LODESPOTO MEDICAL, PLLC (NPI# 1659823128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659823128 |
Entity Type | Organization |
Organization Name | LODESPOTO MEDICAL, PLLC |
Practice Address |
100 Congress Ave Ste 2000 Austin TX 78701-2745 |
Mailing Address |
Po Box 958 Port Jefferson Station NY 11776-0811 |
Practice Telephone | 9725034419 |
Practice Fax Number | 8447534371 |
Mailing Telephone | 9725034419 |
Mailing Fax Number | 8447534371 |
Enumeration Date | 2016-10-31 |
Last Update Date | 2017-10-25 |
Authorized Official Name | MARK LODESPOTO (OWNER) |
Authorized Official Telephone | 9725034419 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians |
Street Address |
100 CONGRESS AVE STE 2000 |
City | AUSTIN |
State | TX |
Zip Code | 78701-2745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417206905 | Jenny Yi-ching Baggett | Behavioral Analyst | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2012-08-30 |
1568069821 | Olivia Duren | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-10-08 |
1508473729 | Brittney Ann Ruiz | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-30 |
1154937712 | Amber Vest | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-18 |
1457967085 | Cristian Ramon Batista | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-18 |
1982210696 | Katelyn Hudson-hartley | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-17 |
1215543236 | Ttory Capes | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-16 |
1609482595 | Kelli Meeks | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-09-16 |
1932712130 | Matthew Lawrence Tyne Swanson | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-08-26 |
1124631544 | Jillian Munday | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2020-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
Find all providers in zip 78701 |
Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
1821029224 | Central Tx Radiology & Spine Consultants Pa | Radiology | 4316 James Casey St Ste E1, Austin, TX 78745-1157 | 2006-07-05 |
1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
1295739092 | Barry L Horowitz | Radiology | 10900 Stonelake Blvd, Ste 250, Austin, TX 78759-5873 | 2005-06-09 |
1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
1386806362 | Michal Klysik | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2008-06-30 |
1386840940 | Ryan W Vancura | Radiology | 12554 Riata Vista Circle, Austin, TX 78727-6431 | 2007-06-21 |
1346453313 | Bhairav N Patel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2007-05-07 |
1649353509 | Mark A. Auler | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-10-23 |
1609884089 | Nabeel Farhataziz | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-08-03 |
Find all providers in AUSTIN |
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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.