Scott & White Memorial Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

007219 Issued in TX

Legal business name

SCOTT & WHITE MEMORIAL HOSPITAL

Doing business as

Baylor Scott & White Dialysis Center - Round Rock

Practice address

2120 N Mays Rock Creek PLZ#230
Round Rock, TX 78664-2192

Phone

(512) 238-2900

Fax

(512) 238-2914

NPI assigned

Apr 19, 2006

Organization subpart

Yes

Parent organization

SCOTT & WHITE MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Christopher L Olsen

Title

Cfo

Phone

(254) 724-4556

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Baylor Scott & White Dialysis Center - Round Rock Doing business as

Part of

Scott and White Hospital

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1760447163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847790",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847790",
            "telephone_number": "254-215-9522",
            "fax_number": "254-215-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ROCK CREEK PLZ#230",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642192",
            "telephone_number": "512-238-2900",
            "fax_number": "512-238-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT & WHITE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-724-4556"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "007219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127383-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH6381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Dialysis Center - Round Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Dejean Scioneaux, LOT
• Shelley Scotka, ICD, ICCE
• Scott & White Clinic (Scott & White Round Rock Optical Center)
• Scott & White Hospital - Round Rock
• Scott & White Hospital - Round Rock (Baylor Scott & White Medical Center - Round Rock)
• Scott & White Memorial Hospital (Baylor Scott & White Hospice - Austin)
• Scott and White Healthcare
• Angelica Dionne Scott, LPC
• Bailey Scott, RBT
• Chelsea Scott, LCSW-S

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.