Organization Active NPI

Liberty Hill Surgery Center LLC

  • Surgical Assistant
  • Liberty Hill, TX
National Provider Identifier
1669845632
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
LIBERTY HILL SURGERY CENTER LLC
Practice address
171 Rock House Dr
Liberty Hill, TX 78642-6305
Phone
(512) 656-2928
Fax
(512) 343-2598
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Timothy Andrew Marvin, SANPI 1497866263
Title
Ceo
Phone
(512) 656-2928

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

171 Rock House Dr
Liberty Hill, TX 78642-6305

Mailing address

171 Rock House Dr
Liberty Hill, TX 78642-6305
Phone (512) 656-2928

Other names 1

  • Liberty Hill Surgical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1669845632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ROCK HOUSE DR",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426305",
            "telephone_number": "512-656-2928",
            "fax_number": "512-343-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ROCK HOUSE DR",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426305",
            "telephone_number": "512-656-2928",
            "fax_number": "512-343-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HILL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-656-2928",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Hill Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.