ROCKDALE BLACKHAWK LLC


Address: 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156
Phone: 5123320222

ROCKDALE BLACKHAWK LLC (NPI# 1427353770) 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) 1427353770
Entity Type Organization
Organization Name ROCKDALE BLACKHAWK LLC
Other Organization Name LITTLE RIVER HEALTHCARE BASTROP IMAGING
Practice Address 3101 Highway 71 E
Suite 108
Bastrop
TX 78602-5156
Practice Telephone 5123320222
Mailing Telephone 5123320222
Enumeration Date 2011-01-18
Last Update Date 2015-05-14
Authorized Official Name JEFFREY P MADISON (OWNER)
Authorized Official Telephone 5124464500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Little River Healthcare Bastrop Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

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
1245514975 Rockdale Blackhawk LLC Clinic/Center 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 2011-09-29
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

Office Location

Street Address 3101 HIGHWAY 71 E
SUITE 108
City BASTROP
State TX
Zip Code 78602-5156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528027992 James Handy Podiatrist 3101 Highway 71 E, Ste#211, Bastrop, TX 78602-5156 2006-03-22
1902271935 Central Texas Pain Institute, Pllc Durable Medical Equipment & Medical Supplies 3101 Highway 71 E, Suite 211, Bastrop, TX 78602-5156 2015-12-02
1295015055 Rockdale Blackhawk LLC Clinic/Center 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 2011-08-25
1427362219 Olivia Yvette Blankenship Nurse Practitioner 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 2010-08-04
1073754719 Marci A. Roy, M. D., Pllc Specialist 3101 Highway 71 E, Suite 201, Bastrop, TX 78602-5156 2009-03-10
1831334291 Daniel J Ladd Jr Do Pa Dba Austin Center for Skin Health and Rejuvenat Ophthalmology 3101 Highway 71 E, #201, Bastrop, TX 78602-5156 2008-12-12
1578727731 Texas Orthopedics Sports and Rehabilitation Associates Pa Orthopaedic Surgery 3101 Highway 71 E, Suite 201, Bastrop, TX 78602-5156 2008-07-16
1265658025 William Edward Mcmanus Physician Assistant 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 2007-04-18
1730212473 Bastrop Open Mri L L P Partnership Clinic/Center 3101 Highway 71 E, Suite #108, Bastrop, TX 78602-5156 2007-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467076489 Eve Barton Counselor 1368 Farm-to-market Road, Bastrop, TX 78602 2020-06-05
1679030365 Pompeyo C. Chavez, M.d., Pllc Family Medicine 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 2019-02-28
1477025815 Anna Slavinsky Pharmacist 504 State Highway 71 W, Bastrop, TX 78602 2018-12-26
1770076689 Frontier Radiology Clinic/Center 3101 Highway 71e Suite 108, Bastrop, TX 78602 2018-06-14
1881101301 The Dentists Pllc Dentist 301 Highway 71 W Ste 200, Bastrop, TX 78602 2018-01-05
1598286148 Roadrunner Ultrasound Equipment, LLC Physiological Laboratory 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 2017-07-05
1093252611 Bastrop Modern Dentistry,pc Dentist 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 2017-01-20
1619426301 Josie Cedillo Social Worker 1011 Alley A, Bastrop, TX 78602 2016-09-23
1235508565 Bonnie Jean Kemnitz Veterinarian 2900 Tx-95 North, Bastrop, TX 78602 2015-09-16
1457749558 Rudy Torres Jr. Occupational Therapy Assistant 140 Nanakuli Drive, Bastrop, TX 78602 2014-12-26
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770076689 Frontier Radiology Clinic/Center 3101 Highway 71e Suite 108, Bastrop, TX 78602 2018-06-14
1255360558 Morehouse Computerized Imaging Clinic/Center 416 Gunby Ave, Bastrop, LA 71220-4406 2006-07-01
1295015055 Rockdale Blackhawk LLC Clinic/Center 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 2011-08-25
1730212473 Bastrop Open Mri L L P Partnership Clinic/Center 3101 Highway 71 E, Suite #108, Bastrop, TX 78602-5156 2007-03-13

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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
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Competitor

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City BASTROP
Zip Code 78602

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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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