rd Ste 103 (512) 444-4263 Clinic Affiliation: South Austin Rehabilitation and Wound Clinic, Texas Orthopedics Sports And Rehab Assoc, The Hand Clinic of Austin PC Practice Information: No Patients Under 10 yrs old Board Certified Specialties: None 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 Board Certified Specialties: None NPI: 1770660466 13642 N Hwy 183 Bldg 2 Ste 200 (512) 331-4115 Clinic Affiliation: Carmen Tyler & Dianne Tannreuther, Therapy One Ste 203 Practice Information: No Patients Over 15 yrs old Board Certified Specialties: None Austin Austin Austin Simon, Michelle G, OT Gender: Female NPI: 1841597481 3705 Medical Pkwy Ste 515 (512) 452-6475 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin Aus tin Shroff, Nimisha M, OT Gender: Female NPI: 1518139864 # 1701 W Ben White Blvd Ste 100B (512) 440-1441 Springfield, Stephanie, OT Gender: Female NPI: 1871753129 # 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Practice Information: No Patients Under 21 yrs old Board Certified Specialties: None Austin Simmons, Christa R, OT Gender: Female NPI: 1790861433 5555 N Lamar Blvd Ste L103 (512) 200-2332 # Aus tin Aus tin Silva, Isabel J, OT Gender: Female NPI: 1255462438 1121 E Seventh St J(512) 454-3743 Clinic Affiliation: Any Baby Can Practice Information: No Patients Over 3 yrs old Board Certified Specialties: None 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 18 yrs old Board Certified Specialties: None Young, Rosalinda, OT Gender: Female NPI: 1376962886 13642 N Hwy 183 Bldg 2 Ste 200 J(512) 331-4115 Clinic Affiliation: Therapy One Ste 203 Board Certified Specialties: None Zeeck, Becky R, OT Gender: Female NPI: 1427191444 4407 Monterey Oaks Blvd Ste 140 J(512) 248-2422 NPI: 1427191444 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None 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 Certified Specialties: None Austin ONCOLOGY " Aung, Thomas L, MD Austin Gender: Male NPI: 1679515530 12221 Renfert Way Ste 300 J(512) 873-8900 Hospital Affiliation: Cornerstone Hosp Of Austin, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology J - Wheelchair Access 106 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Gorrebeeck, Allison E, MD " Kampe, Carsten E, MD Aus tin AUSTIN Cont ONCOLOGY Cont " Bachier, Carlos R, MD Austin Gender: Male NPI: 1588621031 901 W Ben White Blvd (512) 447-2211 Hospital Affiliation: Methodist Hospital Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 14 yrs old Board Certified Specialties: Oncology Austin Castillo, Rene A, MD Gender: Male NPI: 1134186166 4101 James Casey St Ste 100 J(512) 447-2202 Aus tin Aus tin NPI: 1134186166 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: Central Texas Medical Center, 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None " Chadha, Punit, MD " George, David W, MD Gender: Male NPI: 1164465563 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: Cornerstone Hosp Of Austin, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Georgetown Hospital, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1982642914 12221 Renfert Way Ste 300 J(512) 873-8900 Hospital Affiliation: Cedar Park Regional Medical Ctr, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Smithville Reg Hospital, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology " Patt, Debra A, MD Austin Gender: Female NPI: 1003839820 12201 Renfert Way Ste 370 J(512) 302-1771 " Kasper, Michael L, MD Austin Hellerstedt, Beth A, MD Gender: Female NPI: 1215975487 6101 Balcones Dr Ste 101 J(512) 406-5150 Gender: Male NPI: 1669414652 6101 Balcones Dr Ste 101 J(512) 302-1771 Hoverman, John R, MD Gender: Male NPI: 1508808494 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1508808494 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None NPI: 1003839820 2911 Medical Arts St Ste 13 J(512) 478-9990 NPI: 1669414652 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology NPI: 1508808494 6101 Balcones Dr Ste 101 J(512) 406-5150 " Doner, Kevin T, MD Austin NPI: 1912944521 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Austin Aus tin Austin Gender: Male NPI: 1336115880 12221 Renfert Way Ste 300 (512) 873-8900 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Hagin, Gerald D, MD Gender: Male NPI: 1285606483 11111 Research Blvd Ste 450 (512) 505-5500 Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: None " Netaji, Balijepalli, MD Austin Gender: Male NPI: 1912944521 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1215975487 6204 Balcones Dr J(512) 427-9400 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin Gender: Male NPI: 1497778229 4101 James Casey St Ste 100 J(512) 447-2202 Hospital Affiliation: Cornerstone Hosp 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: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Austin Gender: Female NPI: 1467548628 12221 N Mopac Expwy (512) 505-5500 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: Oncology Kocs, Darren M, MD Gender: Male NPI: 1972541357 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Cornerstone Hosp Of Austin, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None NPI: 1003839820 4101 James Casey St Ste 100 J(512) 447-2202 NPI: 1003839820 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: Md Anderson Cancer Center, Seton Medical Center, St Davids Georgetown Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old, Practice Limited to Oncology Board Certified Specialties: Oncology " Rubin De Celis, Carlos, MD Austin Gender: Male NPI: 1275571879 12201 Renfert Way Ste 325 J(512) 302-1771 NPI: 1275571879 4101 James Casey St J(512) 447-2202 " Loukas, Demetrius F, MD Austin NPI: 1154369775 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old, Practice Limited to Hematology, Practice Limited to Oncology Board Certified Specialties: Oncology " Jeter, Ashley A, MD Aus tin Gender: Female NPI: 1053518555 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Texas Oncology PA Board Certified Specialties: Oncology NPI: 1275571879 6204 Balcones Dr J(512) 302-1771 Gender: Male NPI: 1154369775 11111 Research Blvd Ste 400 J(512) 349-0081 NPI: 1275571879 901 W 38th St Ste 200 J(512) 421-4100 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology " Ruud, Christopher O, MD Austin Gender: Male NPI: 1124089412 901 W 38th St Ste 200 (512) 421-4100 Hospital Affiliation: Abilene Regional Medical Center, Scott And White Memorial Hospital Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Oncology J - Wheelchair Access 107 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont ONCOLOGY Cont " Sandbach, John F, MD Aus tin Gender: Male NPI: 1376585505 6101 Balcones Dr Ste 101 (512) 406-5150 NPI: 1376585505 6204 Balcones Dr (512) 427-9400 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old, Practice Limited to Oncology Board Certified Specialties: Oncology Aus tin Shimkus, Brian J, MD Gender: Male NPI: 1730164591 11111 Research Blvd Ste 450 (512) 505-5500 Hospital Affiliation: 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 Georgetown Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None " Shrikhande, Shubhada S, MD " Smith, Jason L, MD Aus tin Gender: Male NPI: 1114137064 4101 James Casey St Ste 100 J(512) 447-2202 Hospital Affiliation: Central Texas Medical Center, Seton Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Yorio, Jeffrey T, MD Gender: Male NPI: 1215197314 6204 Balcones Dr (512) 427-9400 Hospital Affiliation: Md Anderson Cancer Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oncology PA Practice Information: Practice Limited to Oncology Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1477717759 2600 Via Fortuna Ste 400 (512) 327-4123 Hospital Affiliation: Hillcrest Baptist Medical Center, Tx Hlth Harris Methodist Hosp Sw Clinic Affiliation: Mann Eye Center Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Ophthalmology " Briggs, Richard B, MD Gender: Male NPI: 1699740712 6801 Manchaca J(512) 444-2015 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Richard Briggs Board Certified Specialties: Ophthalmology " Broberg, Peter H, MD Austin Gender: Male NPI: 1326040635 4207 James Casey Ste 305 J(512) 447-6096 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Broberg Peter MD Board Certified Specialties: Ophthalmology " Berger, Brian B, MD # Youman III, Joseph D, MD Gender: Male NPI: 1679511125 # 901 W 38th St Ste 300 J(512) 421-4100 Hospital Affiliation: Cornerstone Hosp Of Austin, Heart Hospital Of Austin, North Austin Medical Center, Northwest Surgery Center Llp, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Texas Oncology PA Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None " Buckingham, Dawn C, MD Austin Gender: Female NPI: 1346241122 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Scott & White Hospital Llano, Seton Highland Lakes, Seton Medical Center Clinic Affiliation: Eye Physicians of Austin PA Board Certified Specialties: Ophthalmology " Berkowitz, Richard A, MD Austin Gender: Male NPI: 1093743056 2610 S IH 35 J(512) 443-9715 NPI: 1093743056 5625 Eiger Rd Ste 100 (512) 872-6061 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Round Rock Medical Center, Seton Medical Center Hays, South Texas Health System, St Davids Medical Center, Valley Baptist Medical Center, Valley Regional Medical Center Clinic Affiliation: Howerton Eye Center PA, Howerton Eye Clinic PLLC Board Certified Specialties: Ophthalmology " Zoghi, Behyar, MD Austin Gender: Male NPI: 1497955447 901 W Ben White Blvd J(512) 447-2211 Hospital Affiliation: Methodist Hospital, Methodist Specialty And Transplant Hospital Clinic Affiliation: Methodist Physician Practices PLL Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Oncology Gender: Male NPI: 1649257312 3705 Medical Pkwy Ste 410 J(512) 454-5851 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Brian B Berger MD Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Blaydon, Sean M, MD Austin OPHTHALMOLOGY " Alexander, Maureen M, MD Austin Gender: Female NPI: 1275619496 4207 James Casey St Ste 303 J(512) 443-2046 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Bui, Marie T, MD Gender: Female NPI: 1174757751 11901 Jollyville Rd (512) 250-2020 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Eye Clinic Assoc Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: None " Busse Jr, Franklin K, MD Austin # Austin Gender: Male NPI: 1730170622 3705 Medical Pkwy Ste 120 J(512) 458-2141 Hospital Affiliation: 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 Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Gender: Male NPI: 1942395165 11111 Research Blvd Ste 170 J(512) 338-5222 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Premier Eye Care PA Practice Information: No Patients Under 3 yrs old Board Certified Specialties: Ophthalmology Austin Austin Austin # # " Barker, Luke A, MD Gender: Male NPI: 1609010800 900 E 30th St Ste 100 (512) 505-5500 Clinic Affiliation: Austin Cancer Centers Georgetown Board Certified Specialties: Oncology Austin " Brent, Byron D, MD Austin Austin " Vinjamaram, Sanjay, MD " Tebcherany, Dina J, MD NPI: 1578501664 6204 Balcones Dr J(512) 302-1771 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Oncology Gender: Female NPI: 1275611352 3705 Medical Pkwy Ste 120 J(512) 458-2141 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Texas Oculoplastic Consultants Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Austin Aus tin Gender: Female NPI: 1578501664 4101 James Casey St Ste 100 J(512) 447-2202 " Amato, Malena M, MD Austin NPI: 1801834809 6204 Balcones Dr J(512) 427-9400 Hospital Affiliation: 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 Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Aus tin Gender: Female NPI: 1982661674 12221 Renfert Way Ste 300 (512) 873-8900 Hospital Affiliation: 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 Certified Specialties: Oncology Teneriello, Michael G, MD Gender: Male NPI: 1801834809 4101 James Casey St Ste 100 J(512) 447-2202 Gender: Male NPI: 1770677908 4700 Seton Center Pkwy Ste 150 J(512) 345-3595 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Pediatric Ophthalmology & Strabismus PA Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Chou, Eva, MD Austin Gender: Female NPI: 1376717041 3705 Medical Pkwy Ste 120 (512) 458-2141 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Texas Oculoplastic Consultants Board Certified Specialties: Ophthalmology J - Wheelchair Access 108 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Djafari, Valla, MD " Falknor, Clayton L, MD Aus tin AUSTIN Cont OPHTHALMOLOGY Cont " Cottle, Gina R, MD Austin Gender: Female NPI: 1407963432 11614 Bee Caves Rd Ste 110 J(512) 263-1113 Hospital Affiliation: Cedar Park Regional Medical Ctr, Hill Country Surgery Ctr, Oakwood Surgery Center, Round Rock Medical Center, Surgicare Of South Austin Clinic Affiliation: Lake Austin Eye PLLC Board Certified Specialties: Ophthalmology NPI: 1881648038 5625 Eiger Rd Ste 100 J(512) 651-2201 Hospital Affiliation: Scott And White Memorial Hospital, 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 Certified Specialties: Ophthalmology " Dai, Eric, MD Gender: Female NPI: 1588788830 4207 James Casey St Ste 301 J(512) 451-0103 " Dell, Steven J, MD Austin NPI: 1366428856 7000 N Mo Pac Expwy Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, Texas Childrens Hospital, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1013989706 3300 W Anderson Ln Ste 308 J(512) 451-0103 NPI: 1013989706 801 W 38th St Ste 200 J(512) 451-0103 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, San Angelo Community Medical Center, Seton Medical Center, St Davids Medical Center, University Health System Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Dudek, Lara T, MD Gender: Female NPI: 1740461136 1700 S Mo Pac Expwy (512) 327-7000 Gender: Female NPI: 1720223449 11111 Research Blvd Ste 220 J(512) 324-6755 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Ophthalmology " Hollsten, Donald A, MD Austin Gender: Male NPI: 1508829227 7000 N Mo Pac Expwy Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Methodist Hospital, Nix Health Care System, St Lukes Baptist Hospital, Texan Surgery Center Clinic Affiliation: Texan Eye Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Hawthorne, Kristen M, MD Austin NPI: 1740461136 5717 Balcones Dr (512) 327-7000 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, Texan Surgery Center Clinic Affiliation: Texan Eye Practice Information: No Patients Under 6 yrs old Board Certified Specialties: Ophthalmology Aus tin " Hoang, Lan T, MD Austin NPI: 1013989706 4207 James Casey St Ste 301 J(512) 451-0103 Aus tin NPI: 1366428856 5717 Balcones Dr J(512) 327-7000 Gender: Male NPI: 1407045339 3410 Far West Blvd Ste 140 J(512) 427-1100 Hospital Affiliation: Bailey Square Surgery Center, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Eye Clinic of Austin Board Certified Specialties: Ophthalmology " Harper III, Clio A, MD NPI: 1962474643 801 W 38th St Ste 200 J(512) 451-0103 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, Round Rock Medical Center, San Angelo Community 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 Retina Assoc Board Certified Specialties: Ophthalmology NPI: 1588788830 801 W 38th St Ste 200 J(512) 451-0103 Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Henderson, Thomas T, MD Austin Austin NPI: 1962474643 4207 James Casey St Ste 301 J(512) 451-0103 " Day, Shelley, MD Gender: Male NPI: 1609861897 901 W 38th St Ste 303 J(512) 452-8467 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, 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 Certified Specialties: Ophthalmology Gender: Female NPI: 1457512451 6801 Manchaca (512) 444-2015 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, University Med Ctr Brackenridge Clinic Affiliation: Richard Briggs Board Certified Specialties: Ophthalmology " Dooner, James W, MD Austin Gender: Male NPI: 1366428856 1700 S Mo Pac Expwy J(512) 327-7000 " Golde, Kimberly T, MD Austin Aus tin Gender: Male NPI: 1962474643 3300 W Anderson Ln Ste 308 J(512) 451-0103 " Hayhurst, Russell A, MD Austin Gender: Male NPI: 1164625018 3410 Far West Blvd Ste 140 (512) 427-1100 Hospital Affiliation: Cedar Park Regional Medical Ctr, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Eye Clinic of Austin Practice Information: No Patients Under 5 yrs old Board Certified Specialties: Ophthalmology NPI: 1881648038 3807 Spicewood Springs Rd Ste 101 J(512) 651-2201 Austin Gender: Male NPI: 1679778245 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Hill Country Memorial Surgery Ctr, Northwest Hills Surgical