Provider Type Icon

MANDI GLYNN AMBURN PA-C NPI 1780787986


NPI Information

NPI: 1780787986
Provider Name: MANDI GLYNN AMBURN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ST. DAVID'S ORTHO NEURO AND REHAB PLLC

PECOS Registration: Yes

Address:
2200 PARK BEND DR
BUILDING 1 SUITE 301
AUSTIN, TX
ZIP 78758
Phone: (512) 339-0440
Get Directions

Mandi Glynn Amburn, PA-C is a surgical physician assistant in Austin, TX with 19 years of experience. Mandi Glynn Amburn, PA-C NPI is 1780787986. 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:

2200 PARK BEND DR
BUILDING 1 SUITE 301
AUSTIN, TX
ZIP 78758-387
Phone: (512) 339-0440
Fax: (512) 339-0454

The NPI 1780787986 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Repair of knee joint (HCPCS:27447)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/26/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant10227MINNESOTANo
2363AS0400XPhysician AssistantSurgicalPA04670TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1517690000MEDICAIDMINNESOTA
28N9216OTHERTEXASBLUE CROSS
3P00408065OTHERMINNESOTARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.