Longhorn Emergency Medical Associates PA
Organization Active NPI Emergency Medicine Physician · Austin, TX
NPI 1649669672 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1649669672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- LONGHORN EMERGENCY MEDICAL ASSOCIATES PA
- Practice address
- 919 E 32ND St
Austin, TX 78705-2703 - Phone
- (925) 251-6901
- Fax
- (925) 924-0506
- NPI assigned
- Jan 14, 2015
- Organization subpart
- No
Authorized official
- Name
- Sharon Hardy
- Title
- Director Provider Enrollment
- Phone
- (925) 251-6901
Practitioners 660
-
Shane Ali, MD
-
Emma Almanza, MD
-
Stephanie Angel, MD
-
Arnauld Anglade, FNP-C
-
Benjamin C Brieger, M.D.
-
Cendy S Brister-Antley, DNP, APRN, FNP, ENP
-
Demir Mikael Candas, PA-C
-
Sean Michael Catuogno, M.D.
-
Aaron Kevin Chen, MD
-
Timothy Choi, DO
-
Stephanie Clark, M.D.
-
Ann Clarice Czarnik, M.D.
-
James Thomas Dellis, D.O.
-
Morgan Denecke, MD
-
Mandar Pramod Desai, M.D.
-
Ryan Jacob Dietert, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150320000152 | TX | Part B Supplier - Clinic/Group Practice | 4486971041 |
Receives reassigned benefits from 654 practitioners Practice locations: Round Rock, TX; Pflugerville, TX; Manor, TX; Leander, TX; Austin, TX; Georgetown, TX; El Paso, TX; Buda, TX… |
National Provider Directory
Locations
4181 Highway 183
Leander, TX 78641
Phone (737) 757-1700
18917 Limestone Commercial Dr
Pflugerville, TX 78660
Phone (512) 532-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
919 E 32ND St
Austin, TX 78705-2703
Mailing address
5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3348
Phone (925) 924-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 347472801 | Medicaid | TX |
Other providers in Austin, TX
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- Longhorn Dental
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- Longhorn Dental
- Longhorn Observation Medical Associates PA
- Longhorn Pediatric Dentistry and Orthodontics
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All providers in Austin, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.