MEDCONMD1 NPI 1811437841

Family Medicine in Georgetown, TX

About MEDCONMD1

Medconmd1 is a provider in Georgetown, TX. The NPI number assigned to this provider is 1811437841. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an organization and their NPI record was last updated 2 years ago. Medconmd1 operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI

1811437841

Provider NameMEDCONMD1
Provider Location Address2508 WILLIAMS DR STE 110 GEORGETOWN, TX 78628
Provider Mailing Address2508 WILLIAMS DR STE 110 GEORGETOWN, TX 78628
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-23-2017
Last Update Date05-11-2017

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

MEDCONMD1
2508 WILLIAMS DR
STE 110
GEORGETOWN, TX
ZIP 78628
Phone: (844) 391-7277

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Mailing Address

MEDCONMD1
2508 WILLIAMS DR
STE 110
GEORGETOWN, TX
ZIP 78628
Phone: (844) 391-7277

Authorized Official

Authorized Official Name STEPHANIE DENISE O'DONNELL MD
Authorized Official TitleMANAGER
Authorized Official Phone(844) 391-7277

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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