Active NPI
Ron Mansolo MD PA
- General Practice Physician
- Leander, TX
National Provider Identifier
1679574685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039GH | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Leander Primary Care
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1396895579
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.