Hospital, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, Seton Southwest Clinic Affiliation: Eye Physicians of Austin PA Board Certified Specialties: Ophthalmology Austin Gender: Male NPI: 1881648038 2610 S Interstate 35 J(512) 651-2201 Durairaj, Vikram D, MD Gender: Male NPI: 1871683540 3705 Medical Pkwy Ste 120 (512) 458-2141 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Texas Oculoplastic Consultants Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: None Gender: Female NPI: 1003019092 2610 S IH 35 (512) 443-9715 NPI: 1003019092 5625 Eiger Rd Ste 100 (512) 443-9715 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Hays, St Davids Medical Center Clinic Affiliation: Howerton Eye Clinic PLLC Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Jackson Jr, Oscar B, MD Austin Gender: Male NPI: 1215019278 3509 Lawton Ave J(512) 451-0234 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Jackson Jr Oscar B MD Practice Information: No Patients Over 16 yrs old Board Certified Specialties: Ophthalmology J - Wheelchair Access 109 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Levitan, Mark, MD " Mann II, Paul M, MD Austin AUSTIN Cont OPHTHALMOLOGY Cont " Jhaveri, Chirag D, MD Aus tin # Aus tin Gender: Male NPI: 1114117769 3705 Medical Pkwy Ste 410 J(512) 454-5851 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Brian B Berger MD Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Kalpaxis, James G, MD Gender: Male NPI: 1063594281 4005 Spicewood Spgs Ste C600 J(512) 346-6421 Hospital Affiliation: 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 Certified Specialties: None NPI: 1609848399 801 W 38th St Ste 200 J(512) 451-0103 Hospital Affiliation: Northwest Hills Surgical Hospital, San Angelo Community Medical Center, Seton Medical Center, Shannon Medical Center, St Davids Medical Center Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1679545370 4207 James Casey St Ste 301 J(512) 451-0103 " Loose, Isaac A, MD " Monheit, Blythe E, MD Austin Gender: Female NPI: 1336196542 1700 S Mopac Expwy (512) 327-7000 NPI: 1679545370 801 W 38th St Ste 200 J(512) 451-0103 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Northwest Hills Surgical Hospital, San Angelo Community Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " McCluskey, Marilyn M, MD NPI: 1336196542 5717 Balcones Dr (512) 327-7000 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Georgetown Hospital Clinic Affiliation: Texan Eye Practice Information: Specializing in Glaucoma Board Certified Specialties: Ophthalmology Austin Gender: Male NPI: 1821075664 5717 Balcones Dr J(512) 327-7000 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin, Medical Park Tower Surg Ctr Llc, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Gender: Male NPI: 1811126105 2610 S IH 35 (512) 443-9715 NPI: 1811126105 5625 Eiger Rd Ste 100 (512) 872-6061 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Center Hays, St Davids Medical Center Clinic Affiliation: Howerton Eye Clinic PLLC Board Certified Specialties: Ophthalmology Gender: Male NPI: 1679545370 3300 W Anderson Ln Ste 308 J(512) 451-0103 Austin " Kelly, Scott D, MD Gender: Male NPI: 1780786491 3300 W Anderson Ln Ste 308 (512) 454-8744 Hospital Affiliation: Medical Park Tower Surg Ctr Llc, Seton Medical Center Clinic Affiliation: Eye Institute of Austin Practice Information: No Patients Under 13 yrs old, Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Martinez, Jose A, MD Gender: Female NPI: 1790781029 3300 W Anderson Ln Ste 308 J(512) 454-8744 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Eye Institute of Austin Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Aus tin " McKinley, Steven H, MD Austin Austin " Lindsey, Janet A, MD " Kelinske, Marilyn A, MD Gender: Female NPI: 1740274034 11623 Angus Rd Ste 12 J(512) 346-2903 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology NPI: 1902881048 5717 Balcones Dr J(512) 327-7000 Hospital Affiliation: John Peter Smith Hospital, Parkland Health And Hospital Sys, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Austin Aus tin NPI: 1376729673 4314 W Braker Ln Ste 215 (512) 327-4123 Hospital Affiliation: Hill Country Surgery Ctr, Medical Park Tower Surg Ctr Llc, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Mann Eye Center Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Gender: Male NPI: 1902881048 1700 S Mopac J(512) 327-7000 NPI: 1225013980 7000 N Mopac Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Gender: Female NPI: 1265417315 1700 S Mopac J(512) 327-7000 NPI: 1376729673 2610 S IH 35 (512) 443-9715 " Marquis, Robert E, MD " Lewis, Douglas E, MD " Keeland, Ruth Kimberly, MD Gender: Female NPI: 1376729673 2600 Via Fortuna Ste 400 (512) 327-4123 Austin Austin Gender: Male NPI: 1225013980 1700 S Mopac J(512) 327-7000 " McIntire, Lisa U, MD Austin Gender: Male NPI: 1467440909 2600 Via Fortuna J(888) 809-1133 Hospital Affiliation: Kingwood Medical Center, Mem Hermann Katy Hospital Clinic Affiliation: Mann Eye Center Practice Information: Public Transportation Access, TDD Capacity Board Certified Specialties: Ophthalmology NPI: 1609848399 4207 James Casey St Ste 301 J(512) 451-0103 Aus tin NPI: 1265417315 5717 Balcones Dr J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Austin Gender: Male NPI: 1609848399 3300 W Anderson Ln Ste 308 J(512) 451-0103 # Gender: Female NPI: 1104907492 11111 Research Blvd Ste 170 (512) 338-5222 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Premier Eye Care PA Board Certified Specialties: Ophthalmology Austin " McGlathery IV, William T, MD Austin # " Mann, Paul M, MD Austin Gender: Male NPI: 1366447559 2600 Via Fortuna Ste 400 J(512) 327-3524 NPI: 1366447559 4314 W Braker Ln Ste 215 J(281) 353-8300 Hospital Affiliation: Kingwood Medical Center, Mem Hermann Katy Hospital, Mem Hermann Northeast Hosp Clinic Affiliation: Mann Eye Center Practice Information: Public Transportation Access, TDD Capacity Board Certified Specialties: Ophthalmology Gender: Male NPI: 1659329555 4207 James Casey Ste 305 J(512) 447-6096 Hospital Affiliation: St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Broberg Peter MD Board Certified Specialties: Ophthalmology Murphy, Lori M, MD Gender: Female NPI: 1821223850 3300 W Anderson Ln Ste 308 J(512) 454-8744 Hospital Affiliation: 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 Certified Specialties: None " Neuhaus, Russell W, MD Austin Gender: Male NPI: 1326039264 3705 Medical Pkwy Ste 120 J(512) 458-2141 Hospital Affiliation: Central Texas Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Oculoplastic Consultants Board Certified Specialties: Ophthalmology J - Wheelchair Access 110 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Pierce, Karl R, MD Aus tin AUSTIN Cont OPHTHALMOLOGY Cont # " Nieman, Yen Dang, MD Austin Gender: Female NPI: 1295825784 1700 S Mopac J(512) 327-7000 NPI: 1720089592 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Northwest Hills Surgical Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Eye Physicians of Austin PA, Premier Eye Care PA Practice Information: Wheelchair Accessibility Board Certified Specialties: Ophthalmology NPI: 1295825784 5717 Balcones Dr J(512) 327-7000 NPI: 1295825784 7000 N Mo Pac Ste 110 J(512) 327-7000 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology " Nixon, Peter A, MD Gender: Male NPI: 1467438531 3300 W Anderson Ln Ste 308 J(512) 451-0103 NPI: 1467438531 801 W 38th St Ste 200 J(512) 451-0103 Hospital Affiliation: Medical Park Tower Surg Ctr Llc, Northwest Hills Surgical Hospital, San Angelo Community Medical Center, Seton Medical Center, Seton Northwest Hospital, Shannon Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Austin Odette, John D, MD Gender: Male NPI: 1124224464 11901 Jollyville Rd (512) 250-2020 Hospital Affiliation: 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 Certified Specialties: None " Onan, Marsha H, MD Austin Gender: Female NPI: 1376545186 11111 Research Blvd Ste 220 (512) 324-6755 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Surgical Subspecialists Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Ophthalmology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1205831344 3300 W Anderson Ln Ste 308 J(512) 454-8744 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Eye Institute of Austin Practice Information: No Patients Under 13 yrs old, Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Gender: Male NPI: 1245233618 3300 W Anderson Ln Ste 308 J(512) 454-8744 Hospital Affiliation: Round Rock Medical Center, Scott & White Hospital Llano, Seton Medical Center Clinic Affiliation: Eye Institute of Austin Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Ophthalmology " Roller, Aaron B, MD Gender: Male NPI: 1700085248 2610 S Interstate 35 J(512) 651-2201 NPI: 1700085248 3807 Spicewood Springs Rd Ste 101 J(512) 651-2201 NPI: 1700085248 5625 Eiger Rd Ste 100 J(512) 651-2201 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Texas Retina Institute PA Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Ophthalmology " Settle III, Halsey M, MD Austin Gender: Male NPI: 1962404269 4207 James Casey Ste 305 J(512) 447-6096 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Broberg Peter MD Board Certified Specialties: Ophthalmology " Shore, John W, MD Austin Gender: Male NPI: 1194716035 3705 Medical Pkwy Ste 120 J(512) 458-2141 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Oculoplastic Consultants Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Sanchez, Cecilia R, MD Gender: Female NPI: 1376616011 5717 Balcones Dr (512) 327-7000 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Texan Surgery Center Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology " Smith, Randolph T, MD Austin Gender: Male NPI: 1710970132 3300 W Anderson Ln Ste 308 (512) 454-8744 Hospital Affiliation: 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: No Patients Under 13 yrs old, Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology " Sargent, Julia B, MD Austin Gender: Female NPI: 1699752576 5717 Balcones Dr J(512) 327-7000 NPI: 1699752576 7000 N Mopac Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Aus tin NPI: 1508841644 7000 N Mo Pac Expwy Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Medical City Dallas Hospital, Park Central Surgical Center, Parkland Health And Hospital Sys, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology Austin Aus tin Gender: Male NPI: 1821272378 3410 Far West Blvd Ste 140 (512) 427-1100 Hospital Affiliation: 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 Certified Specialties: Ophthalmology NPI: 1508841644 5717 Balcones Dr J(512) 327-7000 " Rylander, Henry G, MD " Rainey, Annis M, MD " Rhodes, Kyle M, MD Gender: Female NPI: 1508841644 1700 S Mo Pac Expwy J(512) 327-7000 Austin Aus tin Gender: Female NPI: 1538111968 11111 Research Blvd Ste 220 (512) 324-3313 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists Practice Information: No Patients Over 19 yrs old Board Certified Specialties: Ophthalmology " Sargent, Kristin A, MD Austin " Rylander, Gary R, MD " Plunkett, Mark A, MD Gender: Male NPI: 1821099698 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Eye Physicians of Austin PA Board Certified Specialties: Ophthalmology Ross, Andrew W, MD Gender: Male NPI: 1992708242 3300 W Anderson Ln Ste 308 (512) 454-8744 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Eye Institute of Austin Practice Information: No Patients Under 13 yrs old, Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: None Austin Aus tin Austin NPI: 1467438531 4207 James Casey St Ste 301 J(512) 451-0103 Austin Gender: Male NPI: 1720089592 11111 Research Blvd Ste 170 J(512) 338-5222 " Smith, Stephen R, MD Austin Gender: Male NPI: 1063402295 7200 N Mopac Expwy Ste 200 (512) 241-1806 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center Clinic Affiliation: Central Texas Retina and Vitreous Practice Information: Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology J - Wheelchair Access 111 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. ORTHOPAEDIC SPORTS MEDICINE " Wong, Lawrence S, MD Austin AUSTIN Cont Gender: Male NPI: 1720066731 4019 Spicewood Springs Rd Ste 100 J(512) 345-5030 Hospital Affiliation: Northwest Hills Surgical Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Eyes of Texas Laser Center Board Certified Specialties: Ophthalmology OPHTHALMOLOGY Cont " Tasker, David I, MD Aus tin # Gender: Male NPI: 1659363810 100 Congress Ave Ste 2000 J(210) 496-0496 Hospital Affiliation: Baptist Health System, ChildrensHospitalSanAntonio', Christus Santa Rosa Hosp City Ctr, North Central Baptist Hospital Practice Information: No Patients Under 5 yrs old, Public Transportation Access, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Gender: Male NPI: 1275699274 3300 W Anderson Ln Ste 308 (512) 451-0103 Gender: Male NPI: 1073514170 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Eye Physicians of Austin PA Board Certified Specialties: Ophthalmology NPI: 1275699274 4207 James Casey St Ste 301 (512) 451-0103 " Wagner, Theresa E, MD NPI: 1609852664 5717 Balcones Dr J(512) 327-7000 NPI: 1609852664 7000 N Mo Pac Expwy Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology NPI: 1497753040 11901 Jollyville Rd J(512) 250-2020 Hospital Affiliation: 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 Certified Specialties: Ophthalmology " Woodward, Lee M, MD Gender: Male NPI: 1619157419 1301 Barbara Jordan Blvd Ste 307 J(512) 324-6755 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Ophthalmology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1740493188 12701 FM 620 (512) 401-8400 NPI: 1740493188 4310 James Casey St Ste 3C (512) 326-2800 NPI: 1740493188 7900 FM 1826 Ste 120 Bldg 2 (512) 326-2800 Hospital Affiliation: Cedar Park Regional Medical Ctr, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Greater Austin Orthopaedics Practice Information: Clinic charge will apply; may increase your costs Board Certified Specialties: Orthopedic Surgery " Albrecht, Michael M, MD Austin " Casmedes III, Harry P, DDS Austin Gender: Female NPI: 1013084169 901 W 38th St Ste 410 J(512) 324-3310 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Oral Surgery " Billante, Mark J, MD Gender: Male NPI: 1417150202 12201 Renfert Way Ste 370 (512) 617-1989 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Capital City Orthopaedics PA Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1366423246 2500 W Wm Cannon Dr Ste 401 J(512) 451-1969 Hospital Affiliation: Arise Austin Medical Center, 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, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Southwest Orthopaedic Group Board Certified Specialties: Orthopedic Surgery Austin " Karakourtis, Mark H, DDS Austin Gender: Male NPI: 1932320967 12201 Renfert Way Ste 345 (512) 836-3074 Hospital Affiliation: Seton Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Carus Dental Board Certified Specialties: Oral Surgery Amis, Benjamin P, MD Gender: Male NPI: 1528266863 7200 N Mopac Ste 370 (512) 346-4933 Hospital Affiliation: Northwest Hills Surgical Hospital Clinic Affiliation: All Star Orthopedics of Austin Board Certified Specialties: None Gender: Female NPI: 1891797072 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, Cedar Park Regional Medical Ctr, Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, Texas Orthopedic Hospital, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin " Akhtar, Omar H, MD ORAL SURGERY " Wollan, Peter T, MD Gender: Male NPI: 1457353518 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Northwest Hills Surgical Hospital, 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 Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin Austin Aus tin Gender: Male NPI: 1205837432 5011 Burnet Rd J(512) 583-2020 Hospital Affiliation: Bailey Square Surgery Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Eye Physicians of Austin PA Board Certified Specialties: Ophthalmology # Gender: Male NPI: 1497753040 1009 E 40th St Ste 200 J(512) 454-2020 Gender: Male NPI: 1609852664 1700 S Mo Pac Expwy J(512) 327-7000 # " Adams, Bradley R, DO " Wong, Shannon M, MD " Walters, Thomas R, MD " Bergin, Barbara L, MD Austin Austin Austin Aus tin Gender: Male NPI: 1124020185 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Christus Santa Rosa Hsp Med Ctr, Healthsouth Riosa, Methodist Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, Warm Springs Rehab Hosp San Anton Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Orthopaedic Sports Medicine, Orthopedic Surgery ORTHOPEDIC SURGERY NPI: 1275699274 801 W 