ST. DAVID'S GEORGETOWN HOSPITAL
NPI 1629010145
Clinic/Center - Ambulatory Surgical in Georgetown, TX

NPI Status: Active since June 11, 2006

Contact Information

2000 SCENIC DR
GEORGETOWN, TX
ZIP 78626
Phone: (512) 943-3000
Fax: (512) 943-4477

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 45D0670826
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-16-2025

About ST. DAVID'S GEORGETOWN HOSPITAL

This page provides the complete NPI Profile along with additional information for St. David's Georgetown Hospital, a provider established in Georgetown, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629010145 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as St. David's Georgetown Hospital. The authorized official of this NPI record is David W. Mcknight (Cfo)

NPI
1629010145
Provider Legal Name
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
Other Organization Name
ST. DAVID'S GEORGETOWN HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2000 SCENIC DR GEORGETOWN, TX 78626
Location Phone
(512) 943-3000
Location Fax
(512) 943-4477
Mailing Address
2000 SCENIC DR GEORGETOWN, TX 78626
Mailing Phone
(512) 943-3000
Mailing Fax
(512) 943-4477
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
02-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID W. MCKNIGHT

Authorized Official Title
CFO
Authorized Official Phone
(512) 544-5030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
022495801MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0670826
Facility Type
Hospital
Certificate Effective Date
August 17, 2023
Certificate Expiration Date
August 16, 2025
Laboratory Director
DR. KELLY A. KHAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. David's Georgetown Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. DAVID'S GEORGETOWN HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629010145
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264901018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 1 + 0 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1629010145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962483107 ROBERT CHARLES STERN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 SCENIC DR DEPARTMENT OF PATHOLOGY
GEORGETOWN, TX 78626
(512) 943-3000
1528013901 PURVI H SHAH M.D.
Individual
Emergency Medicine2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1811942907 STEFAN P HOOD M.D.
Individual
Emergency Medicine2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1619924784 BOBACK B SOBHANI M.D.
Individual
Emergency Medicine2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1790725828 JAMES M SHEPHERD M.D.
Individual
Emergency Medicine2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1265472419 ALAN L RABIDEAU M.D.
Individual
Emergency Medicine2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1053325019DR. JOHN E DELHAGEN M.D.
Individual
Anesthesiology2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 863-2117
1528110889 JILL R ROBARDS FNP
Individual
Nurse Practitioner2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 942-4104
1124295845GEORGETOWN RADIATION ONCOLOGY PLLC
Organization
Radiology (Radiation Oncology)2000 SCENIC DR
GEORGETOWN, TX 78626
(713) 292-6959
1477719490TRAVIS PATHOLOGY ASSOCIATES PA
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2000 SCENIC DR DEPARTMENT OF PATHOLOGY
GEORGETOWN, TX 78626
(512) 324-7516
1700188497MIRA HEALTHCARE OF TEXAS PLLC
Organization
Anesthesiology2000 SCENIC DR
GEORGETOWN, TX 78626
(817) 861-3994
1083628051DR. TOM L MULCAHEY M.D.
Individual
Anesthesiology2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 863-2117
1184638967DR. JAY BURTON PENNINGTON M.D.
Individual
Anesthesiology2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 863-2117
1538172028AUSTIN PATHOLOGY ASSOCIATES
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2000 SCENIC DR DEPARTMENT OF PATHOLOGY
GEORGETOWN, TX 78626
(512) 943-3000
1336143080DR. DANA LEE SIMMANG M.D.
Individual
Pediatrics2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1558517011 NELS CHRISTOPHER ARNTSON APN
Individual
Nurse Practitioner (Adult Health)2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1376835439DR. SAMAIRA J KHAN D.O.
Individual
Physical Medicine & Rehabilitation2000 SCENIC DR
GEORGETOWN, TX 78626
(917) 628-6617
1780157750SAMAIRA KHAN DO, PLLC
Organization
Physical Medicine & Rehabilitation2000 SCENIC DR
GEORGETOWN, TX 78626
(917) 628-6617
1588110985MR. MICHAEL GONZALES FNP
Individual
Nurse Practitioner (Family)2000 SCENIC DR
GEORGETOWN, TX 78626
(512) 943-3000
1457315020GEORGETOWN WOMEN'S CENTER, PA
Organization
Specialist2000 SCENIC DR SUITE 204
GEORGETOWN, TX 78626
(512) 863-6850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629010145, enumerated in the NPI registry as an "organization" on June 11, 2006

The provider is located at 2000 Scenic Dr Georgetown, Tx 78626 and the phone number is (512) 943-3000

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D0670826 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.