Organization Active NPI

Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1376941849
Registry record updated Dec 15, 2014
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
219 W Chicago Ave
Chicago, IL 60654-5600
Phone
(888) 980-0505
Fax
(512) 485-7393
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

219 W Chicago Ave
Chicago, IL 60654-5600

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": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1376941849",
    "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": "219 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545600",
            "telephone_number": "888-980-0505",
            "fax_number": "512-485-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPRING OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "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 Dec 15, 2014; 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.