Active NPI
Buttercup Creek Family Medicine PA
- Family Medicine Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H1869
- Legal business name
- BUTTERCUP CREEK FAMILY MEDICINE PA
- Practice address
- 200 Buttercup Creek Blvd
Ste 115
Cedar Park, TX 78613 - Phone
- (512) 249-1400
- Fax
- (512) 249-1800
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ann Elizabeth Hathcock
- Title
- President
- Phone
- (512) 249-1400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H1869 | TX | Primary |
Addresses
Primary practice location
200 Buttercup Creek Blvd
Ste 115
Cedar Park, TX 78613
Mailing address
200 Buttercup Creek Blvd
Ste 115
Cedar Park, TX 78613
Phone (512) 249-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000110J7 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
200 Buttercup Creek Blvd
Ste 115
Cedar Park, TX 78613
Phone (512) 249-1400
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Granbury, TX
- NPI 1649339870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598877920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD",
"address_2": "STE 115",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "78613",
"telephone_number": "512-249-1400",
"fax_number": "512-249-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD",
"address_2": "STE 115",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "78613",
"telephone_number": "512-249-1400",
"fax_number": "512-249-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTTERCUP CREEK FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HATHCOCK",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-249-1400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H1869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000110J7",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.