ROCKDALE BLACKHAWK LLC (NPI# 1245514975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245514975 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK LLC |
| Other Organization Name | RICHARDS MEMORIAL HOSPITAL |
| Practice Address |
715 Discovery Blvd Suite 102 Cedar Park TX 78613-2287 |
| Practice Telephone | 5122598222 |
| Practice Fax Number | 5122598270 |
| Mailing Telephone | 5122598222 |
| Mailing Fax Number | 5122598270 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | JEFFERY P MADISON (CEO) |
| Authorized Official Telephone | 5124464500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RICHARDS MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073924932 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-05-14 |
| 1407072358 | Rockdale Blackhawk LLC | Clinic/Center | 708 N Crockett Ave, Cameron, TX 76520-2551 | 2007-04-18 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| 1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
| 1811339831 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1904 Railroad St, Georgetown, TX 78626-7718 | 2013-07-18 |
| 1033483086 | Rockdale Blackhawk LLC | General Practice | 5656 Bee Cave Rd, Suite M-300, West Lake Hills, TX 78746-5280 | 2012-03-07 |
| 1831479682 | Rockdale Blackhawk LLC | Clinic/Center | 1528 Leander Rd, Georgetown, TX 78628-8801 | 2011-08-25 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1083903843 | Rockdale Blackhawk LLC | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-01 |
| 1427353770 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156 | 2011-01-18 |
| Street Address |
715 DISCOVERY BLVD SUITE 102 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083661862 | Cedar Park Radiology L.p. | Radiologic Technologist | 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 | 2006-05-27 |
| 1619339959 | Total Accessibility Inc | Durable Medical Equipment & Medical Supplies | 715 Discovery Blvd, Suite 504, Cedar Park, TX 78613-2287 | 2016-03-25 |
| 1962802884 | Hannah Stivers | Acupuncturist | 715 Discovery Blvd, Suite 412, Cedar Park, TX 78613-2287 | 2014-08-27 |
| 1720496698 | Kristin Michelle Hein | Occupational Therapist | 715 Discovery Blvd, Suit 311, Cedar Park, TX 78613-2287 | 2014-07-23 |
| 1639586787 | Jennifer Masgras | Physical Therapist | 715 Discovery Blvd, Suite 311, Cedar Park, TX 78613-2287 | 2014-07-21 |
| 1932515673 | Usaacumed, P.l.l.c. | Family Medicine | 715 Discovery Blvd, Suite 412a, Cedar Park, TX 78613-2287 | 2014-07-02 |
| 1639581879 | Nicole Christine Johnson | Social Worker | 715 Discovery Blvd, Suite 115, Cedar Park, TX 78613-2287 | 2014-05-22 |
| 1104249713 | Masoud Issat | Registered Nurse | 715 Discovery Blvd, Suite 405, Cedar Park, TX 78613-2287 | 2014-02-03 |
| 1285069385 | Brittany Megan Pickard | Occupational Therapist | 715 Discovery Blvd, Suite 115, Cedar Park, TX 78613-2287 | 2013-09-08 |
| 1679915243 | Seven Oaks Medical Centers Inc. | Clinic/Center | 715 Discovery Blvd, Ste. 112, Cedar Park, TX 78613-2287 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770888026 | Rockdale Blackhawk LLC | Clinic/Center | 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on ROCKDALE BLACKHAWK LLC.
| 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.