Organization Active NPI

Gulf Coast II Lithotripsy LP

  • Lithotripsy Clinic/Center
  • Baytown, TX
National Provider Identifier
1871595397
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
Legal business name
GULF COAST II LITHOTRIPSY LP
Practice address
154 N Burnet Dr
Baytown, TX 77520-1104
Phone
(770) 851-6987
NPI assigned
Aug 15, 2005
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Tracy M Stolarski
Title
VP for General Partner
Phone
(404) 255-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X NU Primary

Addresses

Primary practice location

154 N Burnet Dr
Baytown, TX 77520-1104

Mailing address

750 Hammond Dr NE
BLDG 18 Ste 100
Atlanta, GA 30328-5532
Phone (404) 255-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1871595397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "address_2": "BLDG 18 STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-255-9300",
            "fax_number": "404-255-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N BURNET DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201104",
            "telephone_number": "770-851-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST II LITHOTRIPSY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "STOLARSKI",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FOR GENERAL PARTNER",
        "authorized_official_telephone_number": "404-255-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.