Mason Dessau Op LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

135482 Issued in TX

Legal business name

MASON DESSAU OP LLC

Practice address

11020 Dessau Road
Austin, TX 78754-2053

Phone

(512) 873-2244

Fax

(512) 873-2249

NPI assigned

Jun 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell A. Clark

Title

Administrator

Phone

(512) 873-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar View Rehabilitation and Healthcare Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1053547463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 DESSAU RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542053",
            "telephone_number": "512-873-2244",
            "fax_number": "512-873-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 DESSAU ROAD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542053",
            "telephone_number": "512-873-2244",
            "fax_number": "512-873-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DESSAU OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-873-2244"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "135482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "104003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar View Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Masaryk, MD
• Toni Marie Mascarenas, LAC
• Lauren Masciarelli, MA, LPC-S, LMFT-S
• Alondra Anahid Mascorro, LPC
• Yana Nicole Maskov
• Amy R Mason, M.D.
• Christina J. Mason, M.S.
• Crista Mason, PHARMD
• Ingrid Mason, MSN, APRN, PMHNP
• Jonathan Thomas Mason, DO

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.