NPIMap

Organization Active NPI

Scott & White Hospital - Round Rock

  • Durable Medical Equipment & Medical Supplies
  • Round Rock, TX
National Provider Identifier
1053805069
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCOTT & WHITE HOSPITAL - ROUND ROCK
Practice address
300 University Blvd
BLDG a, 2ND Floor
Round Rock, TX 78665
Phone
(512) 509-0200
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Jay Fox
Title
Ceo
Phone
(512) 509-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

300 University Blvd
BLDG a, 2ND Floor
Round Rock, TX 78665

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other names 1

  • ROUND ROCK DME PODIATRY Other name

National Provider Directory

National Provider Directory
Tax ID family
Scott White Hospital - Round Rock2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 University Blvd
Bldg A
Round Rock, TX 78665
Phone (512) 509-0100

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1053805069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "address_2": "BLDG A, 2ND FLOOR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-509-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE HOSPITAL - ROUND ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-509-0409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROUND ROCK DME PODIATRY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ROUND ROCK DME PODIATRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 22, 2020; 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.