Connie Sterritt, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02177 Issued in TX

Practice address

4419 Frontier TRL
Suite 110
Austin, TX 78745-1686

Phone

(512) 444-7208

Fax

(512) 444-2343

NPI assigned

Feb 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Skin & Cancer Clinic, P.a.

  • Dermatology Physician
  • Austin, TX
  • NPI 1619942182
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1093780553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FRONTIER TRL",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451686",
            "telephone_number": "512-444-7208",
            "fax_number": "512-444-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FRONTIER TRL",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451686",
            "telephone_number": "512-444-7208",
            "fax_number": "512-444-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERRITT",
        "first_name": "CONNIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "PA02177",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970013464",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Sterling
• Kimberly Sterling, RN,MSN,FNP-C
• Mariah Sterling
• William R. Stern, PH.D.
• Michelle Sterniczuk, FNP
• Barbara Jo Stetzelberger, LCSW, DTR
• Ann Blakemore Steuart, DPM
• Steve Loeschen, DO, PA
• Steven & Donna Shepard
• Steven a Lindley DDS Inc

• Medical Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.