GREATER ATLANTA LITHOTRIPSY, LLC (NPI# 1417038571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417038571 |
| Entity Type | Organization |
| Organization Name | GREATER ATLANTA LITHOTRIPSY, LLC |
| Practice Address |
1301 Capital of Texas Suite B200 Austin TX 78746-6574 |
| Mailing Address |
Po Box 847324 Dallas TX 75284-7324 |
| Practice Telephone | 5123144331 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THERESA DAVIS (DIRETCOR, CBO) |
| Authorized Official Telephone | 5123144331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| Street Address |
1301 CAPITAL OF TEXAS SUITE B200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184878027 | Gulf South Lithotripsy, LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4930 | 2008-11-05 |
| 1447349360 | Sun Medical Technologies, Inc. | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2006-10-11 |
| 1760768394 | Louisville Lithotripsy LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4913 | 2011-10-27 |
| 1043456262 | Mid-atlantic Mobile Lithotripsy LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4930 | 2008-12-17 |
| 1144480419 | Blue Ridge Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-11 |
| 1437319704 | San Diego Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-11 |
| 1902066483 | Gold Coast Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-10 |
| 1609083252 | Si Lithotripsy LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2007-05-16 |
| 1396960050 | Rocky Mountain Laser, L.p. | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2007-04-16 |
| 1609959832 | Sun Medical Technologies, Inc | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2006-10-23 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on GREATER ATLANTA LITHOTRIPSY, 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.