Organization Active NPI

Lodespoto Medical, PLLC

  • Neuroradiology Physician
  • Austin, TX
National Provider Identifier
1659823128
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Legal business name
LODESPOTO MEDICAL, PLLC
Practice address
100 Congress Ave Ste 2000
Austin, TX 78701-2745
Phone
(972) 503-4419
Fax
(844) 753-4371
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Mark Lodespoto, MD
Title
Owner
Phone
(972) 503-4419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X Primary

Addresses

Primary practice location

100 Congress Ave Ste 2000
Austin, TX 78701-2745

Mailing address

PO Box 958
Port Jefferson Station, NY 11776-0811
Phone (972) 503-4419

National Provider Directory

National Provider Directory

Locations

822 W Main St
League City, TX 77573
Phone (281) 814-6825

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1659823128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760811",
            "telephone_number": "972-503-4419",
            "fax_number": "844-753-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONGRESS AVE STE 2000",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012745",
            "telephone_number": "972-503-4419",
            "fax_number": "844-753-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESPOTO MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-503-4419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 25, 2017; 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.