Hill Country Neurology P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J9821 Issued in TX

Legal business name

HILL COUNTRY NEUROLOGY P.A.

Practice address

1009 S Milam St
Suite 4
Fredericksburg, TX 78624-4578

Phone

(830) 990-0064

Fax

(830) 990-1173

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Linda Evans

Title

Billing Manager

Phone

(830) 990-0064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Matthew Emanuel Stotz, M.D.

  • Neurology Physician
  • Fredericksburg, TX
  • NPI 1063738235
  Medicare reassignment Care Compare group NPD
• Ronald Alvin Stotz, MD

  • Neurology Physician
  • Fredericksburg, TX
  • NPI 1790721447
  Medicare reassignment Care Compare group NPD
• Dusti Lorraine Melucci, FNP-C

  • Adult Health Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1528980265
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1477960573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S MILAM ST",
            "address_2": "SUITE 4",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244578",
            "telephone_number": "830-990-0064",
            "fax_number": "830-990-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S MILAM ST",
            "address_2": "SUITE 4",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244578",
            "telephone_number": "830-990-0064",
            "fax_number": "830-990-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY NEUROLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "830-990-0064"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hill Country Memorial Hospital
• Hill Country Memorial Hospital
• Hill Country Memorial Hospital
• Hill Country Memorial Hospital-CHC
• Hill Country Midwifery PC
• Hill Country Pain Associates, P.a.
• Hill Country Physician Associates
• Hill Country Physicians Associates
• Hill Country Primary Care Physicians
• Hill Country Vascular PA

• Specialist in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.