Seton Family of Doctors

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SETON FAMILY OF DOCTORS

Doing business as

Ascension Medical Group Imaging

Practice address

1528 Leander Rd
Suite 102
Georgetown, TX 78628

Phone

(512) 863-0782

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philis Mahon

Title

Director

Phone

(512) 324-5837

Specialties & licenses 1

Addresses

Other names 1

• Ascension Medical Group Imaging Doing business as

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1629538491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST",
            "address_2": "SUITE 410.3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-863-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LEANDER RD",
            "address_2": "SUITE 102",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-863-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON FAMILY OF DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "PHILIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-324-5837"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.