SPICEWOOD SURGERY CENTER LLC


Address: 13617 Caldwell Dr Ste 200, Austin, TX 78750-2324
Phone: 5126375563

SPICEWOOD SURGERY CENTER LLC (NPI# 1083176309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083176309
Entity Type Organization
Organization Name SPICEWOOD SURGERY CENTER LLC
Other Organization Name SPICEWOOD SURGERY CENTER
Practice Address 13617 Caldwell Dr Ste 200
Austin
TX 78750-2324
Mailing Address 9707 Anderson Mill Rd Ste 230
Austin
TX 78750-2300
Practice Telephone 5126375563
Enumeration Date 2019-04-04
Last Update Date 2020-09-03
Authorized Official Name TICCIA THOMPSON (ADMINISTRATOR)
Authorized Official Telephone 5126375563
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Spicewood Surgery Center Doing Business As Name - Organization

Office Location

Street Address 13617 CALDWELL DR STE 200
City AUSTIN
State TX
Zip Code 78750-2324

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1649798166 Poest Dental Pllc Dentist 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 2017-09-05
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1790138691 Dr. Marc Amsili Dentist 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 2016-07-15
1972991743 Krista Yeh Nurse Practitioner 13617 Caldwell Drive, Austin, TX 78750 2015-01-02
1275960460 Kristyn Magoon Physician Assistant 13617 Caldwell Dr., Suite 100, Austin, TX 78750 2013-10-02
1023454386 Fuad Makkouk Ophthalmology 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 2013-05-14
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700400850 Falconhead Surgery Center LLC Clinic/Center 14425 Falconhead Blvd, Bldf. F, Ste. 111, Austin, TX 78733 2020-06-04
1609400290 Orthopaedic Associates of Central Texas Surgery Center, LLC Clinic/Center 7600 N Capital of Texas Hwy Ste A, Austin, TX 78731-1181 2020-02-24
1750913109 Careos Surgicenter, LLC Clinic/Center 3705 Medical Pkwy Ste 110, Austin, TX 78705-1019 2020-02-04
1205327277 Austin Gi Surgicenter, LLC Clinic/Center 8015 Shoal Creek Blvd Ste 300, Austin, TX 78757-8052 2018-05-24
1568979805 St Davids Austin Area Asc LLC Clinic/Center 12200 Renfert Way Ste G-2, Austin, TX 78758-5653 2018-01-09
1801317904 Austin Kidney Associates, P. A. Clinic/Center 8620 Burnet Rd Ste 400, Austin, TX 78757-7034 2017-06-29
1750765632 Four Points Surgery Center Lp Clinic/Center 10815 Ranch Road 2222, Ste 200, Austin, TX 78730-1159 2015-07-10
1306242888 Dustin L. Reid Md Pa Clinic/Center 901 W 38th St Ste 405, Austin, TX 78705-1162 2014-11-12
1437597812 Vivere Health Austin, LLC Clinic/Center 2200 Park Bend Dr Bldg 3, Ste 200, Austin, TX 78758-5387 2013-06-07
1043541790 Allied Center for Special Surgery, Austin, LLC Clinic/Center 3107 Oak Creek Drive Suite 100, Austin, TX 78727 2010-01-20
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Competitor

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City AUSTIN
Zip Code 78750

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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