ROCKDALE BLACKHAWK LLC (NPI# 1427353770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427353770 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK LLC |
| Other Organization Name | LITTLE RIVER HEALTHCARE BASTROP IMAGING |
| Practice Address |
3101 Highway 71 E Suite 108 Bastrop TX 78602-5156 |
| Practice Telephone | 5123320222 |
| Mailing Telephone | 5123320222 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | JEFFREY P MADISON (OWNER) |
| Authorized Official Telephone | 5124464500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little River Healthcare Bastrop Imaging | 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 |
| 1033483086 | Rockdale Blackhawk LLC | General Practice | 5656 Bee Cave Rd, Suite M-300, West Lake Hills, TX 78746-5280 | 2012-03-07 |
| 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 |
| Street Address |
3101 HIGHWAY 71 E SUITE 108 |
| City | BASTROP |
| State | TX |
| Zip Code | 78602-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528027992 | James Handy | Podiatrist | 3101 Highway 71 E, Ste#211, Bastrop, TX 78602-5156 | 2006-03-22 |
| 1902271935 | Central Texas Pain Institute, Pllc | Durable Medical Equipment & Medical Supplies | 3101 Highway 71 E, Suite 211, Bastrop, TX 78602-5156 | 2015-12-02 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1427362219 | Olivia Yvette Blankenship | Nurse Practitioner | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2010-08-04 |
| 1073754719 | Marci A. Roy, M. D., Pllc | Specialist | 3101 Highway 71 E, Suite 201, Bastrop, TX 78602-5156 | 2009-03-10 |
| 1831334291 | Daniel J Ladd Jr Do Pa Dba Austin Center for Skin Health and Rejuvenat | Ophthalmology | 3101 Highway 71 E, #201, Bastrop, TX 78602-5156 | 2008-12-12 |
| 1578727731 | Texas Orthopedics Sports and Rehabilitation Associates Pa | Orthopaedic Surgery | 3101 Highway 71 E, Suite 201, Bastrop, TX 78602-5156 | 2008-07-16 |
| 1265658025 | William Edward Mcmanus | Physician Assistant | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2007-04-18 |
| 1730212473 | Bastrop Open Mri L L P Partnership | Clinic/Center | 3101 Highway 71 E, Suite #108, Bastrop, TX 78602-5156 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| Find all providers in zip 78602 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1255360558 | Morehouse Computerized Imaging | Clinic/Center | 416 Gunby Ave, Bastrop, LA 71220-4406 | 2006-07-01 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1730212473 | Bastrop Open Mri L L P Partnership | Clinic/Center | 3101 Highway 71 E, Suite #108, Bastrop, TX 78602-5156 | 2007-03-13 |
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| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.