Active NPI
McLennan County Hospitalist Services PA
- Internal Medicine Physician
- Waco, TX
National Provider Identifier
1639242548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MCLENNAN COUNTY HOSPITALIST SERVICES PA
- Practice address
- 6901 Medical Parkway
Waco, TX 76712 - Phone
- (254) 741-0172
- NPI assigned
- Nov 16, 2006
- 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
- Steven Elwell, MD
- Title
- President
- Phone
- (254) 751-4551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6901 Medical Parkway
Waco, TX 76712
Mailing address
PO Box 674047
Dallas, TX 75267-4047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186978601 | Medicaid | TX | |
| 0089PD | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070705000609 | TX | Part B Supplier - Clinic/Group Practice | 1759481724 |
Receives reassigned benefits from 32 practitioners Practice locations: Waco, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 45
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604448000000",
"number": "1639242548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674047",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PARKWAY",
"city": "WACO",
"state": "TX",
"postal_code": "76712",
"telephone_number": "254-741-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLENNAN COUNTY HOSPITALIST SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A",
"authorized_official_last_name": "ELWELL",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "254-751-4551",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186978601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0089PD",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.