Active NPI
Donald C Austin MD PC
- Neurological Surgery Physician
- Mount Clemens, MI
National Provider Identifier
1003092966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- DONALD C AUSTIN MD PC
- Practice address
- 96 Northbound Gratiot Ave
Suite 102
Mount Clemens, MI 48043-2349 - Phone
- (586) 954-4677
- Fax
- (586) 954-4678
- NPI assigned
- Jan 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald C Austin, MD
- Title
- President
- Phone
- (586) 954-4677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
96 Northbound Gratiot Ave
Suite 102
Mount Clemens, MI 48043-2349
Mailing address
96 Northbound Gratiot Ave
Suite 102
Mount Clemens, MI 48043-2349
Phone (586) 954-4677
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100141 | Other | MI | GREAT LAKES HEALTH PLAN |
| 1405021311 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1039073 | Medicaid | MI | |
| 21741 | Other | MI | OMNICARE |
National Provider Directory
National Provider DirectoryLocations
4160 John R St
Ste 602
Detroit, MI 48201
Phone (313) 831-7993
96 Northbound Gratiot Ave
Ste 102
Mount Clemens, MI 48043
Phone (586) 954-4677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1003092966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 NORTHBOUND GRATIOT AVE",
"address_2": "SUITE 102",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432349",
"telephone_number": "586-954-4677",
"fax_number": "586-954-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 NORTHBOUND GRATIOT AVE",
"address_2": "SUITE 102",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432349",
"telephone_number": "586-954-4677",
"fax_number": "586-954-4678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD C AUSTIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-954-4677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "100141",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1405021311",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039073",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE",
"identifier": "21741",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.