Capital Medical Group Trust

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAPITAL MEDICAL GROUP TRUST

Practice address

1301 W 38TH St
Suite 601
Austin, TX 78705-1000

Phone

(512) 454-5171

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Peter Hager

Title

Administrator

Phone

(512) 454-5171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1790725927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WEST 38TH STREET",
            "address_2": "SUITE 601",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "SUITE 601",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-454-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL GROUP TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-454-5171"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Imaging Association
• Capital Imaging Centers
• Capital Injury Clinic PLLC
• Capital Integrated Center PLLC
• Capital Medical Clinic, LLP
• Capital MRI LLC
• Capital Neurosurgical Association
• Capital OBGYN Associates of Texas, PA
• Capital Optometry Group, PA
• Capital Orthodontics PA

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.