Little River Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LITTLE RIVER MEDICAL GROUP

Practice address

5656 Bee Caves Rd
Suite M 300
West Lake Hills, TX 78746-5280

Phone

(512) 807-3270

NPI assigned

Sep 17, 2014

Last updated

May 14, 2015By 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

Jeffrey P Madison

Title

Ceo

Phone

(512) 446-4500

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rockdale Blackhawk LLC

  dba Little River Healthcare Speciality Clinic

  • Prosthetic/Orthotic Supplier
  • Georgetown, TX
  • NPI 1073924932

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1639571052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE M 300",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-807-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE M 300",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-807-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE RIVER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-446-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lin, DDS
• Lindesmith Chiropractic, LLC
• Rebecca Anne Lindesmith, D.C.
• Lindsay Luongo, LCSW, PLLC
• Lisa M. Jukes, MD, PA
• Abby Nicole Locascio, OTD, OTR
• Eric Locker, MD
• Judith M Lockhart, CCC-SLP
• Kennedy Ivy Lohr
• Lone Star Anesthesiology, PA (The Pain and Stress Management Center)

• Family Medicine Physician in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.