Active NPI
Russ Flinn Yeager
- Orthotist
- Round Rock, TX
National Provider Identifier
1033519277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 1576
- Practice address
- 555 Round Rock West Dr
Suite 100-D
Round Rock, TX 78681-5052 - Phone
- (512) 341-3700
- Fax
- (512) 341-3738
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1576 | TX | Primary |
| Prosthetist | 224P00000X | 1576 | TX |
Addresses
Primary practice location
555 Round Rock West Dr
Suite 100-D
Round Rock, TX 78681-5052
Mailing address
555 Round Rock West Dr
Suite 100-D
Round Rock, TX 78681-5052
Phone (512) 341-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1576 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Rock Orthotics & Prosthetics, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Austin, TX
- NPI 1447366869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1033519277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 ROUND ROCK WEST DR",
"address_2": "SUITE 100-D",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786815052",
"telephone_number": "512-341-3700",
"fax_number": "512-341-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 ROUND ROCK WEST DR",
"address_2": "SUITE 100-D",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786815052",
"telephone_number": "512-341-3700",
"fax_number": "512-341-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "RUSS",
"middle_name": "FLINN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "1576",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "1576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.