38th St Ste 200 (512) 451-0103 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Clinic Affiliation: Austin Retina Assoc Practice Information: Public Transportation Access, TDD Capacity, Wheelchair Accessibility Board Certified Specialties: Ophthalmology Aus tin Gender: Female NPI: 1912984857 7000 N Mopac Expwy Ste 110 J(512) 327-7000 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Scott & White Hospital Llano, Seton Medical Center, Seton Northwest Hospital, Texan Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texan Eye Board Certified Specialties: Ophthalmology # " Wong, Robert W, MD " Thorne Jr, George C, MD Gender: Male NPI: 1952331423 1301 W 38th St Ste 102 (512) 454-4561 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Neck or Back surgery Board Certified Specialties: Orthopedic Surgery " Dehart, Marc M, MD Austin Austin Aus tin " Andreo, Michael A, MD Austin " Blais, Robert E, MD Austin Gender: Male NPI: 1982614020 3755 S Capital of Texas Hwy Ste 160 (512) 439-1005 NPI: 1982614020 911 W 38th St Ste 300 (512) 439-1002 Hospital Affiliation: St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Borer, Drake S, MD Austin Gender: Male NPI: 1295890531 1313 Red River Ste 200 J(512) 391-1751 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Austin Skeletal Trauma Specialists Board Certified Specialties: Orthopedic Surgery J - Wheelchair Access 112 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont ORTHOPEDIC SURGERY Cont " Breazeale, Nathan M, MD Austin NPI: 1952313181 6611 Riverplace Blvd Ste 100 (512) 326-2800 Hospital Affiliation: 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 Certified Specialties: None " Brotzman, Steven B, MD Austin NPI: 1023015773 12309 N Mopac Expwy Ste 150 (512) 977-0000 Hospital Affiliation: Arise Austin Medical Center, Central Park Surgery Center, North Austin Medical Center, Seton Northwest Hospital Clinic Affiliation: North Austin Sports Medicine, Orthopaedic Assoc of Central Texas PA Practice Information: No Patients Under 6 yrs old Board Certified Specialties: Orthopedic Surgery " Cunningham, F K, MD Aus tin Gender: Male NPI: 1003029828 12201 Renfert Way Ste 370 J(512) 617-1989 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center Clinic Affiliation: Capital City Orthopaedics PA Board Certified Specialties: Orthopedic Surgery Austin " Elenz, Douglas R, MD Austin Gender: Male NPI: 1205806171 900 W 38th St Ste 300 J(512) 450-1300 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: Orthopedic Surgery # Gender: Male NPI: 1124020185 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Christus Santa Rosa Hsp Med Ctr, Healthsouth Riosa, Methodist Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge, Warm Springs Rehab Hosp San Anton Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Orthopaedic Sports Medicine, Orthopedic Surgery Dodgin, David A, MD Gender: Male NPI: 1821047200 # 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Cedar Park Regional Medical Ctr, Hyde Park Surgery Center Lp, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: None " Foster, Robert A, MD Austin # Austin Austin " Danney, Christopher M, MD Aus tin Gender: Male NPI: 1578720876 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, 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, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Davis, David G, MD Aus tin Gender: Male NPI: 1871591354 11623 Angus Rd Ste 15 J(512) 346-7170 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Northwest Surgery Center Llp, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 4 yrs old Board Certified Specialties: Orthopedic Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1952344657 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Cedar Park Regional Medical Ctr, Hyde Park Surgery Center Lp, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: Orthopedic Surgery " Dehart, Marc M, MD " Dalton, Mark R, MD Gender: Male NPI: 1457324816 901 W 38th St Ste 301 J(512) 225-6335 Hospital Affiliation: 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 Practice Information: Foot and Ankle surgery only, No Patients Under 14 yrs old Board Certified Specialties: Orthopedic Surgery " Ebert, Andrew M, MD Austin Austin Aus tin " Burris, Michael W, MD Gender: Male NPI: 1417987983 1301 W 38th St Ste 102 (512) 454-4561 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1073516472 911 W 38th St Ste 300 J(512) 439-1002 Hospital Affiliation: Bailey Square Surgery Center, Cedar Park Regional Medical Ctr, Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, Texas Orthopedics Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Practice Information: No Neck or Back surgery Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1528038312 900 W 38th St Ste 300 J(512) 450-1300 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Austin Sports Medicine Board Certified Specialties: Orthopedic Surgery Austin " Carter III, Shelby H, MD " Davis, Donald R, MD Austin NPI: 1952313181 4310 James Casey St Ste 3C (512) 326-2800 Gender: Male NPI: 1194795062 900 W 38th St Ste 300 J(512) 450-1300 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1023015773 12176 N Mo Pac Expwy Ste D J(512) 977-0000 Chen, Dean, MD Gender: Male NPI: 1952313181 12701 FM 620 (512) 401-8400 Driscoll, Matthew, MD Gender: Male NPI: 1437307592 1301 W 38th St Ste 102 (512) 454-4561 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Dryer, Randall F, MD Austin Gender: Male NPI: 1912904053 6818 Austin Center Blvd Ste 200 J(512) 795-2225 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Spine Institute LLP Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery Austin Austin Gender: Male NPI: 1437153210 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, 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, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Fox, Joshua C, MD Gender: Male NPI: 1760685366 1015 E 32nd St Ste 101 J(512) 477-6341 Hospital Affiliation: Bailey Square Surgery Center, Parkland Health And Hospital Sys Clinic Affiliation: Austin Bone & Joint Clinic Board Certified Specialties: None Gallagher, Sean M, MD Gender: Male NPI: 1477744654 7200 N Mopac Expwy Ste 370 J(512) 346-4933 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: All Star Orthopedics of Austin Board Certified Specialties: None J - Wheelchair Access 113 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Greenway, Larry D, MD " Hurt, Joel H, MD Austin AUSTIN Cont ORTHOPEDIC SURGERY Cont " Garcia Jr, Peter M, MD Aus tin Gender: Male NPI: 1881698876 3755 S Capital of Texas Hwy Ste 160 J(512) 439-1005 # NPI: 1881698876 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids Rehabilitation Center, St Davids S Austin Medical Center, Texas Orthopedic Hospital, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Gueramy, Timothy C, MD Gender: Male NPI: 1720019060 1301 W 38th St Ste 102 (512) 454-4561 Hospital Affiliation: Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1730382193 911 W 38th St Ste 300 J(512) 439-1002 Hospital Affiliation: Texas Orthopedics Surgery Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery NPI: 1881802601 6911 N FM 620 Ste C200 J(512) 478-8116 Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Board Certified Specialties: None NPI: 1659381358 4316 James Casey St Ste F-100 J(512) 707-8544 Hospital Affiliation: Arise Austin Medical Center, Baptist Health System, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Greater Austin Orthopaedics, Hc Orthopaedics PA Board Certified Specialties: Orthopedic Surgery " Graham II, Robert D, MD Aus tin Gender: Male NPI: 1215935820 12309 N Mopac Expwy Ste 150 (512) 977-0000 Hospital Affiliation: 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 Practice Information: No Neck or Back surgery, No Patients Under 6 yrs old Board Certified Specialties: Orthopedic Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1609974955 3705 Medical Pkwy Ste 530 J(512) 443-3933 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Board Certified Specialties: Orthopedic Surgery " Laverty, David C, MD Austin Gender: Male NPI: 1912062753 1313 Red River Ste 200 J(512) 391-1751 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Austin Skeletal Trauma Specialists Board Certified Specialties: Orthopedic Surgery " Loeb, Michael D, MD Austin Gender: Male NPI: 1477665727 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 NPI: 1477665727 911 W 38th St Ste 300 J(512) 439-1002 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Josey III, Robert A, MD Austin Gender: Male NPI: 1912977794 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Hyde Park Surgery Center Lp, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids Rehabilitation Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: Orthopedic Surgery " Heinrich, Eric M, MD Austin Gender: Male NPI: 1518937952 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Arise Austin Medical Center, Hyde Park Surgery Center Lp, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: Orthopedic Surgery Austin Gender: Male NPI: 1922038108 100 Medical Pkwy (512) 347-7463 Clinic Affiliation: Kurt Von Rueden MD Board Certified Specialties: Orthopedic Surgery " Johnson, Don E, MD Gender: Male NPI: 1659381358 4310 James Casey St Ste 3C (512) 326-2800 NPI: 1881802601 6836 Bee Cave Rd Ste 112 J(512) 478-8116 " Kuhns, Craig A, MD Austin Austin " Hasson, Newton E, MD Gender: Male NPI: 1528034451 4700 Seton Center Pkwy Ste 200 J(512) 439-1001 Hospital Affiliation: Arise Austin Medical Center, 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: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Gottschalk, Hilton P, MD Gender: Male NPI: 1881802601 1301 Barbara Jordan Blvd Ste 3 J(512) 478-8116 Gender: Female NPI: 1922003227 7200 N Mo Pac Ste 370 (512) 346-4933 Hospital Affiliation: Arise Austin Medical Center, 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: All Star Orthopedics of Austin Board Certified Specialties: Orthopedic Surgery Austin " Goldberg, Tyler D, MD Gender: Male NPI: 1649262536 1313 Red River Ste 200 J(512) 391-1751 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Skeletal Trauma Specialists Practice Information: No Patients Under 15 yrs old Board Certified Specialties: Orthopedic Surgery " Hyde, Carolyn M, MD " Hardy, Brian T, MD Aus tin " Kilbride Jr, Earl J, MD Austin Austin Austin " Geck, Matthew J, MD Aus tin Gender: Male NPI: 1811998651 4700 Seton Center Pkwy Ste 200 (512) 201-2668 Hospital Affiliation: 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, Texas Orthopedic Hospital, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Orthopedic Surgery Austin Aus tin Gender: Male NPI: 1073561833 1600 W 38th St Ste 200 (512) 324-3580 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Orthopedic Surgery Austin Gender: Male NPI: 1730181314 3001 Bee Caves Rd Ste 220 J(512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, Bailey Square Surgery Center, Healthsouth Rehabilitation Hospital Of Austin, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Austin Bone & Joint Clinic Board Certified Specialties: Orthopedic Surgery " Kelso, Kalin D, MD Austin Hill, Austin D, MD Gender: Male NPI: 1225233489 1313 Red River Ste 200 (512) 391-1751 Hospital Affiliation: Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Austin Skeletal Trauma Specialists Practice Information: No Patients Under 15 yrs old Board Certified Specialties: None Gender: Male NPI: 1932178001 2200 Park Bend Dr Ste 301 Bldg 1 J(512) 339-0440 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Orthopedics and Sports Med Board Certified Specialties: Orthopedic Surgery " Lutz, Richard A, DO Austin # Gender: Male NPI: 1841294113 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Cedar Park Regional Medical Ctr, 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, Texas Orthopedic Hospital, Texas Orthopedics Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery J - Wheelchair Access 114 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Mundanthanam, George J, MD " Pearce, John C, MD Aus tin AUSTIN Cont ORTHOPEDIC SURGERY Cont " Malone, Charles B, MD Austin Gender: Male NPI: 1538164306 1015 E 32nd St Ste 101 J(512) 477-6341 NPI: 1538164306 3001 Bee Caves Rd Ste 220 J(512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Bone & Joint Clinic Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery Austin " Murdock, Ryan C, MD Aus tin Gender: Male NPI: 1790909281 1301 Barbara Jordan Blvd Ste 300 J(512) 478-8116 " Marshall, Gordon P, MD " Onan, Okay A, MD Aus tin NPI: 1194737320 6611 Riverplace Blvd Ste 100 (512) 326-2800 Hospital Affiliation: St Davids S Austin Medical Center Clinic Affiliation: Greater Austin Orthopaedics Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1447229166 4316 James Casey St Bldg F Ste 100 (512) 707-8544 Hospital Affiliation: Arise Austin Medical Center, Doctors Hospital Of Laredo, Lakeway Regional Medical Ctr Llc, St Davids S Austin Medical Center Clinic Affiliation: Hc Orthopaedics PA Practice Information: No Patients Over 17 yrs old Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1780896241 3755 S Capital of Texas Hwy Ste 160 (512) 439-1005 NPI: 1780896241 4700 Seton Center Pkwy Ste 200 (512) 439-1000 NPI: 1780896241 911 W 38th St Ste 300 (512) 439-1002 Hospital Affiliation: Cedar Park Regional Medical Ctr, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, Texas Orthopedics Surgery Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Aus tin NPI: 1639160476 6611 Riverplace Blvd Ste 100 (512) 401-8400 Hospital Affiliation: Cedar Park Regional Medical Ctr, 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: Greater Austin Orthopaedics Board Certified Specialties: Orthopedic Surgery Padalecki, Jeffrey R, MD Gender: Male NPI: 1821290446 1301 W 38th St Ste 102 (512) 282-8967 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Parker, William B, MD Aus tin Gender: Male NPI: 1255361655 1301 W 38th St Ste 102 (512) 454-4561 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Practice Information: No Neck or Back surgery Board Certified Specialties: Orthopedic Surgery " Savage, David C, MD Austin Gender: Male NPI: 1346259199 3755 S Capital of Texas Hwy (512) 439-1105 Hospital Affiliation: Seton Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Race, Clark, MD Austin Gender: Male NPI: 1366451130 3755 S Capital of Texas Hwy Ste 160 J(512) 439-1002 NPI: 1366451130 911 W 38th St Ste 300 J(512) 439-1002 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, Seton Northwest Hospital, South Austin Surgery Center, St Davids S Austin Medical Center, Texas Orthopedic Hospital, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Oronoz Jr, Joaquin F, MD " McDonald Jr, John E, MD NPI: 1639160476 5625 Eiger Rd Ste 175 (512) 401-8400 NPI: 1922000504 3001 Bee Caves Rd Ste 220 J(512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Bone & Joint Clinic Board Certified Specialties: Orthopedic Surgery Aus tin Austin NPI: 1710979547 3001 Bee Caves Rd Ste 220 J(512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Bone & Joint Clinic Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1922000504 1015 E 32nd St Ste 101 J(512) 477-6341 Gender: Male NPI: 1841297843 6818 Austin Center Blvd Ste 200 J(512) 795-2225 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Spine Institute LLP Board Certified Specialties: Orthopedic Surgery NPI: 1194737320 5625 Eiger Rd Ste 175 (512) 401-8400 Gender: Male NPI: 1639160476 4310 James Casey St Ste 3C (512) 326-2800 " Pearce, Stephen M, MD NPI: 1790909281 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Orthopedic Surgery Austin " Rose, Stephen D, MD Austin Gender: Male NPI: 1710979547 1015 E 32nd St Ste 101 J(512) 477-6341 Austin NPI: 1790909281 6836 Bee Cave Rd Ste 112 J(512) 478-8116 Manuel, Jacob B, MD Gender: Male NPI: 1063628964 900 W 38th St Ste 300 (512) 450-1300 Hospital Affiliation: St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Sports Medicine Board Certified Specialties: None Gender: Male NPI: 1194737320 4310 James Casey St Ste 3C (512) 326-2800 Austin Gender: Male NPI: 1821268798 7900 FM 1826 Bldg II Ste 100 J(512) 301-9922 Hospital Affiliation: Seton Medical Center, Seton Southwest, South Austin Surgery Center, Stonegate Surgery Center Lp Board Certified Specialties: Orthopedic Surgery " Schoch III, Eugene P, MD Austin Gender: Male NPI: 1023011889 3001 Bee Caves Rd Ste 220 (512) 795-8812 Hospital Affiliation: Arise Austin Medical Center, Bailey Square Surgery Center, Hill Country Memorial Surgery Ctr, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, St Marks Medical Center, Surgicare Of South