Organization Active NPI

Northwest Womens Clinic P a

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1003977190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHWEST WOMENS CLINIC P A
Practice address
11673 Jollyville Rd
Suite 205
Austin, TX 78759-3933
Phone
(512) 338-5161
Fax
(512) 338-5019
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ira Shapiro, M D
Title
M D
Phone
(512) 338-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

11673 Jollyville Rd
Suite 205
Austin, TX 78759-3933

Mailing address

11673 Jollyville Rd
Suite 205
Austin, TX 78759-3933
Phone (512) 338-5161

National Provider Directory

National Provider Directory

Locations

11673 Jollyville Rd
Ste 205
Austin, TX 78759
Phone (512) 345-8888

11111 Research Blvd
Ste 250
Austin, TX 78759
Phone (512) 338-5161

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003977190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593933",
            "telephone_number": "512-338-5161",
            "fax_number": "512-338-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593933",
            "telephone_number": "512-338-5161",
            "fax_number": "512-338-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WOMENS CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "M D",
        "authorized_official_telephone_number": "512-338-5161",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.