ROCKDALE BLACKHAWK LLC (NPI# 1033483086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033483086 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK LLC |
| Other Organization Name | LITTLE RIVER HEALTHCARE WESTLAKE CLINIC |
| Practice Address |
5656 Bee Cave Rd Suite M-300 West Lake Hills TX 78746-5280 |
| Mailing Address |
Po Box 1010 Rockdale TX 76567-1010 |
| Practice Telephone | 5128073270 |
| Practice Fax Number | 5128073328 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | JEFFREY P MADISON (CEO) |
| Authorized Official Telephone | 5124464500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Little River Healthcare Westlake Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073924932 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-05-14 |
| 1407072358 | Rockdale Blackhawk LLC | Clinic/Center | 708 N Crockett Ave, Cameron, TX 76520-2551 | 2007-04-18 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| 1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
| 1811339831 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1904 Railroad St, Georgetown, TX 78626-7718 | 2013-07-18 |
| 1245514975 | Rockdale Blackhawk LLC | Clinic/Center | 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 | 2011-09-29 |
| 1831479682 | Rockdale Blackhawk LLC | Clinic/Center | 1528 Leander Rd, Georgetown, TX 78628-8801 | 2011-08-25 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1083903843 | Rockdale Blackhawk LLC | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-01 |
| 1427353770 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156 | 2011-01-18 |
| Street Address |
5656 BEE CAVE RD SUITE M-300 |
| City | WEST LAKE HILLS |
| State | TX |
| Zip Code | 78746-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637439 | Kristan Megan Cogan-sais | Physical Therapist | 5656 Bee Cave Rd, Ste 101-b, West Lake Hills, TX 78746-5280 | 2005-05-23 |
| 1407293947 | Thomas Fugate Smith Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Ste G201, West Lake Hills, TX 78746-5280 | 2013-05-23 |
| 1851631261 | Kyle Raymond,pa | Dentist | 5656 Bee Cave Rd, B 104, West Lake Hills, TX 78746-5280 | 2013-02-21 |
| 1225304793 | Ada Vanessa Flood | Physician Assistant | 5656 Bee Cave Rd, J-202, West Lake Hills, TX 78746-5280 | 2012-03-28 |
| 1124399092 | Amanda A Trott, Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Ste G201, West Lake Hills, TX 78746-5280 | 2012-01-24 |
| 1457621740 | Paul Scibielski Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Suite G201, West Lake Hills, TX 78746-5280 | 2012-01-04 |
| 1780969097 | Innovative Physicians | Family Medicine | 5656 Bee Cave Rd, E-200, West Lake Hills, TX 78746-5280 | 2011-10-18 |
| 1942595327 | June L Kassell | Nurse Practitioner | 5656 Bee Cave Rd, Suite D-203, West Lake Hills, TX 78746-5280 | 2011-06-14 |
| 1740597962 | Eric D Schultz, Do Pa | Allergy & Immunology | 5656 Bee Cave Rd, Suite D205, West Lake Hills, TX 78746-5280 | 2010-09-09 |
| 1932439791 | Jennifer Vasquez | Nurse Practitioner | 5656 Bee Cave Rd, Suite B101, West Lake Hills, TX 78746-5280 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366695900 | Care Clinics Medical Group, P.a. | General Practice | 4201 Bee Caves Rd, Suite A-200, West Lake Hills, TX 78746-6465 | 2008-10-28 |
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| Find all providers with the same taxonomy | ||||
| City | WEST LAKE HILLS |
| Zip Code | 78746 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.