Austin Clinic Affiliation: Austin Bone & Joint Clinic Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery " Schoen Jr, Robert W, MD Austin Gender: Male NPI: 1447253935 911 W 38th St Ste 300 (512) 439-1002 Hospital Affiliation: Arise Austin Medical Center, Cedar Park Regional Medical Ctr, Cornerstone Hosp Of Austin, Healthsouth Rehabilitation Hospital Of Austin, Seton Highland Lakes, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Roden, William C, MD Austin Gender: Male NPI: 1851301972 4316 James Casey St Bldg F Ste 100 J(512) 707-8544 Hospital Affiliation: Arise Austin Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Hc Orthopaedics PA Board Certified Specialties: Orthopedic Surgery " Rose, Harris S, MD Austin Gender: Male NPI: 1558304196 12201 Renfert Way Ste 115 (512) 551-0375 Hospital Affiliation: 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 Certified Specialties: Orthopedic Surgery " Schram, Richard A, MD Austin Gender: Male NPI: 1548274913 7900 FM 1826 Ste 100 Bldg 2 J(512) 301-9922 Hospital Affiliation: Cedar Park Regional Medical Ctr, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Southwest, Stonegate Surgery Center Lp, The Hosp At Westlake Med Ctr Clinic Affiliation: Cypress Creek Orthopedics Board Certified Specialties: Orthopedic Surgery J - Wheelchair Access 115 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Smith, Todd B, MD " Taylor, William P, MD Austin AUSTIN Cont ORTHOPEDIC SURGERY Cont " Schultz, William R, MD Aus tin Gender: Male NPI: 1598768079 3755 S Capital of Texas Hwy Ste 160 (512) 439-1005 NPI: 1174599732 5625 Eiger Rd Ste 175 J(512) 401-8400 NPI: 1174599732 6611 Riverplace Blvd Ste 100 J(512) 326-2800 Hospital Affiliation: Arise Austin Medical Center, Cedar Park Regional Medical Ctr, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Greater Austin Orthopaedics Board Certified Specialties: Orthopedic Surgery NPI: 1598768079 4700 Seton Center Pkwy Ste 200 (512) 439-1000 NPI: 1598768079 911 W 38th St Ste 300 (512) 439-1002 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery " Seaquist, Jack L, MD Aus tin Gender: Male NPI: 1699705145 1301 W 38th St Ste 102 (512) 454-4561 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Orthopedic Surgery " Smith, James L, MD " Smith, Scott A, MD Aus tin Gender: Male NPI: 1972507853 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, Cedar Park Regional Medical Ctr, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, Texas Orthopedic Hospital, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1477555423 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Arise Austin Medical Center, Cornerstone Hosp Of Austin, Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin NPI: 1316050990 4029 S Capital of Texas Hwy Ste 111 (512) 345-5925 Hospital Affiliation: Central Park Surgery Center, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1356455604 3301 Steck Ave Ste 103 J(512) 708-8834 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Teddie D Spears MD Board Certified Specialties: Orthopedic Surgery Austin NPI: 1326029497 7200 N Mopac Expwy Ste 370 J(512) 346-4933 Hospital Affiliation: Arise Austin Medical Center, Scott And White Memorial Hospital, Seton Medical Center Clinic Affiliation: All Star Orthopedics of Austin, Wellness Med Clinics LLC Board Certified Specialties: Orthopedic Surgery " Tibbetts, Ryan M, MD Austin Gender: Male NPI: 1013953900 7900 FM 1826 Health Plaza E Ste 201 J(512) 504-0076 Hospital Affiliation: Methodist Ambulatory Surg Hosp Nw, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Family of Doctors Board Certified Specialties: Orthopedic Surgery " Spears, Teddie D, MD Aus tin Gender: Male NPI: 1245232172 6818 Austin Center Blvd Ste 200 J(512) 795-2225 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Central Texas Spine Institute LLP Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery # Austin # NPI: 1366440828 911 W 38th St Ste 300 (512) 439-1002 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1326029497 5510 S IH 35 Ste 250A (512) 301-1166 Gender: Male NPI: 1477555423 3755 S Capital of Texas Hwy Ste 160 J(512) 439-1005 # Gender: Male NPI: 1316050990 3724 Executive Center Dr Ste G10 (512) 345-5925 " Thomas, Darryl B, MD " Smoot, John B, MD " Seade, Louis E, MD " Tran, Viet N, MD Austin Gender: Male NPI: 1366440828 4700 Seton Center Pkwy Ste 200 (512) 439-1000 Austin Austin Aus tin Gender: Male NPI: 1871596361 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Central Park Surgery Center, Hyde Park Surgery Center Lp, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: Orthopedic Surgery Austin Gender: Male NPI: 1174599732 4310 James Casey Ste 3C J(512) 326-2800 " Tsourmas, Nicholas F, MD Austin Gender: Male NPI: 1336130665 2500 W Wm Cannon Dr Ste 401 J(512) 451-1969 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Smithville Reg Hospital, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Southwest Orthopaedic Group Board Certified Specialties: Orthopedic Surgery " Tipton Jr, George W, MD Austin Stockton, Kristopher G, MD Gender: Male NPI: 1245430289 901 W 38th St Ste 301 J(512) 225-6335 Hospital Affiliation: Medical City Dallas Hospital Clinic Affiliation: Mark Ray Dalton MD Board Certified Specialties: None " Sullivan, Brian L, MD Austin Gender: Male NPI: 1053395079 2500 W Wm Cannon Dr Ste 401 J(512) 451-1969 Hospital Affiliation: Arise Austin Medical Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Smithville Reg Hospital, Seton Southwest, St Davids Medical Center, The Hosp At Westlake Med Ctr, University Med Ctr Brackenridge Clinic Affiliation: Southwest Orthopaedic Group Board Certified Specialties: Orthopedic Surgery 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 Affiliation: Central Park Surgery Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 12 yrs old Board Certified Specialties: Orthopedic Surgery Truumees, Eeric, MD Gender: Male NPI: 1356322630 1600 W 38th St Ste 200 (512) 324-3560 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: None " Vagner, Gregg A, MD Austin Gender: Male NPI: 1295705986 4611 Guadalupe St Ste 200 J(512) 476-2830 Hospital Affiliation: Cedar Park Regional Medical Ctr, Central Park Surgery Center, Hyde Park Surgery Center Lp, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Heinrich-Josey Orthpaedics PA Board Certified Specialties: Orthopedic Surgery " Von Rueden, Kurt W, MD Austin Gender: Male NPI: 1114975893 100 Medical Pkwy (512) 347-7463 NPI: 1114975893 1015 E 32nd St (512) 474-1114 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Kurt Von Rueden MD, Neuro Texas PLLC Board Certified Specialties: Orthopedic Surgery J - Wheelchair Access 116 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Bittar, Anthony R, MD " Fulmer, Robert P, MD Aus tin AUSTIN Cont ORTHOPEDIC SURGERY Cont " Welsh, Scott A, MD Austin Gender: Male NPI: 1043217276 7900 FM 1826 Ste 120 J(512) 322-9163 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Southwest Clinic Affiliation: Scott Andrew Welsh MD Board Certified Specialties: Orthopedic Surgery Gender: Male NPI: 1942245196 2765 Bee Caves Rd Ste 205 J(512) 328-7722 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Ear Nose and Throat Center of Aus Board Certified Specialties: Otolaryngology Gender: Male NPI: 1023024395 11762 Jolleyville Rd J(512) 258-2300 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Northwest Hills Surgical Hospital, Northwest Surgery Center Llp, Seton Medical Center, Seton Northwest Hospital, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Great Hills ENT Board Certified Specialties: Otolaryngology, Sleep Medicine ! Gender: Female NPI: 1235355637 12309 N Mopac Expwy Ste 100 (512) 339-4040 OTOLARYNGOLOGY " Austin, John R, MD Austin Gender: Male NPI: 1740251057 3705 Medical Pkwy Ste 310 J(512) 458-6391 Hospital Affiliation: Bailey Square Surgery Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin ENT Assoc Board Certified Specialties: Otolaryngology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Kriesel, Kevin J, MD Gender: Male NPI: 1720093883 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None " Sawyer, Drew S, MD Austin Gender: Male NPI: 1679629349 1305 W 34th St Ste 408 (512) 593-5200 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Mem Hermann Northwest Hosp, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Joseph Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Drew S Sawyer MD PLLC Board Certified Specialties: Otolaryngology " Leary, Joseph M, MD Austin Gender: Male NPI: 1730195082 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Otolaryngology NPI: 1235355637 200 Medical Pkwy Ste 380 (512) 682-4798 Clinic Affiliation: Capital Otolaryngology Head & Neck Surgeons PA Board Certified Specialties: Otolaryngology Gender: Male NPI: 1760539647 100 Medical Pkwy (512) 347-7463 NPI: 1760539647 6818 Austin Center Blvd Ste 200 J(512) 745-2225 Hospital Affiliation: Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Central Texas Spine Institute LLP, Kurt Von Rueden MD Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Orthopedic Surgery, Surgery Of The Spine Austin " Cheung-Phillips, Esther J, MD " Wupperman, Richard M, MD Gender: Male NPI: 1861585499 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton ENT Practice Information: No Patients Over 14 yrs old Board Certified Specialties: Otolaryngology Gender: Male NPI: 1124034491 6811 Austin Center Blvd Ste 300 J(512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Otolaryngology Aus tin Austin " Sawyer, Drew G, MD Austin " Jones, Kent P, MD " Brown, Mark T, MD " Windler, Edwin C, MD Gender: Male NPI: 1477640357 3705 Medical Pkwy Ste 310 J(512) 380-4050 Hospital Affiliation: Bailey Square Surgery Center, Central Park Surgery Center, Dell Childrens Med Ctr Cent Tx, Oakwood Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin ENT Assoc Board Certified Specialties: Otolaryngology Austin Aus tin Austin Gender: Male NPI: 1619947587 900 W 38th St Ste 300 J(512) 450-1300 Hospital Affiliation: 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 Certified Specialties: Orthopedic Surgery NPI: 1447223003 5929 Balcones Dr Ste 102 (512) 550-1800 Hospital Affiliation: East Texas Medical Center, Mother Frances Hospital, The Hosp At Westlake Med Ctr Clinic Affiliation: R Paul Fulmer MD, Sinus & Allergy Specialists of TX Board Certified Specialties: Otolaryngology " Briggs, Russell D, MD " Westmoreland, Greg L, MD " Ratcliff, Daniel J, MD Austin Gender: Male NPI: 1447223003 3500 Jefferson St Ste 200 (512) 656-1196 Aus tin Austin Gender: Male NPI: 1790794592 3755 S Capital of Texas Hwy Ste 160 (512) 439-1005 Hospital Affiliation: Arise Austin Medical Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Southwest, South Austin Surgery Center, St Davids S Austin Medical Center, Surgicare Of South Austin, University Med Ctr Brackenridge Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Orthopedic Surgery Austin Gender: Male NPI: 1760411292 4101 James Casey St Ste 310 J(512) 448-4422 Hospital Affiliation: 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 Certified Specialties: Otolaryngology " Scholl, Peter D, MD Austin Gender: Male NPI: 1720059504 3705 Medical Pkwy Ste 310 J(512) 458-6391 Hospital Affiliation: Round Rock Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin ENT Assoc Board Certified Specialties: Otolaryngology " Leeman, Daniel J, MD Austin " Chu, Laurence, MD Gender: Male NPI: 1508849696 1015 E 32nd St Ste 205 J(512) 478-2273 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Comprehensive ENT Center of Texas PA Board Certified Specialties: Otolaryngology Aus tin Gender: Male NPI: 1902854680 1015 E 32nd St Ste 316 (512) 320-9915 Hospital Affiliation: North Austin Medical Center, St Davids Medical Center Clinic Affiliation: Laurence Chu MD Board Certified Specialties: Otolaryngology " Dhruva, Achal R, MD Aus tin Gender: Male NPI: 1154336212 6811 Austin Center Blvd Ste 300 (512) 346-8888 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Otolaryngology " Sebastian, Jeremy S, MD Austin Gender: Male NPI: 1235309246 3816 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: Otolaryngology " Nason, Robert, MD Austin Gender: Male NPI: 1538370309 720 W 34th St Ste 110 (512) 346-7600 Clinic Affiliation: Steven T Fyfe MD Board Certified Specialties: Otolaryngology " Slater II, Patrick W, MD Austin Gender: Male NPI: 1467440180 12319 N Mopac Expwy Bldg C Ste 300 J(512) 454-0341 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Ear Clinic Board Certified Specialties: Otolaryngology J - Wheelchair Access 117 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Young, Lindsay E, MD Austin AUSTIN Cont OTOLARYNGOLOGY Cont " Slaughter, Daniel P, MD Aus tin Gender: Male NPI: 1477527778 12309 N Mopac Expwy Ste 100 J(512) 339-4040 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Capital Otolaryngology Head & Neck Surgeons PA Board Certified Specialties: Otolaryngology " Zapalac, Jeffrey S, MD Austin Gender: Male NPI: 1013988336 3705 Medical Pkwy Ste 310 J(512) 458-6391 Hospital Affiliation: Central Park Surgery Center, 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 ENT Assoc Board Certified Specialties: Otolaryngology " Stewart, Kendal L, MD Aus tin Gender: Male NPI: 1225115876 300 Beardsley Ln Ste D101 J(512) 338-9840 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: United Otolaryngology Assoc Board Certified Specialties: Otolaryngology Austin " Taylor Jr, Wallace E, MD Gender: Male NPI: 1831173707 300 Beardsley Ln Ste D 101 J(512) 338-9840 Clinic Affiliation: United Otolaryngology Assoc Board Certified Specialties: Otolaryngology " Thompson, Christopher P, MD Aus tin " Wassmuth, Zachary D, MD Aus tin Gender: Male NPI: 1972577534 12309 N Mopac Expwy Ste 100 J(512) 339-4040 Hospital Affiliation: North Austin Medical Center, Texan Surgery Center Clinic Affiliation: Capital Otolaryngology Head & Neck Surgeons PA Board Certified Specialties: Otolaryngology ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Slater II, Patrick W, MD Gender: Male NPI: 1467440180 12319 N Mopac Expwy Bldg C Ste 300 J(512) 454-0341 Hospital Affiliation: North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Joseph Regional Health Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Ear Clinic Board Certified Specialties: Otolaryngology Austin Austin Austin Blauzvern, Neal H, DO Gender: Male NPI: 1609873603 6818 Austin Center Blvd Ste 200 J(512) 795-2225 Hospital Affiliation: Cedar Park Regional Medical Ctr, Hill Country Surgery Ctr, North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Central Texas Spine Institute LLP Practice Information: Limited to Pain Management Board Certified Specialties: None Carpentier, Bradley W, MD Gender: Male NPI: 1568577211 6818 Austin Center Blvd Ste 205 J(512) 244-4272 Clinic Affiliation: Mark T Malone MD Board Certified Specialties: None Carter, Russell H, MD Gender: Male NPI: 1609842012 4534 Westgate Blvd Ste 112 J(512) 334-2144 Hospital Affiliation: Texas Neurorehab Center Board Certified Specialties: Physical Medicine & Rehabilitation Austin Austin Austin " Desai, Anjuli, MD Austin Gender: Female NPI: 1760648372 3508 Far West Blvd Ste 150 (512) 467-7246 Hospital Affiliation: Northwest Hills Surgical Hospital Clinic Affiliation: Capitol Pain Institute PA Board Certified Specialties: Pain Management PAIN MANAGEMENT NPI: 1548234842 2500 W William Cannon Dr Ste 803 (512) 550-1800 NPI: 1548234842 7900 FM 1826 Ste 260 Bldg 1 (512) 550-1800 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Scott & White Hospital Taylor, Seton Medical Center, Seton Medical Center Hays, St Davids Medical Center, Texan Surgery Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Capital Otolaryngology Head & Neck Surgeons PA, Sinus & Allergy Specialists of TX Board Certified Specialties: Otolaryngology Austin OTOLOGY/NEUROTOLOGY Aus tin Gender: Male NPI: 1548234842 12309 N Mopac Expwy Ste 100 J(512) 339-4040 Austin Gender: Female NPI: 1538368618 11762 Jollyville Rd J(512) 258-2300 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Great Hills ENT Board Certified Specialties: Otolaryngology Aijaz, Asim S, MD Gender: Male NPI: 1164641494 2200 Park Bend Dr Ste 201 Bldg 1 (512) 416-7246 Hospital Affiliation: North Austin Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Pain Assoc Board Certified Specialties: None Austin Amasha, Raimy, MD Gender: Male NPI: 1760643498 3508 Far West Blvd Ste 150 J(512) 467-7246 Hospital Affiliation: Northwest Hills Surgical Hospital Clinic Affiliation: Capitol Pain Institute PA Board Certified Specialties: None Anderson, Christine M, MD Gender: Female