Maureen V Dave, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04682 Issued in TX

Practice address

799 Louis Henna Blvd
Austin, TX 78749-7874

Phone

(512) 988-5355

Fax

(512) 323-0307

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maureen Hamilton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: maureen.dave@478600780382212.direct.elationemr.com

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1154441020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 LOUIS HENNA BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787497874",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 34th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051900",
            "country_code": "US",
            "telephone_number": "512-454-4588",
            "fax_number": "512-459-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MAUREEN",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maureen.dave.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "799 LOUIS HENNA BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787497874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "HAMILTON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Dauterive
• Valentina Davalos, LPC-A
• Dave Wofford, PLLC
• Komal Anantrai Dave, PA-C
• Mauli Dave
• Rajvi Dave, CAA
• James Andrew Davenport, PHARMD
• Louis Andrew Davenport, M.D., M.P.H.
• Rebecca C Davenport, LCSW
• Summer June Davenport, LCSW

• 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 Feb 8, 2023; 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.