Eswct Cedar Park, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ESWCT CEDAR PARK, LLC

Doing business as

Baylor Scott & White Emergency Medical Center at Cedar Park

Practice address

900 East Whitestone Blvd.
Cedar Park, TX 78613

Phone

(713) 637-1044

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

John Buck, M.D.

Title

President

Phone

(713) 637-1044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Baylor Scott & White Emergency Medical Center at Cedar Park Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670087

Legal name

BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER AT C

Certification status

Terminated Voluntary: merger or closure, Jul 1, 2019

Provider type (POS)

Hospital – Short-term

Participating since

Jul 11, 2013

Last certification

May 11, 2016

Beds

8

Ownership / control type

Hospital district or authority

Facility address

900 East Whitestone Blvd
Cedar Park, TX 78613

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Scott & White Hospital - Round Rock

  dba Baylor Scott & White Medical Center - Round Rock

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1265568638

  Member Of

  NPD member

Practitioners 1

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

• Toby Hamilton, M.D.

  • Emergency Medicine Physician
  • Tomball, TX
  • NPI 1295711232
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1144566316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "713-637-1044",
            "fax_number": "281-292-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EAST WHITESTONE BLVD.",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "713-637-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESWCT CEDAR PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-637-1044",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325449201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Emergency Medical Center at Cedar Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melodi Esmaili, O.D.
• Mabel Espinoza, BCBA, LBA
• Aya Essmat, DMD
• Franchesca C Estrada, MD
• Laura Segura Estupinan Cardenas
• Christopher Eugenio, OD
• David Nathan Evans
• Jayme Balderson Evans, JAYME EVANS
• Lacey Lee Evans
• Mitchell D Evans, MD

• General Acute Care Hospital in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.