Mary V. Mirto, D.O., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L1674 Issued in TX

Legal business name

MARY V. MIRTO, D.O., P.A.

Practice address

900 E 30TH St Ste 211
Austin, TX 78705-3323

Phone

(512) 476-5090

Fax

(512) 476-5089

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary V Mirto, D.O.

Title

Physician

Phone

(512) 476-5090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1023291028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053323",
            "telephone_number": "512-476-5090",
            "fax_number": "512-476-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053323",
            "telephone_number": "512-476-5090",
            "fax_number": "512-476-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY V. MIRTO, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MIRTO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-476-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153610401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kate Peters, DDS, PLLC
• Mary Lee Foundation
• Mary Lee Foundation
• Mary Lee Foundation
• Mary Marvin Johnson,MD,PA,Dba (Northwest Pediatrics and Adolescents)
• Mary Webb-Tafoya PLLC
• Anthony Masaryk, MD
• Toni Marie Mascarenas, LAC
• Lauren Masciarelli, MA, LPC-S, LMFT-S
• Alondra Anahid Mascorro, LPC

• Obstetrics & Gynecology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.