E. a. Austin DO PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

5101017642 Issued in MI

Legal business name

E. A. AUSTIN DO PC

Practice address

110 S Madison St
Traverse City, MI 49684-2340

Phone

(231) 946-0911

Fax

(231) 935-0343

NPI assigned

Jul 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Jean Conquest

Title

Practice Manager

Phone

(231) 935-0340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley K. Evans, M.D.

  • Neurology Physician
  • Traverse City, MI
  • NPI 1255356523
  NPD
• Kersti Bruining, M.D.

  • Neurology Physician
  • Traverse City, MI
  • NPI 1558364315
  NPD (past)
• Diane K. Donley, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Traverse City, MI
  • NPI 1366461212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1003268202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MADISON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842340",
            "telephone_number": "231-946-0911",
            "fax_number": "231-935-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MADISON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842340",
            "telephone_number": "231-946-0911",
            "fax_number": "231-935-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. A. AUSTIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "CONQUEST",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "231-935-0340"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101017642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477715076",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janis Gregg Duwe, MA, LPC, NCC
• Jane Ann Dykstra, PT
• Jennifer Rebecca Dykstra, PHARM.D.
• Alycia Rae Dzierwa, FNP-C
• Samantha Lin Dzierzyc, PHARMD
• Earlene Blevins, Ma, LPC
• Earthenwell Therapeutic Massage
• East Bay Charter Township (East Bay Ambulance)
• East Bay Family Dentistry
• East Bay Psychology, PC

• Neurology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.