Organization Active NPI

Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1255722120
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDSPRING OF TEXAS, PA
Practice address
3301 N Ashland Ave
Chicago, IL 60657-2127
Phone
(312) 429-5752
Fax
(512) 485-7393
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Cheryl Kaderli
Title
Contracting Manager
Phone
(512) 765-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3301 N Ashland Ave
Chicago, IL 60657-2127

Mailing address

2901 Via Fortuna
Ste 600
Austin, TX 78746-7565
Phone (512) 765-9003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1255722120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 VIA FORTUNA",
            "address_2": "STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467565",
            "telephone_number": "512-765-9003",
            "fax_number": "512-410-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572127",
            "telephone_number": "312-429-5752",
            "fax_number": "512-485-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPRING OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KADERLI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "512-765-9003"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.