Active NPI
Capitol Medical Service, LLC
- Public Health & General Preventive Medicine Physician
- Austin, TX
National Provider Identifier
1548868896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- CAPITOL MEDICAL SERVICE, LLC
- Practice address
- 1107 River Ridge Dr
Austin, TX 78732-6133 - Phone
- (972) 523-1853
- NPI assigned
- Oct 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Trevor Cone
- Title
- Director of Sales
- Phone
- (972) 523-1853
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary | ||
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
1107 River Ridge Dr
Austin, TX 78732-6133
Mailing address
1107 River Ridge Dr
Austin, TX 78732-6133
Phone (972) 523-1853
Other names 1
- Capitol Medical Service
National Provider Directory
National Provider DirectoryLocations
172 Trademark St
Buda, TX 78610
Phone (512) 968-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1548868896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 RIVER RIDGE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787326133",
"telephone_number": "972-523-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 RIVER RIDGE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787326133",
"telephone_number": "972-523-1853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL MEDICAL SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "CONE",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "DIRECTOR OF SALES",
"authorized_official_telephone_number": "972-523-1853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083T0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Medical Toxicology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capitol Medical Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.