Active NPI
Texas Movement Disorder Specialists PLLC
- Neurology Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- P5005
- Legal business name
- TEXAS MOVEMENT DISORDER SPECIALISTS PLLC
- Practice address
- 204 S Interstate 35 Ste 103
Georgetown, TX 78628-4125 - Phone
- (512) 693-4041
- Fax
- (512) 290-9226
- NPI assigned
- Mar 21, 2017
- Last updated
- Jun 18, 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
- Michael Soileau, MD
- Title
- Owner
- Phone
- (512) 693-4041
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | P5005 | TX | Primary |
Addresses
Primary practice location
204 S Interstate 35 Ste 103
Georgetown, TX 78628-4125
Mailing address
204 S Interstate 35 Ste 103
Georgetown, TX 78628-4125
Phone (512) 693-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2184884 | Texas Movement Disorder Specialists, PLLC | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
204 S Interstate 35
Ste 103
Georgetown, TX 78628
Phone (512) 425-0852
405 Londonderry Dr
Ste 205
Waco, TX 76712
Phone (254) 572-8683
Interoperability endpoints
- https://api.platform.athenahealth.com/15744/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Neurology Physician
- Georgetown, TX
- NPI 1922237817
-
- Physician Assistant
- Georgetown, TX
- NPI 1134631450
-
- Physician Assistant
- Georgetown, TX
- NPI 1154006203
-
- Adult Health Nurse Practitioner
- Cedar Park, TX
- NPI 1578279287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592438400000",
"number": "1902337025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S INTERSTATE 35 STE 103",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786284125",
"telephone_number": "512-693-4041",
"fax_number": "512-290-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S INTERSTATE 35 STE 103",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786284125",
"telephone_number": "512-693-4041",
"fax_number": "512-290-9226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS MOVEMENT DISORDER SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-21",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A",
"authorized_official_last_name": "SOILEAU",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-693-4041",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "P5005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.