NPI: 1265575260 2200 Park Bend Dr Bldg 1 Ste 201 J(512) 416-7246 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin Austin Dubois, Craig R, MD Gender: Male NPI: 1972662732 7307 Creekbluff Dr (512) 614-3300 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: David Keith Harris MD PLLC Board Certified Specialties: None Ezekiel, Bennett J, MD Gender: Male NPI: 1477734721 2200 Park Bend Dr Ste 201 Bldg 1 (512) 416-7246 Hospital Affiliation: 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 Certified Specialties: None Feferman, Kery L, MD Gender: Female NPI: 1811172620 2200 Park Bend Dr Ste 201 Bldg 1 (512) 416-7246 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Frank, Brannon R, MD Gender: Male NPI: 1568465763 2501 W William Cannon Dr Ste 401 J(512) 416-7246 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: None Frederick, Daniel A, MD Gender: Male NPI: 1801973581 4316 James Casey St Bldg F Ste 100 (830) 498-1029 Hospital Affiliation: Christus Santa Rosa New Braunfels, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Eric J Miller MD Board Certified Specialties: None Haro, J Lowell, MD Gender: Male NPI: 1992708820 101 W Koenig Ln Ste 100 J(512) 454-9426 NPI: 1992708820 15808 FM 620 N J(512) 454-9426 Hospital Affiliation: 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: Pain Management Consultants PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Austin # Austin Higginbotham, Jeffrey N, MD Gender: Male NPI: 1316169170 101 W Koenig Ln Ste 100 J(512) 454-9426 NPI: 1316169170 15808 FM 620 N Ste 215 J(512) 454-9426 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: Pain Management Consultants PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Joshi, Anand, MD Gender: Male NPI: 1992716237 2315 W Ben White Blvd J(512) 326-5440 Hospital Affiliation: Central Texas Medical Center, Mother Frances Hospital, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Spine Diagnostic and Treatment Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation J - Wheelchair Access 118 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Malone, Mark T, MD Gender: Male NPI: 1659399871 # 6000 S Mo Pac Expwy J(512) 244-4272 Aus tin AUSTIN Cont PAIN MANAGEMENT Cont Austin Austin Austin Austin Austin Kaplan, Matthew A, DO Gender: Male NPI: 1558423038 12319 N Mopac Expwy Ste 350 (512) 255-7246 Hospital Affiliation: Round Rock Medical Center Clinic Affiliation: Preferred Spine and Pain PLLC Board Certified Specialties: None Khan, Adnan A, MD Gender: Male NPI: 1083861249 6611 River Place Blvd Ste 300 J(512) 416-7246 Hospital Affiliation: Conroe Regional Medical Center, Mem Hermann The Woodlands Hosp, St Lukes The Woodlands Hospital Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Le, Paul H, MD Gender: Male NPI: 1770766313 711 W 38th St Ste F3 J(512) 416-7246 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Lowry, Angus M, MD Gender: Male NPI: 1073773727 4544 S Lamar Blvd Ste 700 J(512) 834-4141 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Balcones Pain Consultants Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None NPI: 1659399871 6818 Austin Center Blvd Ste 205 J(512) 244-4272 Hospital Affiliation: Arise Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Mark T Malone MD Board Certified Specialties: None Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin Manees, Christopher R, MD Gender: Male NPI: 1528276771 2500 W William Cannon Dr Ste 201 J(512) 485-7200 NPI: 1528276771 4100 Duval Rd Bldg 3 Ste 200 J(512) 485-7200 Hospital Affiliation: 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: Central Texas Pain Institute PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Aus tin Aus tin Mahendru, Vivek, MD Gender: Male NPI: 1316989023 2500 W William Cannon Dr Ste 206 J(512) 485-7200 NPI: 1316989023 4100 Duval Rd Bldg 3 Ste 200 J(512) 485-7200 Hospital Affiliation: Arise Austin Medical Center, 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 Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin Aus tin Marks, Robert S, MD Gender: Male NPI: 1447450796 11615 Angus Rd Ste 107 (512) 981-7246 Clinic Affiliation: Robert Marks MD PLLC Board Certified Specialties: None Austin Ostadian, Mahan, DO Gender: Male NPI: 1821263005 9707 Anderson Mill Rd Ste 230 (512) 219-8787 Hospital Affiliation: Cedar Park Regional Medical Ctr, North Austin Medical Center, Scott And White Memorial Hospital, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Republic Spine and Pain PA Board Certified Specialties: None Ozuna, Eduardo, MD Gender: Male NPI: 1003007469 4544 S Lamar Blvd Ste 700 (512) 834-4141 Hospital Affiliation: Lakeway Regional Medical Ctr Llc, North Austin Medical Center, Round Rock Medical Center, St Davids S Austin Medical Center, The Hosp At Westlake Med Ctr Clinic Affiliation: Balcones Pain Consultants Board Certified Specialties: None Parthasarathy, Srinivason R, MD Gender: Female NPI: 1639122963 1215 Red River St Ste 427 J(512) 324-7000 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: None Austin NPI: 1902075922 4413 Spicewood Springs Rd Ste 200 (512) 692-4915 Hospital Affiliation: North Austin Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Austin Pain Assoc Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin " Wages, John W, MD Austin Gender: Male NPI: 1013139286 2501 W William Cannon Dr Ste 401 (512) 416-7246 Hospital Affiliation: 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 Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Pain Management " Queralt, Mark V, MD McCarty, Matthew F, MD Gender: Male NPI: 1235132432 4544 S Lamar Blvd Ste 700 J(512) 834-4141 Hospital Affiliation: East Texas Medical Center, Mother Frances Hospital, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, St Davids Rehabilitation 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 Certified Specialties: None Austin Mehta, Pankaj, MD Gender: Male NPI: 1073787909 2500 W William Cannon Dr Ste 206 J(512) 485-7200 NPI: 1073787909 4100 Duval Rd Bldg 3 Ste 200 J(512) 485-7200 Clinic Affiliation: Central Texas Pain Institute PA Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Austin Ramchandani, Avinash N, MD Gender: Male NPI: 1730358532 2315 W Ben White Blvd (512) 326-5440 Hospital Affiliation: Central Texas Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Spine Diagnostic and Treatment Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation Schocket, Sandford M, MD Gender: Male NPI: 1851381818 3508 Far West Blvd Ste 150 J(512) 467-7246 Hospital Affiliation: North Austin Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Capitol Pain Institute PA Board Certified Specialties: None Vije, Christopher D, MD Gender: Male NPI: 1316009525 2500 W William Cannon Dr Ste 206 (512) 485-7200 NPI: 1316009525 4100 Duval Rd Bldg 3 (512) 485-7200 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Central Texas Pain Institute PA Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Austin Gender: Male NPI: 1437160934 4029 S Capital of Texas Hwy Ste 111 (512) 345-5925 Hospital Affiliation: 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 Brain and Spine Institute Practice Information: No Patients Under 13 yrs old Board Certified Specialties: Pain Management Silberberg, Alan D, MD Gender: Male NPI: 1902075922 2501 W William Cannon Dr Ste 401 J(512) 416-7246 White, Mark S, DO Gender: Male NPI: 1477557239 # 4807 Spicewood Springs Rd Ste 1235 J(512) 795-9977 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Integrative Pain Services PA Board Certified Specialties: None Austin Austin Wills, Robert P, MD Gender: Male NPI: 1043213259 2501 W William Cannon Dr Ste 401 J(512) 416-7246 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: None J - Wheelchair Access 119 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Varshney, Pooja, MD Austin AUSTIN Cont PAIN MANAGEMENT Cont Aus tin Aus tin Yanosik, Justin E, MD Gender: Male NPI: 1326289406 4100 Duval Rd Bldg 3 Ste 200 (512) 485-7200 Hospital Affiliation: North Austin Medical Center Clinic Affiliation: Central Texas Pain Institute PA Board Certified Specialties: None Yeh, Clement C, MD Gender: Male NPI: 1275744435 9707 Anderson Mill Rd Ste 230 (512) 219-8787 Hospital Affiliation: Cedar Park Regional Medical Ctr, Seton Northwest Hospital Clinic Affiliation: Republic Spine and Pain PA Board Certified Specialties: None PEDIATRIC CARDIOLOGY Austin NPI: 1588693717 6811 Austin Center Blvd Ste 400 (512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Mother Frances Hospital, Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists, Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRIC ALLERGY & IMMUNOLOGY Aus tin Kayser, Jackee D, MD Gender: Female NPI: 1285686683 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1870 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Navarro, Maritza, MD Gender: Female NPI: 1346212180 # 12414 Alderbrook Dr Ste 201 J(512) 873-7468 Hospital Affiliation: North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, St Davids Medical Center Clinic Affiliation: Maritza Navarro MD Board Certified Specialties: Allergy-Immunology Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Johnson, Gregory L, MD Austin Gender: Male NPI: 1437107331 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1154386753 3305 Northland Dr Ste 512 J(512) 380-9200 NPI: 1437107331 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 NPI: 1154386753 3801 N Lamar Blvd J(512) 206-3600 NPI: 1437107331 4314 Medical Pkwy Ste 200 J(512) 454-1110 NPI: 1437107331 6500 N Mopac Expwy I/1205 Epxy J(512) 206-0101 NPI: 1154386753 4314 Medical Pkwy Ste 200 J(512) 454-1110 NPI: 1437107331 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids S Austin Medical Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology NPI: 1154386753 6500 N Mopac Expwy I-1205 Expwy J(512) 206-0101 NPI: 1134474380 4314 Medical Pkwy Ste 200 (512) 454-1110 Fasci, Siv L, MD Gender: Female NPI: 1588693717 6811 Austin Center Blvd Ste 400 (512) 628-1850 Finnigan, James P, MD Gender: Male NPI: 1154386753 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1154386753 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 Burkholder IV, Henry L, MD Gender: Male NPI: 1134474380 1301 Barbara Jordan Blvd Ste 304 (512) 454-1110 NPI: 1134474380 4100 Duval Rd Bldg 2 Ste 201 (512) 339-1010 PEDIATRIC - DEVELOPMENTAL BEHAVIOR Aus tin Austin Gender: Female NPI: 1255507943 1301 Barbara Jordan Blvd Ste 200 (512) 628-1870 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Allergy & Immunology NPI: 1154386753 801 W 34th St Ste 100 J(512) 454-1110 NPI: 1134474380 6500 N Mopac Expwy I-1205 Expwy (512) 206-0101 NPI: 1154386753 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Round Rock Medical Center, Scott And White Memorial Hospital, 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: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None NPI: 1134474380 911 W 38th St Ste 201 (512) 459-1131 Clinic Affiliation: Magella Medical Assoc PA Board Certified Specialties: None " Fenrich Jr, Arnold L, MD Austin Gender: Male NPI: 1790736494 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 " Goldstein, Brian S, MD Austin NPI: 1790736494 3305 S Northland Dr J(512) 380-9200 Gender: Male NPI: 1588845705 1110 E 32nd St (210) 614-3264 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Magella Medical Assoc PA Board Certified Specialties: Pediatric Cardiology NPI: 1790736494 4100 Duval Rd Bldg 2 Stee 201 J(512) 454-1110 NPI: 1790736494 6500 N Mopac Expwy I-1205 Expwy J(512) 454-1110 " Holt, Dudley B, MD Austin NPI: 1790736494 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Medical City Dallas Hospital, Methodist Hospital, 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: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology Gender: Male NPI: 1043438450 1110 E 32nd St (512) 320-8388 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Lakeway Regional Medical Ctr Llc, 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: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology Austin Lorch, Steven M, MD Gender: Male NPI: 1366649048 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1366649048 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 NPI: 1366649048 4314 Medical Pkwy Ste 200 J(512) 454-1110 NPI: 1366649048 6500 N Mopac Expwy I 1205 Expwy J(512) 206-0101 NPI: 1366649048 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Medical City Dallas Hospital, Mem Hermann Hospital, Mem Hermann Southwest Hospital, Metroplex Hospital, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Joseph Regional Health Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None J - Wheelchair Access 120 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont PEDIATRIC CARDIOLOGY Cont Austin Patt, Hanoch A, MD Gender: Male NPI: 1730113754 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1730113754 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 Gender: Male NPI: 1922062652 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1922062652 4314 Medical Pkwy Ste 200 J(512) 454-1110 NPI: 1922062652 6500 N Mopac Expwy I-1205 Expwy J(512) 203-0101 Rowe, Stuart A, MD Gender: Male NPI: 1811954787 # 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1811954787 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 NPI: 1811954787 801 W 34th St Ste 100 J(512) 454-1110 Aus tin Austin Austin Shapiro, Ronald B, MD Gender: Male NPI: 1861533259 1110 E 32nd St (512) 320-8388 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Gender: Male NPI: 1306857784 1301 Barbara Jordan Blvd Ste 304 (512) 454-1110 NPI: 1306857784 4100 Duval Rd Bldg 2 Ste 201 (512) 339-1010 NPI: 1306857784 4314 Medical Pkwy Ste 200 (512) 454-1110 Levy, Moise L, MD Gender: Male NPI: 1013097419 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1920 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Dell Childrens Med Ctr Cent Tx, Houston Methodist Hospital, Texas Childrens Hospital, The Womans Hospital Of Texas Clinic Affiliation: Specially For Children Board Certified Specialties: Dermatology PEDIATRIC ENDOCRINOLOGY " Goldsmith, Bonnie G, MD Austin Gender: Female NPI: 1952560062 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Texas Childrens Hospital Clinic Affiliation: Specially For Children Board Certified Specialties: Pediatric Endocrinology NPI: 1306857784 6500 N Mopac Expwy I-1205 Expwy (512) 206-0101 NPI: 1306857784 911 W 38th St Ste 201 (512) 459-1131 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Detar Hospital Navarro, Driscoll ChildrensHospital', Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, Seton Southwest Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology Wong, Frank, MD Gender: Male NPI: 1831230127 1110 E 32nd St (512) 320-8388 Hospital Affiliation: Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None PEDIATRIC DERMATOLOGY " Stern, Herbert J, MD NPI: 1811954787 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: North Austin Medical Center, Scott And White Memorial Hospital, Seton Medical Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1326234345 4314 Medical Pkwy Ste 200 J(512) 454-1110 Hospital Affiliation: College Station Medical Center, Seton Medical Center, St Joseph Regional Health Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology, Pediatrics Austin NPI: 1922062652 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Metroplex Hospital, Providence Memorial Hospital, Scott And White Memorial Hospital, Seton Medical Center, Seton Medical Center Hays, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, St Joseph Regional Health Center Clinic Affiliation: Magella Medical Assoc PA Board Certified Specialties: Pediatric Cardiology NPI: 1811954787 3305 Northland Dr Ste 512 J(512) 380-9200 NPI: 1841251246 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 NPI: 1841251246 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Medical City Dallas Hospital, Metroplex Hospital, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Georgetown Hospital, St Davids Medical Center, St Davids S Austin Medical Center, St Joseph Regional Health Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology NPI: 1922062652 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 Austin Gender: Female NPI: 1326234345 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1841251246 6500 N Mopac Expwy I-1205 Expwy J(512) 206-0101 NPI: 1922062652 3305 Northland Dr Ste 512 J(512) 380-9200 NPI: 1730113754 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: Scott And White Memorial Hospital, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Weinstein, Ellen M, MD Austin Gender: Male NPI: 1841251246 