Organization Active NPI

Institute of Reconstructive Plastic Surgery of Central Texas

Doing business as Seton Institute of Reconstructive Plastic Surgery

  • Plastic Surgery Physician
  • Round Rock, TX
National Provider Identifier
1437493244
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS
Doing business as
Seton Institute of Reconstructive Plastic Surgery
Practice address
301 Seton Pkwy
Ste 402
Round Rock, TX 78665-8002
Phone
(512) 324-4815
Fax
(512) 324-4726
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Ms. Jamine Rose Padilla
Title
Sr Dept Assistant
Phone
(512) 324-8320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X TX Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X TX

Addresses

Primary practice location

301 Seton Pkwy
Ste 402
Round Rock, TX 78665-8002

Mailing address

1400 N Ih 35
Ste 320
Austin, TX 78701-1926
Phone (512) 324-8320

Other identifiers 1

IdentifierTypeStateIssuer
203606301MedicaidTX

Other names 1

  • SETON INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

3724 Executive Center Dr
Ste 115
Austin, TX 78731
Phone (512) 324-2765

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

Practitioners & affiliated clinicians

Practitioners 5

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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1437493244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8320",
            "fax_number": "512-324-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY",
            "address_2": "STE 402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658002",
            "telephone_number": "512-324-4815",
            "fax_number": "512-324-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "JAMINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "SR DEPT ASSISTANT",
        "authorized_official_telephone_number": "512-324-8320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203606301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SETON INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.