LITTLE RIVER MEDICAL GROUP (NPI# 1699179465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699179465 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL GROUP |
| Practice Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2542982400 |
| Mailing Telephone | 2542982400 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | JEFFREY P MADISON (CEO) |
| Authorized Official Telephone | 5124464500 |
| 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 |
| 1598169039 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1904 Railroad St, Georgetown, TX 78626-7718 | 2014-10-13 |
| 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 |
1905 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410439 | Austin Wei Chang | Ophthalmology | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2005-07-11 |
| 1730645995 | Collins Family Pharmacy LLC | Pharmacy | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-02-13 |
| 1497230395 | Jennifer Smith | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-27 |
| 1093245854 | Jocelyn Cheung | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2017-06-14 |
| 1740736347 | Christie Lyn Torres | Nurse Practitioner | 1905 Sw H K Dodgen Loop, 1700 Brazos, Rockdale Tx 76567, Temple, TX 76502-1814 | 2016-09-01 |
| 1174977516 | Preston Neal Martin | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2016-04-22 |
| 1336544758 | Lindsey Nicole Willis | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-28 |
| 1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| 1700148558 | Anthony J Collins | Pharmacist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| 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 |
|---|---|---|---|---|
| 1558908962 | Crystal Hernandez | Durable Medical Equipment & Medical Supplies | 1907 Ramcon Dr, Temple, TX 76504-7154 | 2019-12-04 |
| 1467606145 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2707 S 37th St Ste C, Temple, TX 76504-7111 | 2008-11-07 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1881867687 | Donald A Rupprecht | Durable Medical Equipment & Medical Supplies | 1900 S 1st St, Temple, TX 76504-7449 | 2008-04-12 |
| 1881862647 | The Bedding Express | Durable Medical Equipment & Medical Supplies | 4211 S General Bruce Dr, Temple, TX 76502-1402 | 2008-02-14 |
| 1689882193 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3550 S General Bruce Dr, Temple, TX 76504-5138 | 2007-05-18 |
| 1740492800 | Advanced Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 1005 Marlandwood Rd, Suite 108, Temple, TX 76502-7270 | 2007-05-03 |
| 1992852339 | In Vision Eye Care, LLC | Durable Medical Equipment & Medical Supplies | 2924 S 31st St, Temple, TX 76502-1861 | 2007-01-05 |
| 1003833278 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 3401 S 31st St, Temple, TX 76502-1902 | 2006-07-16 |
| 1861419004 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5314 Allentown Pike, Temple, PA 19560-1249 | 2006-07-16 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on LITTLE RIVER MEDICAL GROUP.
| 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.