Active NPI
Courtney Wells Dunavant, P.A.
- Surgical Physician Assistant
- Austin, TX
National Provider Identifier
1760563233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 08618
- Practice address
- 405 N Lamar Blvd # 110
Austin, TX 78703-2103 - Phone
- (737) 255-8200
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 08618 | TX | Primary |
Addresses
Primary practice location
405 N Lamar Blvd # 110
Austin, TX 78703-2103
Mailing address
2701 Hatley Dr
Austin, TX 78746-4608
Phone (917) 561-0828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08618 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Ear Nose & Throat Clinic LLP | Past | Accepting new patients | |
| Institute of Reconstructive Plastic Surgery of Central Texas | Past | Accepting new patients | |
| Pediatric Surgical Subspecialists | Past | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients | |
| New York Group for Plastic Surgery, LLP | Past | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients | |
| ENT and Allergy Associates of Texas PLLC | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Sugar Land, TX
- NPI 1518844554
-
- Otolaryngology Physician
- Sugar Land, TX
- NPI 1477515617
-
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1548401417
-
- Pediatric Critical Care Medicine Physician
- Austin, TX
- NPI 1184815227
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Plastic and Reconstructive Surgery Physician
- Tarrytown, NY
- NPI 1750441887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1760563233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 HATLEY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787464608",
"telephone_number": "917-561-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N LAMAR BLVD # 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787032103",
"telephone_number": "737-255-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAVANT",
"first_name": "COURTNEY",
"middle_name": "WELLS",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "08618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.