Greater Austin Allergy, Asthma & Immunology PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

GREATER AUSTIN ALLERGY, ASTHMA & IMMUNOLOGY PA

Practice address

303 E Main St
Round Rock, TX 78664-5246

Phone

(512) 732-2774

Fax

(855) 959-1863

NPI assigned

May 2, 2013

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Candice Kennon

Title

Practice MGR

Phone

(512) 732-2774

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Lee Cox, M.D.

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1962404699
  Medicare reassignment Care Compare group NPD
• Kristin Foley, RN, FNP-C

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1346697711
  Medicare reassignment Care Compare group NPD
• Seth Michael Hollander, M.D.

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1255451886
  Medicare reassignment Care Compare group NPD
• Vasudha Mantravadi, MD

  • Allergy & Immunology Physician
  • Sugar Land, TX
  • NPI 1316491210
  Medicare reassignment Care Compare group NPD
• Niharika Marpu, M.D.

  • Allergy & Immunology Physician
  • Round Rock, TX
  • NPI 1861827594
  Medicare reassignment Care Compare group NPD
• Anna Elizabeth O'Connor, MD

  • Allergy & Immunology Physician
  • Round Rock, TX
  • NPI 1053931345
  Medicare reassignment Care Compare group NPD
• Nikki Patel, M.D.

  • Allergy & Immunology Physician
  • Kyle, TX
  • NPI 1801030135
  Medicare reassignment Care Compare group NPD
• Eric Daniel Schultz, D.O.

  • Allergy & Immunology Physician
  • West Lake Hills, TX
  • NPI 1578774980
  Medicare reassignment Care Compare group NPD
• Thomas F. Smith, MD

  • Allergy & Immunology Physician
  • West Lake Hills, TX
  • NPI 1346207917
  Medicare reassignment Care Compare group NPD
• Tammy A Morgan, PA

  • Physician Assistant
  • Bee Caves, TX
  • NPI 1992336614
  Medicare reassignment Care Compare group
• Henry Joseph Legere III, MD

  • Allergy Physician
  • Austin, TX
  • NPI 1669464723
  Medicare reassignment NPD
• Jurairat J Molina, MD

  • Allergy & Immunology Physician
  • San Antonio, TX
  • NPI 1700829918
  Medicare reassignment NPD

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1275978306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774",
            "fax_number": "855-959-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774",
            "fax_number": "855-959-1863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 Bee Caves Rd Ste G201",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465236",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "fax_number": "512-329-6871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12801 Shops Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bee Caves",
            "state": "TX",
            "postal_code": "787386446",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11762 Jollyville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593937",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5625 Eiger Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358980",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Highway 71 E Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025157",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6611 River Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787301163",
            "country_code": "US",
            "telephone_number": "512-732-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER AUSTIN ALLERGY, ASTHMA & IMMUNOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "KENNON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "512-732-2774",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Graul
• Jordan Nancy Gray, MD
• Scott Joseph Gray, LCSW
• Great Legacy Home and Community Services
• Great Oaks Family Practice, PA
• Greater Texas Neuromonitoring LLC
• Green Couch Counseling, PLLC (Candice Fraser, LPC)
• Alyssa Green, MS RD LD
• Heather Green, NUTRITIONAL EDUCATOR
• Jason Green, RBT

• Allergy & Immunology Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.