South Lamar Austin Emergency Center, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

SOUTH LAMAR AUSTIN EMERGENCY CENTER, LLC

Doing business as

Austin Emergency Room

Practice address

4015 S Lamar Blvd
Austin, TX 78704-7966

Phone

(512) 598-8901

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ALTUS AUSTIN EMERGENCY CENTER HOLDCO, LLCAs reported in NPPES

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

Authorized official

Name

Kraig Killough

Title

Coo

Phone

(832) 230-8100

Specialties & licenses 1

Addresses

Other names 1

• AUSTIN EMERGENCY ROOM Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrico Gulua Aguas, MD

  • Internal Medicine Physician
  • Crosbyton, TX
  • NPI 1285697979
  Medicare reassignment NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1477130276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST LOOP S STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279510",
            "telephone_number": "832-230-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047966",
            "telephone_number": "512-598-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAMAR AUSTIN EMERGENCY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTUS AUSTIN EMERGENCY CENTER HOLDCO, LLC",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KILLOUGH",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-230-8100"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTIN EMERGENCY ROOM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Austin Speech & Language, PLLC
• South Austin Surgery Center LTD (Surgicare of South Austin)
• South Austin Therapy Group, Inc (South Austin Therapy)
• South Austin TX Caregiving LLC
• South Austin Womens Healthcare PA (The Women's Health Team)
• South Meadows Recovery, Inc.
• South Oaks Family Medicine, P.a.
• South Oaks SCC LLC (Brodie Ranch Nursing & Rehab Center)
• South Orange County Lithotripters, LLC
• South Texas Institutes of Health Inc

• Emergency Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.