Organization Active NPI

Ron Mansolo MD PA

  • General Practice Physician
  • Leander, TX
National Provider Identifier
1679574685
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RON MANSOLO MD PA
Practice address
902 Crystal Falls Pkwy
Leander, TX 78641-3646
Phone
(512) 259-2222
Fax
(512) 259-2290
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Jennifer G Passons
Title
Office Manager
Phone
(512) 968-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

902 Crystal Falls Pkwy
Leander, TX 78641-3646

Mailing address

902 Crystal Falls Pkwy
Leander, TX 78641-3646
Phone (512) 259-2222

Other identifiers 1

IdentifierTypeStateIssuer
0039GHOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Leander Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

251 N Bell Blvd
Ste 116
Cedar Park, TX 78613
Phone (512) 249-6500

1802 S Highway 281
Lampasas, TX 76550
Phone (512) 556-8990

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1679574685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-259-2222",
            "fax_number": "512-259-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-259-2222",
            "fax_number": "512-259-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON MANSOLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "PASSONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-968-7570"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039GH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leander Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.