LITTLE RIVER MEDICAL GROUP (NPI# 1124422662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124422662 |
Entity Type | Organization |
Organization Name | LITTLE RIVER MEDICAL GROUP |
Practice Address |
1512 Leander Rd Georgetown TX 78628-8801 |
Practice Telephone | 5129487611 |
Mailing Telephone | 5129487611 |
Enumeration Date | 2014-10-13 |
Last Update Date | 2014-10-13 |
Authorized Official Name | JEFFREY P MADISON (CEO) |
Authorized Official Telephone | 5124464500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558800706 | Little River Medical Group | Exclusive Provider Organization | 1 Chisholm Trl, Round Rock, TX 78681-5008 | 2017-02-21 |
1326442195 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Suite 103, Temple, TX 76502-1838 | 2014-10-22 |
1699179465 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-22 |
1598169039 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1904 Railroad St, Georgetown, TX 78626-7718 | 2014-10-13 |
1639571052 | Little River Medical Group | Family Medicine | 5656 Bee Caves Rd, Suite M 300, West Lake Hills, TX 78746-5280 | 2014-09-17 |
1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
Street Address |
1512 LEANDER RD |
City | GEORGETOWN |
State | TX |
Zip Code | 78628-8801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073924932 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-05-14 |
1740789833 | Integrated Pain Associates Pa | Anesthesiology | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2018-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
Find all providers in zip 78628 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694999 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 940 W University Ave, Suite 101, Georgetown, TX 78626-6503 | 2020-03-18 |
1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
1649716085 | Mathes Pharmacy Store 2 Inc | Durable Medical Equipment & Medical Supplies | 1044 N Luther Rd, Georgetown, IN 47122-9122 | 2017-01-09 |
1043627193 | Tidewater Medical, Inc. | Durable Medical Equipment & Medical Supplies | 64 Central St, Georgetown, MA 01833-2423 | 2014-07-21 |
1245679612 | Hb Enterprise Inc | Durable Medical Equipment & Medical Supplies | 2506 Prince St, Georgetown, SC 29440-2930 | 2013-06-19 |
1407291982 | Georgetown Apothecary Pllc | Durable Medical Equipment & Medical Supplies | 1002 S Broadway St Ste 7, Georgetown, KY 40324-1463 | 2013-05-09 |
1730412362 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 926 S Broadway St, Georgetown, KY 40324-1471 | 2009-09-15 |
1467684712 | Arden Innovations | Durable Medical Equipment & Medical Supplies | 1280 County Road 100, Georgetown, TX 78626-2255 | 2009-08-20 |
1164663787 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1220 W University Ave, Georgetown, TX 78628-5333 | 2009-03-11 |
1730329277 | Ingram Pharmacy Pllc Dba Hometown Pharmacy | Durable Medical Equipment & Medical Supplies | 1502 Oxford Dr Ste 150, Suite 150, Georgetown, KY 40324-8095 | 2009-02-24 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 78628 |
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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.