NPIMap

Organization Active NPI

Running Wild Sea, LLC

  • Sports Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1063910842
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
RUNNING WILD SEA, LLC
Practice address
8557 Research Blvd Ste 128
Austin, TX 78758-7855
Phone
(512) 836-7399
Fax
(512) 836-7399
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Loann Trinh, DONPI 1548240799
Title
Director
Phone
(512) 944-4585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

8557 Research Blvd Ste 128
Austin, TX 78758-7855

Mailing address

PO Box 10414
Austin, TX 78766-1414
Phone (512) 944-4585

Other practice location 1

7110 Cameron Rd Ste E
Austin, TX 78752-2868
Phone (512) 458-6900

National Provider Directory

National Provider Directory

Locations

7110 Cameron Rd
Ste E
Austin, TX 78752
Phone (512) 326-9200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1063910842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10414",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661414",
            "telephone_number": "512-944-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8557 RESEARCH BLVD STE 128",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587855",
            "telephone_number": "512-836-7399",
            "fax_number": "512-836-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 Cameron Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787522868",
            "country_code": "US",
            "telephone_number": "512-458-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUNNING WILD SEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "LOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-944-4585",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.