Organization Active NPI

Aspen Medical LLC

  • Clinical Neurophysiology Physician
  • Schertz, TX
National Provider Identifier
1093158289
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
ASPEN MEDICAL LLC
Practice address
524 Exchange Ave
Suite C
Schertz, TX 78154-2116
Phone
(210) 566-2333
Fax
(210) 566-1330
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Mr. Scott Laroque, CNIM
Title
President
Phone
(210) 566-2333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X
Clinical Neurophysiology Physician 2084N0600X Primary

Addresses

Primary practice location

524 Exchange Ave
Suite C
Schertz, TX 78154-2116

Mailing address

PO Box 592442
San Antonio, TX 78259-0172
Phone (210) 566-2333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1093158289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592442",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590172",
            "telephone_number": "210-566-2333",
            "fax_number": "210-566-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 EXCHANGE AVE",
            "address_2": "SUITE C",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542116",
            "telephone_number": "210-566-2333",
            "fax_number": "210-566-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-566-2333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.