Organization Active NPI

Capitol Medical Service, LLC

  • Public Health & General Preventive Medicine Physician
  • Austin, TX
National Provider Identifier
1548868896
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
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

Updated by the provider on Oct 9, 2020

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)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.