KATHRYN STOREY DEFORD PA-C NPI 1437467537

NPI Information

NPI: 1437467537
Provider Name: KATHRYN STOREY DEFORD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ORTHOLONESTAR, PLLC

PECOS Registration: Yes

Address:
4700 SETON CENTER PKWY
SUITE 200
AUSTIN, TX
ZIP 78759
Phone: (512) 439-1000
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Kathryn Storey Deford, PA-C is a surgical physician assistant in Austin, TX with 14 years of experience. Kathryn Storey Deford, PA-C NPI is 1437467537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 SETON CENTER PKWY
SUITE 200
AUSTIN, TX
ZIP 78759-295
Phone: (512) 439-1000
Fax: (512) 439-1081

The NPI 1437467537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 11/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA07082	TEXAS	No
2	363AS0400X	Physician Assistant	Surgical	PA07082	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	322872802	MEDICAID	TEXAS
2	322872801	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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