Georgetown Neurology PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

H9870 Issued in TX

Legal business name

GEORGETOWN NEUROLOGY PA

Doing business as

The NeuroScience Center

Practice address

11901 W Parmer LN
Ste 300
Cedar Park, TX 78613-7654

Phone

(512) 259-8880

Fax

(512) 259-6555

NPI assigned

Dec 5, 2007

Last updated

Aug 28, 2008By 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

George Creel, MD

Title

President

Phone

(512) 259-8880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The NeuroScience Center Doing business as

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1558543199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786270819",
            "telephone_number": "512-259-8880",
            "fax_number": "512-259-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137654",
            "telephone_number": "512-259-8880",
            "fax_number": "512-259-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-259-8880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H9870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00683R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152087601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The NeuroScience Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Amanda McCracken Gay, PA-C
• Amanda Renee' Gayle, LCSW
• Michael Charles Gayle, PT, MA, OCS
• Emily Jane Geist
• Andrea George, M.D.
• Elizabeth Eileen Gereau
• Jeffery Wayne Gerhardt, D.D.S.
• Angelique Abigail Geronimo, FNP-BC, RN
• Katie Gerschke, OTR/L
• Sarosh Ghani

• Neurology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.