LITTLE RIVER MEDICAL GROUP (NPI# 1598169039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598169039 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL GROUP |
| Practice Address |
1904 Railroad St Georgetown TX 78626-7718 |
| Practice Telephone | 5128634563 |
| Practice Fax Number | 5128695899 |
| Mailing Telephone | 5128634563 |
| Mailing Fax Number | 5128695899 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | JEFFREY P MADISON (CEO) |
| Authorized Official Telephone | 5124464500 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558800706 | Little River Medical Group | Exclusive Provider Organization | 1 Chisholm Trl, Round Rock, TX 78681-5008 | 2017-02-21 |
| 1326442195 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Suite 103, Temple, TX 76502-1838 | 2014-10-22 |
| 1699179465 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-22 |
| 1124422662 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-10-13 |
| 1639571052 | Little River Medical Group | Family Medicine | 5656 Bee Caves Rd, Suite M 300, West Lake Hills, TX 78746-5280 | 2014-09-17 |
| 1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
| Street Address |
1904 RAILROAD ST |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972569747 | Julia L. Pickel | Physician Assistant | 1904 Railroad St, Georgetown, TX 78626-7718 | 2006-04-21 |
| 1811339831 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1904 Railroad St, Georgetown, TX 78626-7718 | 2013-07-18 |
| 1881828986 | Ryan K Bergeson Md Pa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2009-05-05 |
| 1700076734 | Albert H. Bartschmid, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1043400054 | Christopher Sean English, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1376733394 | Charles Jeffrey Schwertner, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1952591992 | Clifton B. O'meara, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1114123676 | Georgetown Orthopedics | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-06-22 |
| 1780719542 | Kimi C Lourigan | Physical Therapist | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-02-22 |
| 1598890360 | Mark R Alford | Physical Therapist | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694999 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 940 W University Ave, Suite 101, Georgetown, TX 78626-6503 | 2020-03-18 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1649716085 | Mathes Pharmacy Store 2 Inc | Durable Medical Equipment & Medical Supplies | 1044 N Luther Rd, Georgetown, IN 47122-9122 | 2017-01-09 |
| 1043627193 | Tidewater Medical, Inc. | Durable Medical Equipment & Medical Supplies | 64 Central St, Georgetown, MA 01833-2423 | 2014-07-21 |
| 1245679612 | Hb Enterprise Inc | Durable Medical Equipment & Medical Supplies | 2506 Prince St, Georgetown, SC 29440-2930 | 2013-06-19 |
| 1407291982 | Georgetown Apothecary Pllc | Durable Medical Equipment & Medical Supplies | 1002 S Broadway St Ste 7, Georgetown, KY 40324-1463 | 2013-05-09 |
| 1730412362 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 926 S Broadway St, Georgetown, KY 40324-1471 | 2009-09-15 |
| 1467684712 | Arden Innovations | Durable Medical Equipment & Medical Supplies | 1280 County Road 100, Georgetown, TX 78626-2255 | 2009-08-20 |
| 1164663787 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1220 W University Ave, Georgetown, TX 78628-5333 | 2009-03-11 |
| 1730329277 | Ingram Pharmacy Pllc Dba Hometown Pharmacy | Durable Medical Equipment & Medical Supplies | 1502 Oxford Dr Ste 150, Suite 150, Georgetown, KY 40324-8095 | 2009-02-24 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.