Organization Active NPI

Clinton J Baird PLC

Doing business as Olympia Neurological Institute

  • Neurological Surgery Physician
  • Cedar Park, TX
National Provider Identifier
1225718927
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CLINTON J BAIRD PLC
Doing business as
Olympia Neurological Institute
Practice address
1401 Medical Parkway
Building B Suite 412
Cedar Park, TX 78613
Phone
(512) 409-9903
Fax
(918) 493-3304
NPI assigned
Jul 19, 2023
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Tyesha Mosquito
Title
Physician Relations Director
Phone
(918) 519-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

1401 Medical Parkway
Building B Suite 412
Cedar Park, TX 78613

Mailing address

6130 E 81St St
Tulsa, OK 74137-2101
Phone (512) 409-9903

Other practice location 1

4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone (512) 409-9903

Other names 1

  • Olympia Neurological Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1225718927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372101",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PARKWAY",
            "address_2": "BUILDING B SUITE 412",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 James Casey St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453362",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINTON J BAIRD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "MOSQUITO",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_title_or_position": "PHYSICIAN RELATIONS DIRECTOR",
        "authorized_official_telephone_number": "918-519-4090"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Neurological Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympia Neurological Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.