VINTAGE LITHOTRIPSY, LLC (NPI# 1689100893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689100893 |
| Entity Type | Organization |
| Organization Name | VINTAGE LITHOTRIPSY, LLC |
| Practice Address |
5150 Broadway St San Antonio TX 32304-5710 |
| Mailing Address |
6339 E Speedway Blvd Tucson AZ 85710-1147 |
| Practice Telephone | 5203238732 |
| Practice Fax Number | 5205471865 |
| Mailing Telephone | 5203238732 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | LACEY DINH (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 5203238732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
5150 BROADWAY ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 32304-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396705471 | Guilford Robinson | Internal Medicine | 5150 Broadway St, 610, San Antonio, TX 78209-5710 | 2006-03-24 |
| 1649781147 | Direct Surgical Services, LLC | Clinic/Center | 5150 Broadway St, San Antonio, TX 78209-5710 | 2017-10-24 |
| 1982147427 | Urology San Antonio, P.a. | Clinic/Center | 5150 Broadway St, San Antonio, TX 78209-5710 | 2016-12-01 |
| 1073983573 | Rio Grande Surgical Services, LLC | Clinic/Center | 5150 Broadway St, San Antonio, TX 78209-5710 | 2015-09-28 |
| 1932472420 | Driving Solutions for Disabilities, LLC | Contractor | 5150 Broadway St, Suite 604, San Antonio, TX 78209-5710 | 2012-02-15 |
| 1316273816 | Longhorn Surgical Services, LLC | Clinic/Center | 5150 Broadway St, #189, San Antonio, TX 78209-5710 | 2009-10-19 |
| 1265610372 | Third Coast Surgical Services, LLP | Clinic/Center | 5150 Broadway St, Box 189, San Antonio, TX 78209-5710 | 2008-01-31 |
| 1750569869 | Waco Lithotripsy, LLC | Clinic/Center | 5150 Broadway St, Box 189, San Antonio, TX 78209-5710 | 2008-01-31 |
| 1205014222 | Denton Surgical Services, LLC | Clinic/Center | 5150 Broadway St, Box 189, San Antonio, TX 78209-5710 | 2008-01-31 |
| 1326226416 | Matagorda Lithotripsy, LLP | Clinic/Center | 5150 Broadway St, Box 189, San Antonio, TX 78209-5710 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1538782743 | Huebner Creek Surgery Center, Pllc | Clinic/Center | 9819 Huebner Rd Ste 118, San Antonio, TX 78240-3253 | 2020-05-21 |
| 1376164475 | Orthopaedic Surgery Center of San Antonio Lp | Clinic/Center | 19138 N Us Hwy 281, Ste 300, San Antonio, TX 78258-4988 | 2020-04-29 |
| 1669945358 | Comfort Surgery Center of San Antonio LLC | Clinic/Center | 1919 Rogers Rd Ste 102, San Antonio, TX 78251-4775 | 2019-01-07 |
| 1972096568 | Nuvision Same Day Procedure Center LLC | Clinic/Center | 9725 Datapoint Dr Ste 136, San Antonio, TX 78229-2384 | 2018-06-08 |
| 1124522479 | Jones Maltsberger Asc Inc | Clinic/Center | 11503 Jones Maltsberger Rd # 1106, San Antonio, TX 78216-2818 | 2018-03-21 |
| 1447765714 | Center for Ambulatory Surgery of America | Clinic/Center | 8042 Wurzbach Rd Ste 130a, San Antonio, TX 78229-3818 | 2017-12-08 |
| 1114396991 | Alamo City Surgery Center | Clinic/Center | 7402 John Smith, Suite 104, San Antonio, TX 78229-4588 | 2015-09-22 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 32304 |
Please comment or provide details below to improve the information on VINTAGE 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.