SATELLITE HEALTHCARE CENTRAL STATES LLC (NPI# 1114012903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114012903 |
| Entity Type | Organization |
| Organization Name | SATELLITE HEALTHCARE CENTRAL STATES LLC |
| Other Organization Name | SATELLITE HEALTHCARE MUELLER |
| Practice Address |
1801 E 51st St Building G Suite 100 Austin TX 78723-3434 |
| Mailing Address |
300 Santana Row Ste 300 San Jose CA 95128-2423 |
| Practice Telephone | 5129270300 |
| Practice Fax Number | 5123911520 |
| Mailing Telephone | 6504043600 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | SUSAN L DEL BENE (SECRETARY/CFO) |
| Authorized Official Telephone | 6504043618 |
| Is Organization Subpart | Y |
| Parent Organization Name | SATELLITE HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
110238 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 185969606 | 05 | |
| TX | STATE OF TEXAS | 110238 | 01 |
| Other Name | Type Code |
|---|---|
| Satellite Healthcare Mueller | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932294725 | Satellite Healthcare Central States LLC | Clinic/Center | 134 Elmhurst Drive, Kyle, TX 78640-6060 | 2006-10-04 |
| 1790123768 | Satellite Healthcare Central States LLC | Clinic/Center | 10001 S Ih 35, Bldg 1 Suite100, Austin, TX 78747-1701 | 2013-06-12 |
| 1023103819 | Satellite Healthcare Central States LLC | Clinic/Center | 1701 W Ben White Blvd, Ste 180, Austin, TX 78704-7680 | 2006-10-04 |
| 1841385630 | Satellite Healthcare Central States LLC | Clinic/Center | 16010 Park Valley Dr, Ste 100, Round Rock, TX 78681-3575 | 2006-10-04 |
| 1861584211 | Satellite Healthcare Central States LLC | Clinic/Center | 10000 Metric Blvd, Ste 100, Austin, TX 78758-5210 | 2006-09-29 |
| Street Address |
1801 E 51ST ST BUILDING G SUITE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376598110 | Lawrence Nicholas Masullo | Emergency Medicine | 1801 E 51st St, Austin, TX 78723-3434 | 2006-05-23 |
| 1679183131 | Katherine Hannah Bennett | Pharmacist | 1801 E 51st St, Austin, TX 78723-3434 | 2020-08-08 |
| 1184278368 | Lumeng Li | Pharmacist | 1801 E 51st St, Austin, TX 78723-3434 | 2019-07-26 |
| 1144701038 | Taylor Nicole Mcbride | Pharmacist | 1801 E 51st St, Austin, TX 78723-3434 | 2018-08-28 |
| 1871030775 | Ashley Nicole Floyd | Pharmacist | 1801 E 51st St, Austin, TX 78723-3434 | 2017-01-30 |
| 1205232964 | Envision Eye Center, Pllc | Optometrist | 1801 E 51st St, Suite 360, Austin, TX 78723-3434 | 2014-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033520 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10000 Metric Blvd Ste 100, Austin, TX 78758-5210 | 2020-05-06 |
| 1477174951 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 12176 N Mo Pac Expy Ste A, Austin, TX 78758-2908 | 2020-05-06 |
| 1770104481 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10001 S Ih 35 Ste 100, Austin, TX 78747-1701 | 2020-05-04 |
| 1194346809 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1801 E 51st St Ste 100, Austin, TX 78723-3444 | 2020-05-04 |
| 1720609431 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1701 W Ben White Blvd Ste 180, Austin, TX 78704-7680 | 2020-05-04 |
| 1023639739 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 9811 S Interstate Highway 35 Ste 100, Austin, TX 78744-7901 | 2020-05-04 |
| 1538791298 | Renal Treatment Centers - Southeast, Lp | Clinic/Center | 7912 Cameron Rd, Austin, TX 78754-3826 | 2020-02-10 |
| 1992346316 | Cdi Health, LLC | Clinic/Center | 1717 W 6th St Ste 350, Austin, TX 78703-4870 | 2019-10-07 |
| 1376100818 | Nicona Dialysis LLC | Clinic/Center | 9010 Brodie Lane, Bldg A, Austin, TX 78748-5184 | 2019-05-21 |
| 1013357110 | Satellite Wellbound of South Austin, LLC | Clinic/Center | 9811 S Ih 35, Bldg 4 Suite 200, Austin, TX 78744 | 2013-07-03 |
| Find all providers in AUSTIN | ||||
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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.