NPIMap

Organization Active NPI

Chudleigh, PA

Doing business as Transition Geriatrics Group

  • Gerontology Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1003295429
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
F1450 Issued in TX
Legal business name
CHUDLEIGH, PA
Doing business as
Transition Geriatrics Group
Practice address
3724 Executive Center Dr
Ste 230
Austin, TX 78731-1646
Phone
(512) 452-2100
Fax
(855) 456-7410
NPI assigned
May 19, 2015
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
James C Chudleigh, MD
Title
Medical Director
Phone
(512) 452-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X F1450 TX Primary

Addresses

Primary practice location

3724 Executive Center Dr
Ste 230
Austin, TX 78731-1646

Mailing address

3724 Executive Center Dr
Ste 230
Austin, TX 78731-1646
Phone (512) 452-2100

Other identifiers 1

IdentifierTypeStateIssuer
00651YOtherTXPTAN

Other names 1

  • Transition Geriatrics Group Doing business as

National Provider Directory

National Provider Directory

Locations

3724 Executive Center Dr
Ste 230
Austin, TX 78731
Phone (512) 452-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1003295429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-452-2100",
            "fax_number": "855-456-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-452-2100",
            "fax_number": "855-456-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUDLEIGH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "CHUDLEIGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-452-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "F1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00651Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transition Geriatrics Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.