Organization Active NPI

Vaccine Machine LLC

  • Medical Specialty Clinic/Center
  • Austin, TX
National Provider Identifier
1013240076
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E2824 Issued in TX
Legal business name
VACCINE MACHINE LLC
Doing business as
Passport Health of Austin
Practice address
631 W 38TH St Ste 1
Austin, TX 78705-1251
Phone
(512) 459-0672
Fax
(512) 420-0974
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Sidney T Robin, M.D.NPI 1760499586
Title
Medical Director
Phone
(512) 459-0672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E2824 TX Primary

Addresses

Primary practice location

631 W 38TH St Ste 1
Austin, TX 78705-1251

Mailing address

631 W 38TH St Ste 1
Austin, TX 78705-1251
Phone (512) 459-0672

Other names 1

  • Passport Health of Austin Doing business as

National Provider Directory

National Provider Directory

Locations

631 W 38th St
Ste 1
Austin, TX 78705
Phone (512) 459-0672

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1013240076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W 38TH ST STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051251",
            "telephone_number": "512-459-0672",
            "fax_number": "512-420-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W 38TH ST STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051251",
            "telephone_number": "512-459-0672",
            "fax_number": "512-420-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINE MACHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-459-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health of Austin",
            "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 Sep 9, 2009; 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.