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 NPI: 1841251246 4314 Medical Pkwy Ste 200 J(512) 454-1110 " Shaffer, Kenneth M, MD NPI: 1730113754 6500 N Mopac Expwy I-1250 Expwy J(512) 206-0101 NPI: 1811954787 6500 N Mopac Expwy I-1205 Expwy J(512) 206-0101 " Shmorhun, Daniel P, MD Austin Aus tin NPI: 1730113754 4314 Medical Pkwy Ste 200 J(512) 454-1110 NPI: 1811954787 4314 Medical Pkwy Ste 200 J(512) 454-1110 Schuman-Mccoy, Jeannine M, MD Gender: Female NPI: 1558577676 1110 E 32nd St (512) 320-8388 Hospital Affiliation: Central Texas Medical Center, Dell Childrens Med Ctr Cent Tx, Lakeway Regional Medical Ctr Llc, Seton Northwest Hospital, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Nunez, Susan B, MD Austin Gender: Female NPI: 1295816817 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1830 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Endocrinology " Prabhakaran, Rajani, MD Austin Gender: Female NPI: 1316073067 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1830 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Endocrinology J - Wheelchair Access 121 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont PEDIATRIC ENDOCRINOLOGY Cont " Rabon, Shona, MD Aus tin Gender: Female NPI: 1679739502 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 NPI: 1679739502 6811 Austin Center Blvd Ste 400 (512) 628-1830 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Endocrinology Aus tin Tacquard, Stephanie L, MD Gender: Female NPI: 1669721916 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Board Certified Specialties: None Gender: Male NPI: 1447462940 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Gastroenterology Austin " Easley, David J, MD Aus tin Heintz, D Dyer, MD Gender: Male NPI: 1568673705 1301 Barbara Jordan Blvd Ste 200 (512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Board Certified Specialties: None " Fowler, Amy C, MD Austin Gender: Female NPI: 1568673887 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: Baylor University Medical Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Under 18 yrs old Board Certified Specialties: Pediatric Hematology-Oncology Austin Austin Gender: Female NPI: 1619180601 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Hematology-Oncology " Rangwalla, Sujal C, DO Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin PEDIATRIC HEMATOLOGY-ONCOLOGY Pandrangi, Bharani, MD Gender: Female NPI: 1063617868 1301 Barbara Jordan Blvd Ste 200 (512) 628-1810 Clinic Affiliation: Specially For Children Board Certified Specialties: None Gender: Male NPI: 1144354440 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Driscoll ChildrensHospital' Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Gastroenterology Austin Zwiener, Robert J, MD Gender: Male NPI: 1598717936 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Harrod, Virginia L, MD Austin Hurwitz, Craig A, MD Gender: Male NPI: 1669567178 4900 Mueller Blvd J(512) 324-0197 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Clinic Affiliation: Specially For Children Board Certified Specialties: Hospice & Palliative Medicine, Pediatrics " Ching, Natascha, MD Austin Gender: Female NPI: 1164474474 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Hematology-Oncology " Siddiqui, Anees A, MD Aus tin Aus tin " Lockhart, Sharon K, MD Austin Austin PEDIATRIC GASTROENTEROLOGY Gender: Male NPI: 1639139488 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, San Angelo Community Medical Center, Scott And White Memorial Hospital Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Gastroenterology Sanders, Kathleen D, MD Gender: Female NPI: 1679525158 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1810 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, St Davids Rehabilitation Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Mignacca, Robert, MD Gender: Male NPI: 1891707733 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Neff, Philip E, MD Gender: Male NPI: 1295729093 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: Baylor All Saints Medical Center At Fort Worth, 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Shaffer, Linda G, MD Gender: Female NPI: 1285686790 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old, Specialized in Pediatrics Board Certified Specialties: None Gender: Female NPI: 1215957113 1301 Barbara Jordan Blvd Ste 200 (512) 628-1820 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Infectious Disease Austin " Hauger, Sarmistha B, MD Austin Gender: Female NPI: 1871559880 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1820 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Round Rock Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids Rehabilitation Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old, Specialized in Pediatrics Board Certified Specialties: Pediatric Infectious Disease PEDIATRIC NEPHROLOGY " Berry, Phillip L, MD Austin Gender: Male NPI: 1568428571 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1860 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Scott And White Memorial Hospital, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Nephrology " Wells, Donald T, MD Austin Gender: Male NPI: 1629020029 1301 Barbara Jordan Blvd Ste 401 J(512) 628-1900 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Hematology-Oncology PEDIATRIC INFECTIOUS DISEASE " Allen, Coburn H, MD Austin Gender: Male NPI: 1114923984 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1820 Hospital Affiliation: Texas Childrens Hospital Clinic Affiliation: Specially For Children Board Certified Specialties: Pediatric Infectious Disease Fernandez, Marisol, MD Gender: Female NPI: 1881651867 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1820 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Simon, David H, MD Austin Gender: Male NPI: 1386678993 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1860 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Nephrology J - Wheelchair Access 122 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. AUSTIN Cont PEDIATRIC OPHTHALMOLOGY Aus tin PEDIATRIC NEUROLOGY Austin Clarke, Dave F, MD Gender: Male NPI: 1871550772 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 NPI: 1871550772 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital Clinic Affiliation: Pediatric Surgical Subspecialists, Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Aus tin Elton, Lindsey E, MD Gender: Female NPI: 1013119130 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Austin Ghodsi, Ezam, MD Gender: Male NPI: 1275599284 6811 Austin Center Blvd Ste 400 J(512) 628-1850 Hospital Affiliation: University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Pillutla, Kartik, MD Gender: Male NPI: 1770775728 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1860 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics PEDIATRIC NEUROSURGERY Austin Austin George, Timothy M, MD Gender: Male NPI: 1326060161 1301 Barbara Jordan Blvd Ste 307 J(512) 324-0907 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None Jackson Jr, Oscar B, MD Gender: Male NPI: 1215019278 3509 Lawton Ave J(512) 451-0234 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Jackson Jr Oscar B MD Practice Information: No Patients Over 16 yrs old Board Certified Specialties: Ophthalmology PEDIATRIC ORTHOPEDICS Dehne, Robert, MD Gender: Male NPI: 1982678256 1301 Barbara Jordan Blvd Ste 3 J(512) 478-8116 NPI: 1982678256 6836 Bee Cave Rd Ste 112 J(512) 478-8116 Austin NPI: 1982678256 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Central Park 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: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None NPI: 1013119130 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Clinic Affiliation: Pediatric Surgical Subspecialists, Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin Austin Aus tin Kahn, Anthony, MD Gender: Male NPI: 1174596779 1301 Barbara Jordan Blvd Ste 3 J(512) 478-8116 Murdock, Ryan C, MD Gender: Male NPI: 1790909281 1301 Barbara Jordan Blvd Ste 300 J(512) 478-8116 Austin NPI: 1790909281 6836 Bee Cave Rd Ste 112 J(512) 478-8116 NPI: 1720052079 6836 Bee Cave Rd Ste 112 J(512) 478-8116 NPI: 1790909281 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Orthopedic Surgery NPI: 1720052079 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Same Day Surgicare, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Sargent, Mary C, MD Gender: Female NPI: 1578595690 1301 Barbara Jordan Blvd Ste 3 J(512) 478-8116 PEDIATRIC OTOLARYNGOLOGY Austin NPI: 1578595690 6836 Bee Cave Rd Ste 112 J(512) 478-8116 NPI: 1578595690 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Austin NPI: 1174596779 6836 Bee Cave Rd Ste 112 J(512) 478-8116 NPI: 1174596779 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Williams, John J, MD Gender: Male NPI: 1720052079 1301 Barbara Jordan Blvd Ste 300 J(512) 478-8116 NPI: 1184808511 3705 Medical Pkwy Ste 200 J(512) 324-2720 Hospital Affiliation: 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 Certified Specialties: None Austin Shapiro, Jay, MD Gender: Male NPI: 1184698706 1301 Barbara Jordan Blvd Ste 3 J(512) 478-8116 NPI: 1184698706 6836 Bee Cave Rd Ste 112 J(512) 478-8116 NPI: 1184698706 6911 N FM 620 Ste C200 J(512) 478-8116 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Same Day Surgicare, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids Rehabilitation Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None Clark, Stacey L, MD Gender: Female NPI: 1184808511 1301 Barbara Jordan Blvd Ste 303 J(512) 324-2720 Austin Connolly, Patrick K, MD Gender: Male NPI: 1497841084 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: 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 Practice Information: No Patients Over 14 yrs old Board Certified Specialties: None Nowlin, John H, MD Gender: Male NPI: 1952497497 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: Bailey Square Surgery Center, Dell Childrens Med Ctr Cent Tx, Northwest Hills Surgical Hospital, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton ENT Practice Information: No Patients Over 14 yrs old Board Certified Specialties: None Lee, Mark R, MD Gender: Male NPI: 1861413536 1301 Barbara Jordan Blvd Ste 307 J(512) 321-0910 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Neurological Surgery ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours J - Wheelchair Access 123 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont PEDIATRIC OTOLARYNGOLOGY Cont Aus tin Aus tin Roehm, Corrie E, MD Gender: Female NPI: 1770736084 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Seton ENT Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " McWilliams, Bennie C, MD Austin Gender: Male NPI: 1689746935 11111 Research Blvd Ste 300 J(512) 380-9200 " Zapata, Syboney, MD Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours " Sanchez, Julie I, MD Austin Gender: Female NPI: 1649262841 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, St Davids Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery " Schlechter, Robert D, MD Austin Gender: Male NPI: 1396737599 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery " Horwitz, Jeffrey R, MD Gender: Male NPI: 1083617369 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Hospital Affiliation: 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery " Tuggle, David W, MD Austin Gender: Male NPI: 1346218526 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Austin Pediatric Surgery Board Certified Specialties: Pediatric Surgery " Josephs, Michael D, MD Austin Gender: Male NPI: 1083606289 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Hospital Affiliation: 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, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery Carrasco, Ruy, MD Gender: Male NPI: 1063478154 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1880 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Moser, David W, DO Austin Gender: Male NPI: 1124158928 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1880 Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Rheumatology Gender: Male NPI: 1184840886 1301 Barbara Jordan Blvd Ste 400 J(512) 708-1234 Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery Austin Gender: Male NPI: 1013089218 11111 Research Blvd Ste 300 J(512) 380-9200 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Austin Childrens Chest Assoc Practice Information: No Patients Over 22 yrs old Board Certified Specialties: Pediatric Pulmonology Fullmer, Jason J, MD Gender: Male NPI: 1184796401 11111 Research Blvd Ste 300 J(512) 380-9200 NPI: 1184796401 1301 Barbara Jordan Blvd Ste 303 J(512) 380-9200 Hospital Affiliation: 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 Practice Information: No Patients Over 22 yrs old Board Certified Specialties: None Gender: Male NPI: 1003945411 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Hospital Affiliation: Seton Medical Center, St Davids Medical Center Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery " Scalo, Jordan V, MD Austin " Rana, Ankur R, MD " Grethel, Erich J, MD Austin PEDIATRIC RHEUMATOLOGY Garcia, Nilda M, MD Gender: Female NPI: 1407815533 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Hospital Affiliation: Childrens Medical Center Of Dallas, 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: General Surgery Austin Austin NPI: 1689746935 1301 Barbara Jordan Blvd Ste 303 J(512) 904-2954 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Austin Childrens Chest Assoc Practice Information: No Patients Over 22 yrs old Board Certified Specialties: Pediatric Pulmonology Aus tin PEDIATRIC PULMONOLOGY Austin NPI: 1235285909 1301 Barbara Jordan Blvd Ste 303 (512) 380-9200 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Austin Childrens Chest Assoc Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Sawyer, Drew G, MD Gender: Male NPI: 1861585499 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: Bailey Square Surgery Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton ENT Practice Information: No Patients Over 14 yrs old Board Certified Specialties: Otolaryngology Gender: Female NPI: 1295822757 3705 Medical Pkwy Ste 200 (512) 324-2720 Hospital Affiliation: Arise Austin Medical Center, 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 Practice Information: No Patients Over 14 yrs old Board Certified Specialties: Pediatric Otolaryngology PEDIATRIC SURGERY Kang, June Ku B, MD Gender: Female NPI: 1235285909 11111 Research Blvd Ste 300 (512) 380-9200 " Meyer, Tory A, MD PEDIATRIC UROLOGY " Cortez, Jose C, MD Austin Gender: Male NPI: 1548262728 1301 Barbara Jordan Blvd Ste 302 J(512) 472-6134 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Urology of Central Texas Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Urology Austin Gender: Male NPI: 1205828407 1301 Barbara Jordan Blvd Ste 400 (512) 708-1234 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, North Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Medical Center, Strictly Pediatrics Surg Ctr, University Med Ctr Brackenridge Clinic Affiliation: Austin Pediatric Surgery Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Surgery " McQuiston, Leslie T, MD Austin Gender: Female NPI: 1699761700 1301 Barbara Jordan Ste 302 J(512) 472-6134 Hospital Affiliation: Baylor All Saints Medical Center At Fort Worth, Cook Childrens Medical Center, Dell Childrens Med Ctr Cent Tx, St Davids Medical Center, Tx Hlth Harris Methodist Hosp Fw, Tx Hlth Huguley Fort Worth South, Usmd Hospital At Arlington Lp Clinic Affiliation: Pediatric Urology of Central Texas Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Urology J - Wheelchair Access 124 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont PEDIATRIC UROLOGY Cont " Seremetis, George M, MD Austin Gender: Male NPI: 1942202114 1301 Barbara Jordan Blvd Ste 302 J(512) 472-6134 Hospital Affiliation: Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Urology of Central Texas Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Urology Gender: Male NPI: 1942384052 4900 Mueller Blvd J(512) 324-0137 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Ctr Williamson, University Med Ctr Brackenridge Clinic Affiliation: University Physicians Group Board Certified Specialties: Pediatrics NPI: 1154386753 911 W 38th St Ste 201 J(512) 459-1131 Hospital Affiliation: College Station Medical Center, Round Rock Medical Center, Scott And White Memorial Hospital, 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: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: None " Case, Ann M, MD