Organization Active NPI

Paris Medical Management, PLLC

Doing business as Austin Covid Labs

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1023501814
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PARIS MEDICAL MANAGEMENT, PLLC
Doing business as
Austin Covid Labs
Rejuvawell
Practice address
4818 Berkman Dr Ste 100
Austin, TX 78723-4697
Phone
(512) 640-8090
Fax
(512) 640-8092
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dr. Michelle Paris, DC
Title
Owner/Provider
Phone
(512) 505-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

4818 Berkman Dr Ste 100
Austin, TX 78723-4697

Mailing address

4818 Berkman Dr Ste 100
Austin, TX 78723-4697
Phone (512) 640-8090

Other identifiers 3

IdentifierTypeStateIssuer
1023501814OtherTXNPI
1649416546OtherTXNPI
1669474912OtherTXNPI

Other names 2

  • Austin Covid Labs Doing business as
  • Rejuvawell Doing business as

National Provider Directory

National Provider Directory

Locations

1310 E 51st St
Austin, TX 78723
Phone (512) 913-9053

Practitioners & affiliated clinicians

Practitioners 3

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": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1023501814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 BERKMAN DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234697",
            "telephone_number": "512-640-8090",
            "fax_number": "512-640-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 BERKMAN DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234697",
            "telephone_number": "512-640-8090",
            "fax_number": "512-640-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS MEDICAL MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "512-505-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023501814",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649416546",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669474912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Covid Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rejuvawell",
            "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 Aug 20, 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.