M.D. Era, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0091015 Issued in TX

Legal business name

M.D. ERA, LLC

Practice address

6521 Burnet LN
Suite 108
Austin, TX 78757-2848

Phone

(512) 454-2727

Fax

(512) 454-2728

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Mattingly, CRT, RCP

Title

President

Phone

(512) 554-8669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689699563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 BURNET LN",
            "address_2": "SUITE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572848",
            "telephone_number": "512-454-2727",
            "fax_number": "512-454-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 BURNET LN",
            "address_2": "SUITE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572848",
            "telephone_number": "512-454-2727",
            "fax_number": "512-454-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.D. ERA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-554-8669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT, RCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0091015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PPO",
            "identifier": "532275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.