Gender: Female NPI: 1932102175 1301 Barbara Jordan Blvd Ste 307 (512) 324-0907 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Scott And White Memorial Hospital, Seton Medical Center, Seton Medical Center Hays, Seton Medical Ctr Williamson, Seton Northwest Hospital, Texas Childrens Hospital, The Womans Hospital Of Texas Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Pediatrics Gender: Female NPI: 1326234345 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 " Fernandez, Jim B, MD Austin Gender: Male NPI: 1831135953 900 W 38th St Ste 300 J(512) 450-1300 NPI: 1326234345 4314 Medical Pkwy Ste 200 J(512) 454-1110 Hospital Affiliation: College Station Medical Center, Seton Medical Center, St Joseph Regional Health Center Clinic Affiliation: Magella Medical Assoc PA Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatric Cardiology, Pediatrics NPI: 1831135953 9600 Great Hills Trl Ste 150W (214) 452-7722 Hospital Affiliation: Arise Austin Medical Center, 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 Certified Specialties: Physical Medicine & Rehabilitation PHYSICAL MEDICINE & REHABILITATION " Arizmendez, Maria E, MD Austin Gender: Female NPI: 1194702423 1215 Red River St Ste 427 (512) 479-3609 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, St Davids Medical Center Clinic Affiliation: Central Austin Rehabilitation PA Board Certified Specialties: Physical Medicine & Rehabilitation " Hurwitz, Craig A, MD Aus tin Gender: Male NPI: 1669567178 4900 Mueller Blvd J(512) 324-0197 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center Clinic Affiliation: Specially For Children Board Certified Specialties: Hospice & Palliative Medicine, Pediatrics NPI: 1295783728 900 E 30th St Ste 303 (512) 454-1234 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: David Keith Harris MD PLLC, Neuralwatch Texas PLLC, Neuro Texas PLLC Board Certified Specialties: Physical Medicine & Rehabilitation " Weinstein, Ellen M, MD " Bunch, Kenneth, MD Austin Leath, Thomas M, MD Gender: Male NPI: 1497767420 # 3410 Far West Blvd Ste 146 J(512) 349-0777 Hospital Affiliation: Scott & White Hlthcare Round Rock Clinic Affiliation: Allergy & Asthma Asso Ciatespllc Practice Information: No Patients Under 2 yrs old Board Certified Specialties: Allergy-Immunology Aus tin ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Gender: Male NPI: 1295783728 7307 Creekbluff Dr (512) 614-3300 (800) 638-7564 Austin " Havemann, Cathleen M, MD " Fasci, Siv L, MD " Elizondo, Eduardo R, MD Austin Gender: Male NPI: 1154528727 1301 Barbara Jordan Blvd Ste 200 (512) 628-1830 Hospital Affiliation: Cook Childrens Medical Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 21 yrs old Board Certified Specialties: Pediatrics Aus tin Austin Gender: Male NPI: 1841470275 900 E 30th St Ste 303 (512) 454-1234 Hospital Affiliation: St Davids Medical Center Clinic Affiliation: Neuro Texas PLLC Board Certified Specialties: Physical Medicine & Rehabilitation " Smith, Joshua M, MD NPI: 1154386753 801 W 34th St Ste 100 J(512) 454-1110 Austin " Chavez, Justin C, MD Austin Austin NPI: 1154386753 6500 N Mopac Expwy I-1205 Expwy J(512) 206-0101 Boeck, Ryan A, MD Gender: Male NPI: 1013182955 1301 Barbara Jordan Blvd Ste 200 (512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 16 yrs old Board Certified Specialties: None Gender: Male NPI: 1609842012 4534 Westgate Blvd Ste 112 J(512) 334-2144 Hospital Affiliation: Texas Neurorehab Center Board Certified Specialties: Physical Medicine & Rehabilitation " Pont, Stephen J, MD NPI: 1154386753 4314 Medical Pkwy Ste 200 J(512) 454-1110 PEDIATRICS " Carter, Russell H, MD Austin Austin NPI: 1154386753 4100 Duval Rd Bldg 2 Ste 201 J(512) 339-1010 Gender: Female NPI: 1245497387 1301 Barbara Jordan Blvd Ste 302 J(512) 538-2102 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Pediatric Urology of Central Texas Board Certified Specialties: Pediatric Urology Gender: Female NPI: 1588693717 6811 Austin Center Blvd Ste 400 (512) 628-1850 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, Mother Frances Hospital, Seton Medical Center Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics Gender: Male NPI: 1770775728 1301 Barbara Jordan Blvd Ste 200 J(512) 628-1860 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx, University Med Ctr Brackenridge Clinic Affiliation: Specially For Children Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics NPI: 1154386753 3801 N Lamar Blvd J(512) 206-3600 " Sweeney, Danielle, MD Gender: Female NPI: 1861628950 4900 Mueller Blvd (512) 324-0197 Hospital Affiliation: Central Texas Medical Center, 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 Practice Information: No Patients Over 18 yrs old Board Certified Specialties: Pediatrics " Pillutla, Kartik, MD Austin NPI: 1154386753 3305 Northland Dr Ste 512 J(512) 380-9200 Austin Austin Finnigan, James P, MD Gender: Male NPI: 1154386753 1301 Barbara Jordan Blvd Ste 304 J(512) 454-1110 Gender: Male NPI: 1871543405 4700 Seton Center Pkwy Ste 200 J(512) 439-1000 Hospital Affiliation: Seton Northwest Hospital, Texas Orthopedics Surgery Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Physical Medicine & Rehabilitation Austin Foreman, Wesley D, MD Gender: Male NPI: 1548316706 11111 Research Blvd Ste 395 (512) 324-6785 Hospital Affiliation: Arise Austin Medical Center, 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 Brain and Spine Institute Board Certified Specialties: None J - Wheelchair Access 125 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. " Lee, Robert K, MD " Persyn, Lisa D, MD Austin AUSTIN Cont PHYSICAL MEDICINE & REHABILITATION Cont " Garrison, Christopher J, MD Aus tin Gender: Male NPI: 1427066117 1301 W 38th St Ste 113 (512) 324-3395 NPI: 1427066117 601 E 15th St Fl 4 W (512) 324-7131 Hospital Affiliation: Baylor Regional Med Ctr Grapevine, Dell Childrens Med Ctr Cent Tx, Healthsouth Rehabilitation Hospital Of Austin Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Physical Medicine & Rehabilitation Austin Gender: Male NPI: 1013163146 1015 E 32nd St Ste 306 J(512) 236-1310 Clinic Affiliation: Neuro Texas PLLC Board Certified Specialties: Physical Medicine & Rehabilitation " Moroz, Lee E, MD Austin Gender: Male NPI: 1609824457 1600 W 38th St Ste 200 (512) 324-3580 Hospital Affiliation: Arise Austin Medical Center, Seton Highland Lakes, Seton Medical Center, Seton Northwest Hospital, Seton Southwest, St Davids Rehabilitation Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Physical Medicine & Rehabilitation Gonzales, Mary A, MD Gender: Female NPI: 1609845957 1201 W 38th St J(512) 406-6300 NPI: 1609845957 4207 Burnet Rd (512) 706-1900 Hospital Affiliation: Central Texas Rehab Hospital Llc, Healthsouth Rehabilitation Hospital Of Austin, St Davids Medical Center, St Davids Rehabilitation Center Clinic Affiliation: Mary Gonzales MD, Post Acute Physicans of Texas Practice Information: No Patients Under 16 yrs old Board Certified Specialties: None Gender: Male NPI: 1730358532 2315 W Ben White Blvd (512) 326-5440 Hospital Affiliation: Central Texas Medical Center, St Davids S Austin Medical Center Clinic Affiliation: Spine Diagnostic and Treatment Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation # " Harris, David K, MD Austin " Joshi, Anand, MD Aus tin Gender: Male NPI: 1992716237 2315 W Ben White Blvd J(512) 326-5440 Hospital Affiliation: Central Texas Medical Center, Mother Frances Hospital, Seton Medical Center, Seton Southwest, St Davids Medical Center, St Davids S Austin Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Spine Diagnostic and Treatment Center Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation Aus tin Latorre, Juan M, MD Gender: Male NPI: 1841269263 1015 E 32nd St Ste 411 (512) 474-1114 Hospital Affiliation: St Davids Hospital Clinic Affiliation: Neuro Texas PLLC Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin " Nelson, Maureen R, MD Aus tin Gender: Male NPI: 1710935093 7307 Creekbluff Dr (512) 614-3300 Hospital Affiliation: Arise Austin Medical Center, Seton Medical Center, Seton Northwest Hospital, St Davids Medical Center Clinic Affiliation: David Keith Harris MD PLLC Board Certified Specialties: Physical Medicine & Rehabilitation Gender: Male NPI: 1942457304 11851 Jollyville Rd Ste 202 (512) 249-5583 Hospital Affiliation: Reliant Rehab Hosp Central Tx Lp Clinic Affiliation: Physical Medicne and Neurotoxin Board Certified Specialties: Physical Medicine & Rehabilitation Austin Gender: Female NPI: 1790909067 330 W Ben White Blvd (512) 730-4800 Hospital Affiliation: Reliant Austin Board Certified Specialties: Physical Medicine & Rehabilitation Parthasarathy, Srinivason R, MD Gender: Female NPI: 1639122963 1215 Red River St Ste 427 J(512) 324-7000 Hospital Affiliation: 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 Brain and Spine Institute Board Certified Specialties: None Rawson, Benjamin L, DO Gender: Male NPI: 1902889397 7307 Creekbluff Dr (512) 614-3300 Clinic Affiliation: David Keith Harris MD PLLC Board Certified Specialties: None 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 Certified Specialties: None Austin Austin " Staggs, Deacon W, MD Austin Gender: Male NPI: 1356551279 12501 Longhorn Blvd (512) 382-4664 NPI: 1356551279 12501 Longhorn Pkwy (512) 382-4664 Hospital Affiliation: Baylor Institute For Rehabilitation At Gaston, Baylor Specialty Hospital, Baylor University Medical Center Clinic Affiliation: Post Acute Physicans of Texas Board Certified Specialties: Physical Medicine & Rehabilitation " Tynes, Steven S, MD Austin Gender: Male NPI: 1205837994 1215 Red River St Ste 442 J(512) 479-3632 Hospital Affiliation: Healthsouth Rehabilitation Hospital Of Austin, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation " Pena, Enrique B, MD Austin Gender: Male NPI: 1003922964 1600 W 35th St Ste 200 (512) 324-3580 Hospital Affiliation: Arise Austin Medical Center, Dell Childrens Med Ctr Cent Tx, Seton Medical Center, St Davids Medical Center, University Med Ctr Brackenridge Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: Physical Medicine & Rehabilitation Gender: Female NPI: 1245240712 3724 Executive Center Dr Ste G 10 (512) 345-5925 Hospital Affiliation: Seton Medical Center Clinic Affiliation: Seton Brain and Spine Institute Practice Information: No Patients Under 10 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation " Ramos, Jesus M, MD NPI: 1871788927 911 W 38th St Ste 300 J(512) 439-1002 Hospital Affiliation: Arise Austin Medical Center, Texas Orthopedics Surgery Center Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: Physical Medicine & Rehabilitation " Gray, Laura A, MD " Yaniv, Esther, MD Austin Austin Gender: Female NPI: 1871788927 3755 S Capital of Texas Hwy Ste 160 J(512) 439-1005 Gender: Female NPI: 1801820170 1301 Barbara Jordan Blvd Ste 307 (512) 628-1893 Hospital Affiliation: Chi St Lukes Hlth Baylor Coll Med, Houston Methodist Hospital, Seton Medical Center, Texas Childrens Hospital, University Med Ctr Brackenridge Clinic Affiliation: Pediatric Surgical Subspecialists Practice Information: Specialized in Pediatrics Board Certified Specialties: Physical Medicine & Rehabilitation NPI: 1124017926 9101 Burnet Rd Ste 103 (512) 248-2422 Hospital Affiliation: Dell Childrens Med Ctr Cent Tx Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: Physical Medicine & Rehabilitation " Ramchandani, Avinash N, MD " Mukai, Ai, MD Aus tin Gender: Male NPI: 1124017926 1301 Barbara Jordan Blvd Ste 301 (512) 324-0919 Austin Austin Aus tin " Wright, Edward A, MD Austin Gender: Female NPI: 1619935616 12180 N Mopac Expwy Ste B (512) 836-8800 Clinic Affiliation: San Antonio Osteo Relief Ctr PA Practice Information: No Patients Under 16 yrs old Board Certified Specialties: Physical Medicine & Rehabilitation " Urquidez, Jose A, MD Austin Gender: Male NPI: 1053357871 11851 Jollyville Rd Ste 202 J(512) 249-5583 Hospital Affiliation: Mem Hermann Hospital, Seton Northwest Hospital Clinic Affiliation: Physical Medicne and Neurotoxin Board Certified Specialties: Physical Medicine & Rehabilitation Austin Aguilar, Erika, LPT Gender: Female NPI: 1265518286 5555 N Lamar Blvd Ste L103 (512) 200-2332 Clinic Affiliation: Progressive Neuro Therapy Board Certified Specialties: None Alaimo, Jason E, LPT Gender: Male NPI: 1457461907 12 Oaks 11623 Angus Rd Ste 18 (512) 345-4421 NPI: 1457461907 2765 Bee Caves Rd Ste 209 (512) 327-5100 NPI: 1457461907 3200 Red River St Ste 101 (512) 476-8857 NPI: 1457461907 3705 Medical Pkwy Ste 515 (512) 452-6475 NPI: 1457461907 3901 S Lamar Blvd Ste 140 (512) 462-3275 NPI: 1457461907 6818 Austin Center Blvd Ste 111 (512) 418-8870 NPI: 1457461907 900 W 38th St Ste 110 (512) 450-0909 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None J - Wheelchair Access 126 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont PHYSICAL THERAPY Cont Austin Albright, Meridith S, LPT Gender: Female NPI: 1255447983 4700 Seton Center Pkwy Ste 175 (512) 439-1000 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Almodovar, Eduardo, LPT Gender: Male NPI: 1407039951 # 4210 W Braker Ln J(512) 342-2200 Austin NPI: 1407039951 7817 Rockwood Ln Ste 322 (512) 323-0802 Clinic Affiliation: Hope Physical Therapy and Wellnes, So Fit LLC Practice Information: No Patients Under 18 yrs old Board Certified Specialties: None Amitrani, Heather A, LPT Gender: Female NPI: 1326374505 # 6618 Sitio Del Rio Blvd Ste D102 J(512) 331-6200 Clinic Affiliation: Tillman Physical Therapy Andsports Training Ctr Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Aus tin Aus tin Aus tin # NPI: 1740548510 2500 W William Cannon Dr Ste 409 J(512) 852-8434 Aus tin Aus tin NPI: 1740548510 9185 Research Blvd J(512) 339-2800 Clinic Affiliation: Your Personal Best Physical Therapy Board Certified Specialties: None 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 2 yrs old Board Certified Specialties: None Austin Aus tin Aus tin Austin Askarinasab, Laleh, LPT Gender: Female NPI: 1609909001 7801 N Lamar Blvd (512) 371-7273 Clinic Affiliation: Austin Physical Therapy Specialis Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Babin, Kyle R, LPT Gender: Male NPI: 1891127114 7401 W Hwy 71 Ste 130 (512) 835-5000 Clinic Affiliation: Star Physical Therapy Board Certified Specialties: None Ballinger, Jeanne B, LPT Gender: Female NPI: 1033357017 5555 N Lamar Blvd Ste L103 J(512) 200-2332 Clinic Affiliation: Progressive Neuro Therapy Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Baugh, Tommie J, LPT Gender: Male NPI: 1720255573 10001 S Interstate 35 Ste 300 J(512) 440-0555 Boidock, Erin T, LPT Gender: Female NPI: 1700141538 7600 Burnet Rd (512) 458-1183 Clinic Affiliation: Physiotherapy Assoc In Plano Board Certified Specialties: None Bose, Nisha H, LPT Gender: Female NPI: 1427339902 # 11614 Bee Caves Rd Ste 100 J(512) 428-4261 Austin NPI: 1427339902 2500 W William Cannon Dr Ste 409 J(512) 852-8434 Clinic Affiliation: Your Personal Best Physical Therapy Board Certified Specialties: None Austin Austin NPI: 1720255573 8868 Research Blvd Ste 601 J(888) 997-2669 Clinic Affiliation: Concentra Medical Centers Board Certified Specialties: None Austin # Austin Aubert, Molly E, LPT Gender: Female NPI: 1841578952 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Andersen, Amber K, LPT Gender: Female NPI: 1588896021 3755 S Capital of Texas Hwy Ste 160 (512) 439-1005 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Anderson, Hazel D, LPT Gender: Female NPI: 1740548510 # 11614 Bee Caves Rd Ste 160 J(512) 428-4261 Bliss, Ryan C, LPT Gender: Male NPI: 1699706085 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Austin Aus tin Austin Austin Atkins, Chere D, LPT Gender: Female NPI: 1164433322 12524 Copella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Board Certified Specialties: None Brady, Jeremy L, LPT Gender: Male NPI: 1508281460 3724 Executive Ctr Dr Ste G-10 (512) 345-5925 Clinic Affiliation: Seton Brain and Spine Institute Board Certified Specialties: None Brewster, Elva M, LPT Gender: Female NPI: 1659637981 6811 Austin Center Blvdste 400 J(512) 628-1918 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None Broadbelt, Colin J, LPT Gender: Male NPI: 1740462126 # 9004 Wildridge Dr J(512) 712-5348 Clinic Affiliation: Pro-Active Physical Therapy Board Certified Specialties: None Austin Benedisuk, Michele F, LPT Gender: Female NPI: 1063500627 1600 W 38th St Ste 201 (512) 206-0433 Clinic Affiliation: Sports Center Board Certified Specialties: None Austin Bennett, Marjorie R, LPT Gender: Female NPI: 1912250994 11623 Angus Rd Ste 18 (512) 345-4421 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Brodbeck, Linda