ROUND ROCK ORTHOTICS & PROSTHETICS, INC. (NPI# 1447366869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447366869 |
| Entity Type | Organization |
| Organization Name | ROUND ROCK ORTHOTICS & PROSTHETICS, INC. |
| Practice Address |
2911 Medical Arts St Building 7 Austin TX 78705-3376 |
| Mailing Address |
555 Round Rock West Dr Bldg D Suite 100 Round Rock TX 78681-5052 |
| Practice Telephone | 5123413700 |
| Mailing Telephone | 5123413700 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-12-23 |
| Authorized Official Name | MR. ERIK ROY OLSON (PRESIDENT) |
| Authorized Official Telephone | 5123413700 |
| Authorized Official Credential | LPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101272 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF ORTHOTICS AND PROSTHETICS LICENSE NUMBER | 101272 | 01 |
| TX | NPI--ROUND ROCK LOCATION | 1427059203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059203 | Round Rock Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 555 Round Rock West Dr, Bldg D Suite 100, Round Rock, TX 78681-5052 | 2005-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROUND ROCK ORTHOTICS & PROSTHETICS, INC. | 555d Round Rock West Dr Ste 100, Round Rock, TX 78681 |
| Street Address |
2911 MEDICAL ARTS ST BUILDING 7 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123938 | Sridhar Patlolla Reddy | Specialist | 2911 Medical Arts St, Ste 9, Austin, TX 78705-3302 | 2005-06-09 |
| 1740800036 | Sheeba Manayampilly Thomas | General Practice | 2911 Medical Arts St, Austin, TX 78705-3376 | 2020-04-16 |
| 1710301874 | Flora Medical Clinic-pllc | Clinic/Center | 2911 Medical Arts St, Ste #7, Austin, TX 78705-3376 | 2014-02-10 |
| 1497189120 | Kristi Mckenzie, M.d., P.a. | Obstetrics & Gynecology | 2911 Medical Arts St, Building 6, Austin, TX 78705-3376 | 2013-08-29 |
| 1881932564 | Lindsay Darlene Ramirez | Registered Nurse | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-30 |
| 1447598693 | Merrick Mcmains, Md, Pa | Pediatrics | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-23 |
| 1811257801 | Christie Mileur | Obstetrics & Gynecology | 2911 Medical Arts St, Building 3, Austin, TX 78705-3376 | 2012-05-23 |
| 1417232570 | Caroline Cohen Pa | Obstetrics & Gynecology | 2911 Medical Arts St, Suite 3, Austin, TX 78705-3376 | 2011-10-19 |
| 1518245521 | Kimberly Kjome, Md, Pa | Psychiatry & Neurology | 2911 Medical Arts St, Building 7, Austin, TX 78705-3376 | 2011-07-25 |
| 1215225032 | Yu-han Virginia Hu | Obstetrics & Gynecology | 2911 Medical Arts St, Bldg 3, Austin, TX 78705-3376 | 2011-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396302493 | Neu Limbs, LLC | Prosthetic/Orthotic Supplier | 111 W Anderson Ln Ste A102, Austin, TX 78752-1132 | 2019-05-23 |
| 1891261046 | Axis Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 8906 Wall St Ste 608, Austin, TX 78754-4545 | 2018-10-15 |
| 1558843607 | Opsolutions, LLC | Prosthetic/Orthotic Supplier | 706 W Ben White Blvd Ste 194, Austin, TX 78704-8124 | 2018-09-05 |
| 1023510369 | Blue Sky Orthotic and Prosthetics | Prosthetic/Orthotic Supplier | 1104 W 34th St Bldg A, Austin, TX 78705-1908 | 2018-03-02 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1255887519 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3111 Palm Way, Austin, TX 78758 | 2016-08-28 |
| 1053779231 | Capital Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 209 E Ben White Blvd Ste 204, Austin, TX 78704-7390 | 2016-02-03 |
| 1780059576 | The Postureperfector LLC | Prosthetic/Orthotic Supplier | 8302 Cornerwood Dr, Austin, TX 78717-5336 | 2015-12-06 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on ROUND ROCK ORTHOTICS & PROSTHETICS, INC..
| 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.