ROCKDALE BLACKHAWK, LLC (NPI# 1437693363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437693363 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK, LLC |
| Other Organization Name | LITTLE RIVER HEALTHCARE SOUTHWEST ORTHOPEDIC GROUP |
| Practice Address |
2500 West William Cannon Drive Suite 401 Austin TX 78745-5290 |
| Mailing Address |
1 Chisholm Trail Suite 400 Round Rock TX 78681-5094 |
| Practice Telephone | 5124511969 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | JEFF MADISON (CEO) |
| Authorized Official Telephone | 5124817060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Little River Healthcare Southwest Orthopedic Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1760926604 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 623 Hwy 71 W, Suite 204, Bastrop, TX 78602-4166 | 2016-12-12 |
| 1124562053 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 815 Hwy 71 W, Suite 1150, Bastrop, TX 78602-0319 | 2016-12-12 |
| 1407399884 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 207 W Avenue E, Suite 1000, Lampasas, TX 76550-1820 | 2016-12-02 |
| 1285911123 | Rockdale Blackhawk, LLC | Clinic/Center | 1700 Brazos, Suite A, B and C, Rockdale, TX 76567 | 2011-11-07 |
| 1972047801 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 135 Bunton Creek Road, Suite 302a, Kyle, TX 78640-5701 | 2016-12-12 |
| 1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
| 1437448156 | Rockdale Blackhawk, LLC | Physiological Laboratory | 2401 Fm 646 Rd W, Suite B, Dickinson, TX 77539-3249 | 2011-04-04 |
| 1982894408 | Rockdale Blackhawk, LLC | Clinic/Center | 104 S Magnolia St, Hearne, TX 77859-2565 | 2007-07-31 |
| 1811100076 | Rockdale Blackhawk, LLC | General Acute Care Hospital | 1700 Brazos Ave, Rockdale, TX 76567-2517 | 2007-05-07 |
| Street Address |
2500 WEST WILLIAM CANNON DRIVE SUITE 401 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675097 | Ortholonestar, Pllc | Orthopaedic Surgery | 3755 S Capital of Texas Hwy Ste 160, Austin, TX 78704-6645 | 2020-09-28 |
| 1295344596 | Chall Orthopedic Innovations, Pllc | Orthopaedic Surgery | 5404 N Scout Island Cir, Austin, TX 78731-6533 | 2020-07-23 |
| 1336527621 | Sean M Gallagher Md Pllc | Orthopaedic Surgery | 3901 Medical Pkwy Ste 301, Austin, TX 78756-4022 | 2015-05-07 |
| 1639506546 | Greentree Health Surgical | Orthopaedic Surgery | 8900 Shoal Creek Blvd Bldg 301b, Austin, TX 78757-6810 | 2013-10-09 |
| 1346686128 | Jose A Romero | Orthopaedic Surgery | 3000 N Interstate 35 Ste 500, Austin, TX 78705-1815 | 2013-05-20 |
| 1962741280 | Austin Hand and Wrist Pllc | Orthopaedic Surgery | 3805 Petes Path, Unit B, Austin, TX 78731-6118 | 2013-02-06 |
| 1891031035 | El Paso Healthcare Provider Network | Orthopaedic Surgery | 98 San Jacinto Blvd., Suite 1800, Austin, TX 78701-4237 | 2012-12-17 |
| 1902167638 | Texas Orthopedics, Sports and Rehabilitation Associates, Pa | Orthopaedic Surgery | 1701 West Ben White Blvd, Suite 100b, Austin, TX 78704-7646 | 2012-05-29 |
| 1396002622 | Arturo Deleon Villarreal | Orthopaedic Surgery | 401 W Slaughter Ln Ste 300, Austin, TX 78748-1774 | 2012-04-11 |
| 1760718563 | Orthopaedic Associates of Central Texas | Orthopaedic Surgery | 12176 North Mopac, Ste D, Austin, TX 78758 | 2009-10-29 |
| 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.