M, LPT Gender: Female NPI: 1912036831 1121 E Seventh St J(512) 334-4411 Clinic Affiliation: Any Baby Can Practice Information: No Patients Over 3 yrs old Board Certified Specialties: None Brophy, Laurie T, LPT Gender: Female NPI: 1215174719 # 12524 Capella Trl (512) 587-5671 Clinic Affiliation: Growing Places Therapy Services Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Bennett, Matthew M, LPT Gender: Male NPI: 1639583271 6818 Austin Center Blvd Ste 111 (512) 418-8870 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin # NPI: 1619992831 801 E William Cannon Dr Ste 225 J(512) 270-2060 Clinic Affiliation: Texas Physical Therapy Specialist, Town & Country Physical Therapy Practice Information: No Patients Under 8 yrs old Board Certified Specialties: None Brown, Jason, LPT Gender: Male NPI: 1285922476 # 1212 W Parmer Ln Ste E J(512) 794-8863 Austin NPI: 1285922476 801 E William Cannon Dr Ste 225 J(512) 270-2060 Clinic Affiliation: Town & Country Physical Therapy Board Certified Specialties: None Brown, Michele P, LPT Gender: Female NPI: 1770817900 # 12524 Capella Trl (512) 587-5671 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 Under 3 yrs old Board Certified Specialties: None Bryan, Natalie E, LPT Gender: Female NPI: 1306107693 # 11614 Bee Caves Rd Ste 160 J(512) 428-4261 Austin # # NPI: 1306107693 2500 W William Cannon Dr Ste 409 J(512) 852-8434 NPI: 1306107693 9185 Research Blvd J(512) 339-2800 Clinic Affiliation: Your Personal Best Physical Therapy Board Certified Specialties: None Calabria, Elizabeth S, LPT Gender: Female NPI: 1780993550 # 5114 Balcones Woods Dr Ste 306 (512) 794-8863 Austin NPI: 1780993550 801 E William Cannon Dr Ste 225 (512) 270-2060 Clinic Affiliation: Town & Country Physical Therapy Board Certified Specialties: None 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 Certified Specialties: None Browder, David A, LPT Gender: Male NPI: 1619992831 10526 W Parmer Ln Ste 403 (512) 900-3302 Campbell, Cheryl A, LPT Gender: Female NPI: 1396180279 13001 Bloomfield Hills Ln (512) 466-2065 Clinic Affiliation: Home Field Advantage Therapy PLLC Board Certified Specialties: None J - Wheelchair Access 127 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont PHYSICAL THERAPY Cont Aus tin Carlegis, Megan K, LPT Gender: Female NPI: 1629366430 1301 Barbara Jordan Blvd Ste 3 (512) 478-8116 NPI: 1629366430 6836 Bee Cave Rd Ste 112 (512) 478-8116 Clinic Affiliation: Central Texas Pediatric Orthopedic and Scoliosi Board Certified Specialties: None Aus tin 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 Certified Specialties: None 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 Certified Specialties: None Aus tin Aus tin Cecalek, Matthew J, LPT Gender: Male NPI: 1184777476 2171 Woodward St Ste B J(888) 997-2669 # NPI: 1184777476 4301 W William Cannon Dr Bldg E Ste 320 J(512) 467-6608 # NPI: 1184777476 8868 Research Blvd Ste 601 J(512) 467-7232 NPI: 1184777476 9333 Research Blvd Ste 400 J(512) 440-0555 Clinic Affiliation: Concentra Medical Centers Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Aus tin Cherry, Meredith H, LPT Gender: Female NPI: 1720381239 9101 Burnet Rd Ste 103 (512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Chmiel, Susan J, LPT Gender: Female NPI: 1881951515 # 4407 Monterey Oaks Blvd Ste 140 J(512) 248-2422 Aus tin # Ciaverelli, Carrie A, LPT Gender: Female NPI: 1538292719 6810 Poncha Pass (512) 814-6526 Clinic Affiliation: Healing Foundations Physical Ther Board Certified Specialties: None Austin Cohen, Eliette, LPT Gender: Female NPI: 1225152606 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Austin Coyne, Daniel S, LPT Gender: Male NPI: 1740510866 4700 Seton Ctr Pkwy Ste 175 (512) 439-1000 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Austin # NPI: 1669515185 500 San Marcos St (512) 467-1100 NPI: 1669515185 911 W Anderson Ln Ste 103 (512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC Board Certified Specialties: None Culver, Danina L, LPT Gender: Female NPI: 1780696377 # 3724 Jefferson St Ste 316 (512) 453-6778 Austin NPI: 1740424191 4701 Westgate Blvd D401 (512) 467-1100 NPI: 1326084062 3705 Medical Pkwy Ste 515 (512) 452-6475 NPI: 1740424191 4701 Westgate Blvd Ste D401 J(512) 467-1100 NPI: 1326084062 3901 S Lamar Blvd Ste 140 (512) 462-3275 NPI: 1326084062 6818 Austin Center Blvd Ste 111 (512) 418-8870 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin Dempski, Angela N, LPT Gender: Female NPI: 1598181117 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None NPI: 1780696377 3724 Jefferson Ste 316 J(512) 453-6778 Clinic Affiliation: Danina L Culver PT Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Dennis, Lisa J, LPT Gender: Female NPI: 1942591029 # 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Practice Information: No Patients Under 3 yrs old Board Certified Specialties: None Austin Austin Austin Austin Davis, Phillip L, LPT Gender: Male NPI: 1073703203 # 210 Barton Springs Rd Ste 215 (512) 442-3200 Clinic Affiliation: The Training Room Board Certified Specialties: None Austin Dickmann, Sharon S, LPT Gender: Female NPI: 1396838488 2501 W William Cannon Dr Bldg 1 (512) 651-0301 Downing, Suzanne, LPT Gender: Female NPI: 1457606246 6818 Austin Center Blvd Ste 111 (512) 418-8870 NPI: 1457606246 7718 Wood Hollow Dr Ste 105 J(512) 795-0053 Clinic Affiliation: Atlas Physical Therapy Inc, Select Physical Therapy Holdings Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Dehne, Pamela J, LPT Gender: Female NPI: 1164538898 3816 S First St (512) 443-1311 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Austin Austin NPI: 1396838488 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Physiotherapy Assoc In Plano, Select Physical Therapy Holdings Board Certified Specialties: None NPI: 1881951515 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours NPI: 1326084062 3200 Red River St Ste 101 (512) 476-8857 Austin # Dobbs, Debra L, LPT Gender: Female NPI: 1326084062 12 Oaks 11623 Angus Rd Ste 18 (512) 345-4421 NPI: 1740424191 4316 James Casey St Ste F 201 (512) 442-2727 NPI: 1740424191 911 W Anderson Ln Ste 103 J(512) 467-1100 Clinic Affiliation: Advanced Rehabilitation PC, Art Medical Alliance, Austin Preferred Chiropractic and, Select Physical Therapy Holdings Board Certified Specialties: None Croll, Kelli M, LPT Gender: Female NPI: 1275795031 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None # Austin NPI: 1740424191 500 San Marcos St Ste 104 J(512) 467-1100 Austin Cuellar, Cristi Y, LPT Gender: Female NPI: 1669515185 # 4701 Westgate Blvd Ste D401 (512) 467-1100 Deboise Brown, Ashley A, LPT Gender: Female NPI: 1740424191 3901 S Lamar Blvd Ste 140 (512) 462-3275 Doyle, Jill D, LPT Gender: Female NPI: 1518291764 1210 W Braker Ln (817) 251-9386 Clinic Affiliation: Southlake Sports and Spine Rehab Board Certified Specialties: None Driscoll, Jennifer L, LPT Gender: Female NPI: 1144258294 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Drost, Janice F, LPT Gender: Female NPI: 1275796724 1121 E Seventh St J(512) 454-3743 Clinic Affiliation: Any Baby Can Board Certified Specialties: None Duke, Kelly A, LPT Gender: Female NPI: 1437404191 6618 Sitio Del Rio Blvd Ste D102 J(512) 331-6200 Clinic Affiliation: Tillman Physical Therapy Andsports Training Ctr Practice Information: No Patients Under 6 yrs old Board Certified Specialties: None Durden, Andre L, LPT Gender: Male NPI: 1093884017 # 7920 San Felipe Blvd Ste 2008 J(512) 947-6418 Practice Information: No Patients Under 18 yrs old, Orthopedics Spine Only, Practice Limited to Geriatrics Board Certified Specialties: None Austin J - Wheelchair Access 128 OCTOBER 15, 2014 Independent Provider Network (IPN) bmkpi_n_spec AUSTIN Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Aus tin AUSTIN Cont PHYSICAL THERAPY Cont Austin Austin Austin Austin Ebem, Henry C, LPT Gender: Male NPI: 1275714750 13279 Pond Springs Rd Ste 2 J(512) 472-2020 Clinic Affiliation: Bluestone Physical Therapy Board Certified Specialties: None Echols, Samantha R, LPT Gender: Female NPI: 1518281765 1611 Headway Cir Bldg 2 J(512) 478-2581 Clinic Affiliation: Capital Area Easter Seals Society Board Certified Specialties: None Elizondo, Matthew X, LPT Gender: Male NPI: 1245475870 3200 Red River St Ste 101 (512) 476-8857 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin Austin Austin Austin NPI: 1932429511 7401 W Hwy 71 Ste 130 (512) 288-2700 Clinic Affiliation: Star Physical Therapy Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Engel, Nicholas, LPT Gender: Male NPI: 1659601003 13805 Research Blvd Ste 150 (512) 257-2500 Clinic Affiliation: Medicine In Motion Martha Pyron M Board Certified Specialties: None English, Deborah K, LPT Gender: Female NPI: 1043473697 12701 FM 620 (512) 326-2800 Clinic Affiliation: Greater Austin Orthopaedics Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Faubion, Cheryl A, LPT Gender: Male NPI: 1154576767 6618 Sitio Del Rio Blvd Ste D102 J(512) 331-6200 Clinic Affiliation: Tillman Physical Therapy Andsports Training Ctr Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Feagin, Montgomery R, LPT Gender: Male NPI: 1750673893 2603 Jones Rd J(512) 644-3354 Clinic Affiliation: The Weston Group Inc Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Austin NPI: 1588896476 8868 Research Blvd Ste 601 J(888) 997-2669 Clinic Affiliation: Concentra Medical Centers Board Certified Specialties: None Aus tin Austin Fish, Annalisa S, LPT Gender: Female NPI: 1073895603 630 W 34th St J(512) 439-1002 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Austin Flees, Josephine J, LPT Gender: Female NPI: 1972617470 # 300 Beardsley Ln Bldg B J(512) 345-5925 Aus tin # Elrod, Joshua D, LPT Gender: Male NPI: 1932429511 11101 N Burnet Rd Ste A 170 (512) 835-5000 # Finger, Eric J, LPT Gender: Male NPI: 1588896476 4301 W Wm Cannon Dr E Ste 320 J(888) 997-2669 Aus tin Aus tin Aus tin Foreman, Aaron E, LPT Gender: Male NPI: 1033214952 8000 Anderson Sq 301A J(512) 377-2323 Clinic Affiliation: Orthotic and Prosthetic Technologies Board Certified Specialties: None Frickey, Jill, LPT Gender: Female NPI: 1063781276 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Frost, Nicole F, LPT Gender: Female NPI: 1760417521 711 W 38th St Ste B3 and B4 (512) 450-0909 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: 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 Ste 203 Board Certified Specialties: None Galvan, Elias L, LPT Gender: Male NPI: 1730258724 1825 Fortview Rd Ste 109 J(512) 892-5250 Clinic Affiliation: South Austin Therapy Group Inc Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Gamm, Meredith K, LPT Gender: Female NPI: 1649522251 6818 Austin Center Blvd Ste 111 (512) 418-8870 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Gray, Mary C, LPT Gender: Female NPI: 1528222346 # 12701 FM 620 (512) 401-0700 Austin # Austin Austin Garrett, Carole B, LPT Gender: Female NPI: 1730196536 # 9101 Burnet Rd Ste 103 J(512) 248-2422 Clinic Affiliation: Ltts LLP Board Certified Specialties: None Austin NPI: 1972617470 4029 S Capital of Texas Hwy Ste 111 J(512) 448-0995 NPI: 1972617470 6835 Austin Center Blvd (512) 231-5210 Clinic Affiliation: Austin Regional Clinic PA, The Spine Center Practice Information: No Patients Under 12 yrs old Board Certified Specialties: None Aus tin Gall, Michael, LPT Gender: Male NPI: 1831167550 7600 Burnet Rd (512) 458-1183 Clinic Affiliation: Physiotherapy Assoc In Plano Board Certified Specialties: None Austin Austin Austin Austin Grace Jr, James G, LPT Gender: Male NPI: 1679773790 # 4534 Westgate Blvd Ste 104 (512) 892-7337 Austin NPI: 1679773790 801 E William Cannon Dr Ste 225 (512) 270-2060 Clinic Affiliation: Town & Country Physical Therapy Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Galewsky, Margaret I, LPT Gender: Female NPI: 1003162140 # 4607 Manchaca Rd (512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Board Certified Specialties: None Aus tin Grijalva, Vanessa C, LPT Gender: Female NPI: 1710126693 11623 Angus Rd Ste 18 (512) 345-4421 NPI: 1710126693 3705 Medical Pkwy Ste 515 (512) 452-6475 NPI: 1710126693 3901 S Lamar Blvd Ste 140 (512) 462-3275 NPI: 1710126693 6818 Austin Center Blvd Ste 111 (512) 418-8870 Geibel, Laura T, LPT Gender: Female NPI: 1346358561 911 W 38th St Ste 300 (512) 439-1953 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Gossen, Laura M, LPT Gender: Female NPI: 1861828154 711 W 38th St Ste B3 and B4 (512) 450-0909 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Grebla, Kimberly, LPT Gender: Female NPI: 1588920839 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None NPI: 1710126693 3200 Red River St Ste 101 (512) 476-8857 Garwood, Margaret T, LPT Gender: Female NPI: 1902178189 6811 Austin Center Blvd Ste 400 J(512) 628-1918 Clinic Affiliation: Pediatric Surgical Subspecialists Board Certified Specialties: None Gillis, Shelley L, LPT Gender: Female NPI: 1124450770 1212 W Parmer Ln Ste E (512) 670-3238 Clinic Affiliation: Town & Country Physical Therapy Board Certified Specialties: None NPI: 1528222346 4310 James Casey St Ste 3C (512) 441-6008 Clinic Affiliation: Greater Austin Orthopaedics Board Certified Specialties: None NPI: 1710126693 711 W 38th St Bldg B 3 (512) 450-0909 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Austin Grimberg, Mary, LPT Gender: Female NPI: 1851675581 4534 Westgate Blvd Ste 104 (512) 892-7337 Clinic Affiliation: Town & Country Physical Therapy Board Certified Specialties: None Grossman, Jenna M, LPT Gender: Female NPI: 1710252986 # 4607 Manchaca Rd J(512) 916-1511 Clinic Affiliation: Kidtherapy PLLC Practice Information: No Patients Over 21 yrs old Board Certified Specialties: None Austin Hadash, George, LPT Gender: Male NPI: 1891753612 # 3755 S Capital of Texas Hwy Ste 150 (512) 439-1980 Clinic Affiliation: Texas Orthopedics Sports And Rehab Assoc Board Certified Specialties: None Austin J - Wheelchair Access 129 AUSTIN Independent Provider Network (IPN) bmk_pin_spec OCTOBER 15, 2014 Specialists The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory. Austin AUSTIN Cont PHYSICAL THERAPY Cont Aus tin Hadley, Megan D, LPT Gender: Female NPI: 1063811081 11623 Angus Rd Ste 18 (512) 345-4421 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Hahn, Stephanie R, LPT Gender: Female NPI: 1376855239 # 7401 Hwy 71 W Ste 130 (512) 288-2700 Clinic Affiliation: Star Physical Therapy Board Certified Specialties: None Austin Aus tin Hall, Scott L, LPT Gender: Male NPI: 1679517536 # 11614 Bee Caves Rd Ste 160 J(512) 428-4261 Clinic Affiliation: Your Personal Best Physical Therapy Board Certified Specialties: None Austin Aus tin Aus tin Hamilton, Casey P, LPT Gender: Male NPI: 1356644629 3200 Red River St Ste 101 (512) 476-8857 NPI: 1356644629 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Hammonds, Basimma F, LPT Gender: Female NPI: 1639225857 # 2200 Park Bend Dr Bldg 1 Ste 202 (512) 339-1500 Aus tin Austin Harris, James T, LPT Gender: Male NPI: 1891789319 3508 Far West Blvd Ste 240 J(512) 832-9411 Clinic Affiliation: Austin Manual Therapy Assoc PC Board Certified Specialties: None ! - Accepting Existing Patients Only " - Board Certified In Listed Specialty #- Extended Office Hours Hasham, Laila H, LPT Gender: Female NPI: 1255748786 11623 Angus Rd Ste 18 (512) 345-4421 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None # Hastings, Arthur A, LPT Gender: Male NPI: 1295854222 6835 Austin Ctr Blvd (512) 346-6611 Clinic Affiliation: Austin Regional Clinic PA Board Certified Specialties: None Austin Haynes, Jennifer L, LPT Gender: Female NPI: 1881855286 13450 Research Blvd Ste 102 (512) 450-1300 Clinic Affiliation: Austin Sports Medicine Board Certified Specialties: None Austin NPI: 1013916337 7401 W Hwy 71 Ste 130 J(512) 835-5000 Clinic Affiliation: Star Physical Therapy Practice Information: No Patients Under 5 yrs old Board Certified Specialties: None Hurley, Thomas J, LPT Gender: Male NPI: 1508818840 3901 S Lamar Blvd Ste 140 (512) 462-3275 Clinic Affiliation: Select Physical Therapy Holdings Board Certified Specialties: None Jacobson, Kendal, LPT Gender: Female NPI: 1689962540 # 11614 Bee Caves Rd Ste 100 J(512) 428-4261 # Hilton, Lou Ann B, LPT Gender: Female NPI: 1841428778 4700 Seton Pkwy (512) 439-1000 Austin NPI: 1689962540 2500 W William Cannon Dr Ste 409 J(512) 852-8434 Clinic Affiliation: Your Personal Best Physical Therapy Board Certified Specialties: None Kertz, Laurie J, LPT Gender: Female NPI: 1346319811 # 1600 W 38th St Ste 201 J(512) 206-0433 # Austin Austin Austin Austin " Jeffery, Lisa M, LPT Austi
© Copyright 2024